ror.org/00fxmev27
Abstracts
Abstract
In this commentary, the beneficial value of the relational aspects of interprofessional collaboration is emphasized to demonstrate that conflict of interests arising in self-referrals are more complex than presented in classic cases of conflicts of interest. A dialog involving health professionals and ethicists is recommended to better understand the relational aspects that are essential to patient wellness and autonomy, in relation to the various care and organizational contexts across private and public sectors. The goal is to inform policy making on management of conflicts of interests associated with self-referrals.
Keywords:
- referrals,
- interprofessional collaboration,
- healthcare team,
- ethics,
- care relation,
- patient-centred care
Résumé
Dans ce commentaire, la valeur bénéfique des dimensions relationnelles relative aux collaborations interprofessionnelles est mise en valeur afin de démontrer que les conflits d’intérêts émanant des auto-référencements sont plus complexes que les conflits d’intérêts traditionnels. Un échange entre professionnels de la santé et éthiciens est recommandé afin de mieux comprendre les aspects relationnels, qui sont essentiels au bien-être et à l’autonomie du patient, concernant différents soins et contextes organisationnels qui se produisent dans les secteurs publics et privés. Ceci afin d’éclairer les élaborations politiques quant à la gestion des conflits d’intérêts associés aux auto-référencements.
Mots-clés :
- référencements,
- collaboration interprofessionnel,
- équipe de soins,
- éthique,
- relation de soins,
- soins axés sur le patient
Download the article in PDF to read it. Download
Appendices
Acknowledgements
The author wishes to thank her colleagues for inspiring discussions on interprofessional collaboration.
Bibliography
-
1. Hudon A. L’auto-référencement en physiothérapie : la mise de l’avant d’une culture éthique pour encadrer la pratique organisationnelle. BioéthiqueOnline. 2014; 3(12).Google Scholar Search this bibliographic reference on Google Scholar
-
2. Morreim EH. Physician investment and self-referral: philosophical analysis of a contentious debate. Journal of Medicine and Philosophy. 1990; 15(4): 425-48.Google Scholar Search this bibliographic reference on Google Scholar
-
3. World Health Organisation. Framework for Action on Interprofessional Education & Collaborative Practice. Geneva: World Health Organisation. 2010.Google Scholar Search this bibliographic reference on Google Scholar
-
4. Canadian Medical Association. Putting Patients First®: Patient-Centred Collaborative Care - A Discussion Paper, July 2007Google Scholar Search this bibliographic reference on Google Scholar
-
5. Oandasan I, Baker GR, Barker K, Bosco C, D’Amour D, Jones L, Kimpton S, Lemieux-Charles L, Nasmith L, San Martin Rodriguez L, Tepper J, Way D. Teamwork in Healthcare: Promoting Effective Teamwork in Healthcare in Canada. Policy Synthesis and Recommendations. Ottawa: Canadian Health Services Research Foundation. 2006.Google Scholar Search this bibliographic reference on Google Scholar
-
6. Haggerty J, Burge F, Lévesque J-F, Gass D, Pineault R, Beaulieu MD, Santor D. Operational Definitions of Attributes of Primary Health Care: Consensus Among Canadian Experts. Ann Fam Med. 2007 July; 5(4): 336–344.Google Scholar Search this bibliographic reference on Google Scholar
-
7. Wen J, Schulman KA. Can Team-Based Care Improve Patient Satisfaction? A Systematic Review of Randomized Controlled Trials. PLoS One. 2014; 9(7): e100603.Google Scholar Search this bibliographic reference on Google Scholar
-
8. Reeves, S, Perrier, L, Goldman, J, Freeth, D, Zwarenstein, M, Interprofessional education: effects on professional practice and healthcare outcomes (update). Cochrane Database Syst Rev. 2013;3:CD002213.Google Scholar Search this bibliographic reference on Google Scholar
-
9. Interprofessional Education Collaborative Expert Panel. Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative. 2011.Google Scholar Search this bibliographic reference on Google Scholar
