Health and social care services and systems increasingly promote both interprofessional practice and person-centred care. This discussion first examines the clinical and community-based contexts for providing interprofessional practice and person-centred care through the lens of personal, interpersonal, interprofessional and organisational values. Emerging conflicts among values are highlighted using the concept of moral distress, with examples from US and Canadian settings. The comparison then moves to the systems level, examining different US and Canadian contexts for improving the quality and reducing the cost of care. Finally, implications and applications are presented, focusing on interrelationships among the individual, interprofessional team and organisation.
Bachynsk, N. (2020) Implications for policy: the Triple Aim, Quadruple Aim, and interprofessional collaboration, Nursing Forum, 55(1): 54–64. doi: 10.1111/nuf.12382
Beck, J., Falco, C.N., O’Hara, K., Bassett, H.K., Randall, C.L., Cruz, S., Hanson, J.L., Dean, W. and Senturia, K. (2023) The norms and corporatization of medicine influence physician moral distress in the United States, Teaching and Learning in Medicine, 35(3): 335–45. doi: 10.1080/10401334.2022.2056740
Berwick, D.M. (2020) The moral determinants of health, Journal of the American Medical Association, 324(3): 225–6. doi: 10.1001/jama.2020.11129
Berwick, D.M., Nolan, T.W. and Whittington, J. (2008) The Triple Aim: care, health, and cost, Health Affairs, 27(3): 759–69. doi: 10.1377/hlthaff.27.3.759
Bodenheimer, T. and Sinsky, C. (2014) From Triple to Quadruple Aim: care of the patient requires care of the provider, Annals of Family Medicine, 12(6): 573–6. doi: 10.1370/afm.1713
Brandt, B., Lutfiyya, M., King, J.A. and Chioreso, C. (2014) A scoping review of interprofessional collaborative practice and education using the lens of the Triple Aim, Journal of Interprofessional Care, 28(5): 393–9. doi: 10.3109/13561820.2014.906391
Bryan, S. and Donaldson, C. (2016) Taking triple aim at the Triple Aim, Healthcare Papers, 15(3): 25–30. doi: 10.12927/hcpap.2016.24585
Canadian Nurses Association (nd) Position statement on interprofessional collaboration, www.cna-aiic.ca/en/nursing/nursing-tools-and-resources/interprofessional-collaboration.
CHSRF (Canadian Health Services Research Foundation) (2012a) Evidence Synthesis for the Effectiveness of Interprofessional Teams in Primary Care, Ottawa, ON: Canadian Nurses Association, www.cna-aiic.ca/en/nursing/nursing-tools-and-resources/interprofessional-collaboration.
CHSRF (2012b) Interprofessional Collaborative Teams, Ottawa, ON: Canadian Nurses Association, www.cna-aiic.ca/en/nursing/nursing-tools-and-resources/interprofessional-collaboration.
Clark, P.G. (1989) The philosophical foundation of empowerment: implications for geriatric health care programs and practice, Journal of Aging and Health, 1(3): 267–85. doi: 10.1177/089826438900100301
Clark, P.G. (1995) Quality of life, values, and teamwork in geriatric care: do we communicate what we mean?, The Gerontologist, 35(3): 402–11. doi: 10.1093/geront/35.3.402
Clark, P.G. (1997) Values in health care professional socialization: implications for geriatric education in interdisciplinary teamwork, The Gerontologist, 37(4): 441–51. doi: 10.1093/geront/37.4.441
Clark, P.G. (2006) What would a theory of interprofessional education look like? Some suggestions for developing a theoretical framework for teamwork training, Journal of Interprofessional Care, 20(6): 577–89. doi: 10.1080/13561820600916717
Clark, P.G. (2014) Narrative in interprofessional education and practice: implications for professional identity, provider–patient communication, and teamwork, Journal of Interprofessional Care, 28(1): 34–9. doi: 10.3109/13561820.2013.853652
Clark, P.G. and Drinka, T.J.K. (2002) Exploring responsibility, accountability, and authority in geriatric team performance, in M.D. Mezey, C.K. Cassel, M.M. Bottrel, K. Hyer, J.L. Howe and T.T. Fulmer (eds) Ethical Patient Care: A Casebook for Geriatric Health Care Teams, Baltimore, MD: Johns Hopkins University Press, pp 208–29.
