A multilevel study of patient-centered care perceptions in mental health teams.
Title | A multilevel study of patient-centered care perceptions in mental health teams. |
Publication Type | Journal Article |
Year of Publication | 2021 |
Authors | Durand F, MJ Fleury |
Journal | BMC Health Serv Res |
Volume | 21 |
Issue | 1 |
Pagination | 44 |
Date Published | 2021 Jan 07 |
ISSN | 1472-6963 |
Keywords | Adult, Aged, Cooperative Behavior, Cross-Sectional Studies, Female, Humans, Interprofessional Relations, Male, Mental Health, Middle Aged, Patient Care Team, Patient-Centered Care, Perception, Young Adult |
Abstract | BACKGROUND: The successful combination of interprofessional collaboration in multidisciplinary teams with patient-centered care is necessary when it comes to delivering complex mental health services. Yet collaboration is challenging and patient-centered care is intricate to manage. This study examines correlates of patient-centered care such as team adaptivity and proactivity, collaboration, belief in interprofessional collaboration and informational role self-efficacy in multidisciplinary mental health teams.METHOD: A cross-sectional multilevel survey design was used, based on self-administered bilingual validated questionnaires. Participants (N=314) were mental health professionals and managers working in public primary care or specialized mental health services, in inpatient or outpatient settings.RESULTS: This study showed that belief in interprofessional collaboration's relationship with patient-centered perceptions is increased in teams with high collaboration. Collaboration is also found as a mediator, representing a process by which team adaptive and proactive behaviors are transformed into positive patient-centered perceptions.CONCLUSIONS: Our results were in line with recent studies on team processes establishing that collaboration is a key component in multilevel examinations of predictors of patient-centered care. In terms of practice, our study showed that multidisciplinary teams should know that working hard on collaboration is an answer to the complexity of patient-centered care. Collaboration is related to the teams' ability to respond to its challenges. It is also related to individuals' beliefs central to the delivery of interprofessional care. |
DOI | 10.1186/s12913-020-06054-z |
Alternate Journal | BMC Health Serv Res |
PubMed ID | 33413371 |
PubMed Central ID | PMC7792020 |
Grant List | 22367 / / Fonds de Recherche du Québec - Santé / |