Introduction: An important aspect of Value-Based Healthcare (VBHC) is providing the full cycle of care for a specific medical condition through interprofessional collaboration. This requires... Show moreIntroduction: An important aspect of Value-Based Healthcare (VBHC) is providing the full cycle of care for a specific medical condition through interprofessional collaboration. This requires employees from diverse professional backgrounds to interact, but there is limited knowledge on how professionals perceive such interprofessional collaboration. We aimed to provide insight into how different professionals perceive Integrated Practice Unit (IPU) composition and what factors influence the quality of interprofessional collaboration within IPUs.Methods: A survey was administered to employees from different professional backgrounds (medical specialists, nurses, allied health professionals, administrative employees) working in IPUs to assess their perception of the composition of their IPU and the quality of the interactions. Subsequently, semi-structured interviews were conducted to gain a deeper understanding of the findings of the survey.Results: Medical specialists and nurses were most frequently considered to be part of an IPU and indicated that they have high quality interactions. Allied health professionals were less often considered part of the team by all other professional groups and all report low quality interaction with this group. The extent to which a professional group is perceived as a team member depends on their visibility, involvement in the treatment of the patient, and shared interest. Differences in the quality of interprofessional collaboration are influenced by organizational structures, knowledge of each other’s expertise, and by ways of communication.Conclusions: In VBHC, there seems to be a lack of common perception of an IPU’s composition and a failure to always achieve high quality interprofessional collaboration. Given the importance of interprofessional collaboration in VBHC, effort should be invested in achieving a shared understanding and improved collaboration. Show less
Pasma, A.J.; Ginneken, E.F.J.C. van; Palmen, J.M.H.; Nieuwbeerta, P. 2023
Multiagency support is considered crucial in the successful resettlement of prisoners. Various prison-based and community-based professionals should each play a part in supporting prisoners through... Show moreMultiagency support is considered crucial in the successful resettlement of prisoners. Various prison-based and community-based professionals should each play a part in supporting prisoners through the gate regarding employment, housing, financial problems, healthcare or valid identification issues. Yet, little is known about the actual contribution of this support to a better perceived re-entry preparedness among prisoners. To examine the association between professional support and re-entry preparedness, the current study uses self-reported data from 1442 soon-to-be-released prisoners across 26 Dutch institutions. We include general satisfaction with support, and satisfaction with the specific instrumental support received, and compare prisoners who did and did not have reintegration needs prior to imprisonment. Support was positively related to re-entry preparedness for prisoners who had needs prior to imprisonment, and instrumental support from community-based professionals showed the most robust results. The implications and future recommendations are discussed. Show less