Clark, P.G., Cott, C. and Drinka, T.J.K. (2007) Theory and practice in interprofessional ethics: a framework for understanding ethical issues in health care teams, Journal of Interprofessional Care, 21(6): 591–603. doi: 10.1080/13561820701653227
Clark, P.G., Ansello, E., Helm, F. and Tanzer, R. (2023 ) Growing older with intellectual and developmental disabilities: implementing and evaluating a project ECHO for dementia education, Gerontology & Geriatrics Education. doi: 10.1080/02701960.2023.2168269
Curran, V. (2007) Collaborative Care, Primary Health Care Transition Fund Synthesis Series on Sharing Insights, Ottawa, ON: Health Canada, www.canada.ca/content/dam/hc-sc/migration/hc-sc/hcs-sss/alt_formats/hpb-dgps/pdf/prim/2006-synth-collabor-eng.pdf.
Drinka, T.J.K. and Clark, P.G. (2016) Healthcare Teamwork: Interprofessional Practice and Teaching, 2nd edn, Santa Barbara, CA: Praeger.
Frenk, J., et al. (2010) Health professionals for a new century: transforming education to strengthen health systems in an interdependent world, The Lancet, 376(9756): 1923–58. doi: 10.1016/S0140-6736(10)61854-5
Gachoud, D., Albert, M., Kuper, A., Stroud, L. and Reeves, S. (2012) Meanings and perceptions of patient-centredness in social work, nursing, and medicine: a comparative study, Journal of Interprofessional Care, 26(6): 484–90. doi: 10.3109/13561820.2012.717553
Gocan, S., Laplante, M.A. and Woodend, K. (2014) Interprofessional collaboration in Ontario’s family health teams: a review of the literature, Journal of Research in Interprofessional Practice and Education, 3(3): 1–19. doi: 10.22230/jripe.2014v3n3a131
Gray, M. and Jani, A. (2016) Promoting Triple Aim healthcare in countries with universal healthcare, Healthcare Papers, 15(3): 42–8.
Hutchinson, G.S. and Korazim-Kőrösy, Y. (2017) Do national welfare systems have an influence on interdisciplinary collaborations within schools of social work and their communities? The case of the Nordic countries, International Social Work, 60(1): 45–60. doi: 10.1177/0020872814559561
Institute for Healthcare Improvement and the Hartford Foundation (2020) Age-Friendly Health Systems: Guide to Using the 4Ms in the Care of Older Adults, Boston, MA: IHI, www.ihi.org/Engage/Initiatives/Age-Friendly-Health-Systems/Documents/IHIAgeFriendlyHealthSystems_GuidetoUsing4MsCare.pdf.
IPEC (Interprofessional Education Collaborative) (2023) IPEC Core Competencies for Interprofessional Collaborative Practice: Version 3, Washington, DC: IPEC, www.ipecollaborative.org/assets/core-competencies/IPEC_Core_Competencies_Version_3_2023.pdf.
James, B.C. and Savitz, L.A. (2011) How intermountain trimmed health care costs through robust quality improvement efforts, Health Affairs, 30(6): 1185–91. doi: 10.1377/hlthaff.2011.0358
Jameton, A. (1984) Nursing Practice: The Ethical Issues, Englewood Cliffs, NJ: Prentice-Hall.
Karam, M., Brault, I., Van Durme, T. and Macq, J. (2018) Comparing interprofessional and interorganizational collaboration in healthcare: a systemic review of the qualitative research, International Journal of Nursing Studies, 79: 70–83. doi: 10.1016/j.ijnurstu.2017.11.002
Kayser-Jones, J. (1986) Distributive justice and the treatment of acute illness in nursing homes, Social Science in Medicine, 23(12): 1279–86. doi: 10.1016/0277-9536(86)90290-x
Lukey, A., et al. (2021) Facilitating integration through team-based primary healthcare: a cross-case policy analysis of four Canadian provinces, International Journal of Integrated Care, 21(4): 1–12. doi: 10.5334/ijic.5680
Lutfiyya, M.N., Brandt, B., Delaney, C., Pechacek, J. and Cerra, F. (2016) Setting a research agenda for interprofessional education and collaborative practice in the context of United States health system reform, Journal of Interprofessional Care, 30(1): 7–14. doi: 10.3109/13561820.2015.1040875
Martin-Rodriguez, L.S., Beaulieu, M.D., D’Amour, D. and Ferrada-Videla, M. (2005) The determinants of successful collaboration: a review of theoretical and empirical studies, Journal of Interprofessional Care, 19(S1): 132–47. doi: 10.1080/13561820500082677
McCauley, L., Phillips, R.L., Meisnere, M. and Robinson, S.K. (eds) (2021) Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care, Washington, DC: National Academies Press, www.nap.edu/catalog/25983/implementing-high-quality-primary-care-rebuilding-the-foundation-of-health.
