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Factors affecting general practice collaboration with voluntary and community sector organisations

机译:影响总体练习与自愿和社区部门组织的因素

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Abstract Collaborative working between general practice (GP) and voluntary and community sector (VCS) organisations is increasingly championed as a means of primary care doing more with less and of addressing patients’ “wicked problems”. This paper aims to add to the knowledge base around collaborative practice between GPs and VCS organisations by examining the factors that aid or inhibit such collaboration. A case study design was used to examine the lived‐experience of GPs and VCS organisations working collaboratively. Four cases, each consisting of a GP and a VCS organisation with whom they work collaboratively, were identified. Interviews ( n ?=?18) and a focus group ( n ?=?1) were conducted with staff within each organisation. Transcribed data were analysed thematically. Whilet there are similarities across cases in their use of, for example, Health Trainers and social prescribing, the form and function of GP‐VCS collaborations were unique to their local context. The identified factors affecting GP‐VCS collaboration reflect those found in previous service evaluations and the broader literature on partnership working; shared understanding, time and resources, trust, strong leadership, operational systems and governance and the “negotiation” of professional boundaries. While the current political environment may represent an opportunity for collaborations to develop, there are issues yet to be resolved before collaboration—especially more holistic and integrated approaches—becomes systematically embedded into practice.
机译:摘要在一般练习(GP)和自愿和社区部门(VCS)组织之间的摘要合作越来越受到初级保健手段,以较少和解决患者的“邪恶问题”而做更多的初级保健。本文旨在通过检查援助或抑制此类合作的因素来增加GPS和VCS组织之间的合作实践的知识库。案例研究设计用于检查GPS和VCS组织的生活体验协同工作。鉴定了四个案例,每个案例由GP和与他们合作工作的VCS组织组成。访谈(n?=?18)和每个组织内的工作人员进行焦点组(n?=?1)。在主题地分析转录数据。惠丝在使用案件中使用,例如,卫生培训师和社会处方,GP-VCS合作的形式和功能对其本地背景是独一无二的。影响GP-VCS合作的所确定的因素反映了以前的服务评估和更广泛的伙伴关系的文学中的那些;共享理解,时间和资源,信任,强大的领导,运营制度和治理以及“谈判”的专业界限。虽然目前的政治环境可能代表合作开发的机会,但在合作之前尚未解决问题 - 特别是更加全面和综合方法 - 系统地嵌入到实践中。

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