A multilevel study of patient-centered care perceptions in mental health teams.

TitleA multilevel study of patient-centered care perceptions in mental health teams.
Publication TypeJournal Article
Year of Publication2021
AuthorsDurand F, MJ Fleury
JournalBMC Health Serv Res
Volume21
Issue1
Pagination44
Date Published2021 Jan 07
ISSN1472-6963
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.

DOI10.1186/s12913-020-06054-z
Alternate JournalBMC Health Serv Res
PubMed ID33413371
PubMed Central IDPMC7792020
Grant List22367 / / Fonds de Recherche du Québec - Santé /