Mery, G., Majumder, S., Brown, A. and Dobrow, M.J. (2017) What do we mean when we talk about the Triple Aim? A systematic review of evolving definitions and adaptations of the framework at the health system level, Health Policy, 121(6): 629–36. doi: 10.1016/j.healthpol.2017.03.014
Nundy, S., Cooper, L.A. and Mate, K.S. (2022) The Quintuple Aim for health care improvement: a new imperative to advance health equity, Journal of the American Medical Association, 327(6): 521–2. doi: 10.1001/jama.2021.25181
O’Leary, N. and Boland, P. (2020) Organization and system theories in interprofessional research: a scoping review, Journal of Interprofessional Care, 34(1): 11–19. doi: 10.1080/13561820.2019.1632815
Ploeg, J., Markle-Reid, M., Fisher, A., Bookey-Bassett, S., Chambers, T., Kennedy, L., Morsy, M. and Dufour, S. (2017) An exploration of experts’ perceptions on the use of interprofessional education to support collaborative practice in the care of community-living older adults, Journal of Interprofessional Care, 31(5): 638–47. doi: 10.1080/13561820.2017.1347610
Romanow Commission (2002) Building on Values: The Future of Health Care in Canada, Ottawa, ON: Government of Canada, https://publications.gc.ca/collections/Collection/CP32-85-2002E.pdf.
Russell, G.M., et al. (2018) Contextual levels for team-based primary care: lessons from reform interventions in five jurisdictions in three countries, Family Practice, 35(3): 276–84. doi: 10.1093/fampra/cmx095
Schön, D.A. (1987) Educating the Reflective Practitioner, San Francisco, CA: Jossey-Bass.
Sidani, S. and Fox, M. (2014) Patient-centred care: clarification of its specific elements to facilitate interprofessional care, Journal of Interprofessional Care, 28(2): 134–41. doi: 10.3109/13561820.2013.862519
Steenkamer, B., Drewes, H., Putters, K., van Oers, H. and Baan, C. (2020) Reorganizing and integrating public health, health care, social care and wider public services: a theory-based framework for collaborative adaptive health networks to achieve the Triple Aim, Journal of Health Services Research and Policy, 25(3): 187–201. doi: 10.1177/1355819620907359
Thistlethwaite, J., Jackson, A. and Moran, M. (2013) Interprofessional collaborative practice: a deconstruction, Journal of Interprofessional Care, 27(1): 50–6. doi: 10.3109/13561820.2012.730075
WHO (World Health Organization) (2010) Framework for Action on Interprofessional Education and Collaborative Practice, Geneva, Switzerland: WHO, https://apps.who.int/iris/bitstream/handle/10665/70185/WHO_HRH_HPN_10.3_eng.pdf;jsessionid=326497879C8F0249076CE45925028CE9?sequence=1.
Wilkinson, G.W., et al. (2017) No equity, no Triple Aim: strategic proposals to advance health equity in a volatile policy environment, American Journal of Public Health, 107(S3): S223–8. doi: 10.2105/AJPH.2017.304000
Yeandle, S., Chou, Y.C., Fine, M., Larkin, M. and Milne, A. (2017) Care and caring: interdisciplinary perspectives on a societal issue of global significance, International Journal of Care and Caring, 1(1): 3–25. doi: 10.1332/239788217x14866278171183
May 2022 onwards | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 416 | 416 | 68 |
Full Text Views | 169 | 169 | 7 |
PDF Downloads | 91 | 91 | 7 |
Institutional librarians can find more information about free trials here