-
10. Donnelly C, Brenchley C, Crawford C, Letts L. The integration of occupational therapy into primary care: a multiple case study design. BMC Fam Pract. 2013; 14: 60.Google Scholar Search this bibliographic reference on Google Scholar
-
11. Perreault K, Dionne CE, Rossignol M, Morin D. Interprofessional practices of physiotherapists working with adults with low back pain in Québec’s private sector: results of a qualitative study. BMC Musculoskelet Disord. 2014; 15: 160.Google Scholar Search this bibliographic reference on Google Scholar
-
12. Chung VCH, Ma PHX, Hong LCH, Griffiths SM. Organizational Determinants of Interprofessional Collaboration in Integrative Health Care: Systematic Review of Qualitative Studies. PLoS One. 2012; 7(11): e50022.Google Scholar Search this bibliographic reference on Google Scholar
-
13. D’Amour D, Goulet L, Labadie J-F, San Martín-Rodriguez L, Pineault R. A model and typology of collaboration between professionals in healthcare organizations. BMC Health Serv Res. 2008; 8: 188.Google Scholar Search this bibliographic reference on Google Scholar
-
14. Freeman G, Hughes J. Continuity of care and the patient experience. An Inquiry into the Quality of General Practice in England. The King’s Fund. London, UK. 2010.Google Scholar Search this bibliographic reference on Google Scholar
-
15. Study Team for Research on Interprofessional Collaborative Practice in Champlain Region. Barriers and Enablers to Interprofessional Collaboration in Health Care: A Regional Scan of Interprofessional Collaboration in the Champlain Region. Research Report. Academic Health Council - Champlain region, Ontario.Google Scholar Search this bibliographic reference on Google Scholar
-
16. Scott C, Lagendyk L, and CoMPaIR team. Contexts and Models in Primary Healthcare and their Impact on Interprofessional Relationships, Canadian Health Services Research Foundation. 2012.Google Scholar Search this bibliographic reference on Google Scholar
-
17. Ende J, Kazis L, Ash A, Moskowitz MA. Measuring patients’ desire for autonomy: decision making and information-seeking preferences among medical patients. Journal of General Internal Medicine. 1989; 4(1): 23-30.Google Scholar Search this bibliographic reference on Google Scholar
-
18. Kukla, R. Conscientious Autonomy: Displacing Decisions in Health Care. Hastings Center Report. 2005; 35: 34–44.Google Scholar Search this bibliographic reference on Google Scholar
-
19. Kijiji, 2014. Québec > Grand Montréal > immobilier > espaces commerciaux, bureaux on line.Google Scholar Search this bibliographic reference on Google Scholar
-
20. Fournier MC, Vézina J. Collaboration interprofessionnelle en pharmacie communautaire. Presentation at Colloque sur la collaboration interprofessionnelle en première ligne - médecin, pharmaciens et infirmières, une équipe gagnante. Jan 16 2009.Google Scholar Search this bibliographic reference on Google Scholar
-
21. McDonald J, Jayasuriya R, Harris MF. The influence of power dynamics and trust on multidisciplinary collaboration: a qualitative case study of type 2 diabetes mellitus. BMC Health Serv Res. 2012; 12: 63.Google Scholar Search this bibliographic reference on Google Scholar
-
22. Shingler B. Charter of rights, universal health care top Canadian unity poll, June 30 2014, Global News, The Canadian Press.Google Scholar Search this bibliographic reference on Google Scholar
-
23. Muzyka D, Hodgson G, Prada G. The Inconvenient Truths About Canadian Health Care, The Conference Board of Canada, 2012Google Scholar Search this bibliographic reference on Google Scholar
-
24. Snowdon A, Schnarr K, Hussein A, Alessi C. Measuring What Matters: The Cost vs. Values of Health Care, 2012, International Center for Health InnovationGoogle Scholar Search this bibliographic reference on Google Scholar
Appendices
Remerciements
L’auteure tient à remercier ses collègues pour les discussions inspirantes autour de la collaboration interprofessionnelle.