Health Care Team
"We're your team, but you (the patient) lead us"
Health care professionals have roles to play at every level of health care.
Effective interprofessional education is fundamental to training new generations of health care providers and changing the way that existing providers think.
- members of the health care team
- scopes of practice
- what is interprofessional health care?
- resources and references
Members of the Interprofessional Health Care Team
Non=physician clinicians (NPCs)
http://www.thelancet.com/journals/lancet/article/PIIS0140673607607855/fulltext?isEOP=true
- audiologists
- chiropractors
- dental hygenists
- dentists
- dietitians
- laboratory technicians
- massage therapists
- midwives
- naturopaths
- nurses
- nurse practitioners
- occupational therapists
- osteopaths
- paramedics
- pharmacists
- physiotherapists
- psychologists
- social workers
- physicians
- physician extenders
What is Interprofessional Health Care?
- evidence for interprofessional health care
- moving towards interprofessional health care
- models of interdisciplinary health care
Interprofessional health care is "the continuous interaction of two or more professionals or disciplines, organized into a common effort, to solve or explore common issues with the best possible participation of the patient." - Dr. Carol P Herbert, Dean of Medicine, University of Western Ontario.
It is designed to promote the active participation of each discipline. enhancing patient- and family-centred goals and values, increases communication, optimizes team-based clinical decision making, and increases respect.
No one person or profession has all the answers. To be successful, health care providers must be able to translate and share what they know.
The challenge of managing chronic illnesses is best met through multiple levels, working together.
Interprofessional care occurs when members of the team share their views and understanding of a health concern, allowing them to work together to deliver care. Transprofessional care occurs when members share decisions, roles, and professional responsibilities.
Well-functioning teams have the patient at the centre, communicate easily and frequently, have shared objectives and clear roles and responsibilities, and make decisions together.
The Principles and Framework for Interdisciplinary Care are:
- focus on patient needs
- ensure health services are relevant, based on demographics and community needs
- provide quality care
- facilitate access to the right service, at the right time, in the right place, by the right people
- respect and learn from one another and share decision-making
- consult and communicate
Evidence for Interprofessional Health Care
There is "significant weakness" in the literature, as there are no real RCTs evaluating them.
Moving Towards Interprofessional Health Care
Policy is important in determining how resources are allocated.
get pharmacy and medicine to do COPS together during pharmacology.
COPS cases need to be very much rewritten to have interprofessional care.
Here is a presentation I made to the Nova Scotia College of Physicians in Dec 2007.
Need to also get CME involved: Centre for Faculty Development
There is a real history of power differential and twisted social relations. This needs to be discussed - brought into the open.
Hierachies continue to persist and are fundamental barriers to effective interprofessional practice.
Turf wars are fundamental barriers to change. Address these. Having people sit in different camps at the same time creates overlap and breaks down silos.
Patient interviews need to be streamlined such that they can be shared.
Knowledge translation among professionals is a necessity.
Models of Interprofessional Care
The HIV clinic at the QE2
Resources and References
Canadian Health Services Research Foundation
CIHC: Canadian Interprofessional Health Collaborative
InterEd: International Association for Interprofessional Education and Collaborative Practice