Primary health care in New Zealand: the impact of organisational factors on teamwork

• DOI: 10.3399/bjgp09x395003
• Publication Date: 2009-02-28T14:18:56Z
• Authors: Sue Pullon; Eileen McKinlay; Kevin Dew
• Keywords: Primary Health Care; Attitude of Health Personnel; Interprofessional Relations; Organizational Culture; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Medical Staff; Humans; Nursing Staff; Cooperative Behavior; New Zealand

<h3>Background</h3> Although teamwork is known to optimise good health care, organisational arrangements and funding models can foster, discourage, or preclude functional teamworking. Despite a new, enhanced population-based system for primary care in New Zealand, bringing new opportunities more collaborative practice, fully implemented healthcare remains elusive. <h3>Aim</h3> To explore perceptions of interprofessional relationships, teamwork, patient Zealand practice. <h3>Design study</h3> Qualitative. <h3>Setting</h3> Eighteen nurses doctors working Wellington, Zealand. <h3>Method</h3> Data were collected using in-depth interviews with individual settings. Perceptions of, attitudes about, explored, an interactive process content analysis principles naturalistic enquiry. <h3>Results</h3> Nurses perceive that include fee-for-service, task-based components as strongly discouraging care. In contrast, was seen be promoted when services, not practitioners, bulk-funded capitated provision. well-organised practices, where priority placed on uninterrupted time meetings, open communication, respect, often observed. Salaried alike employees, considered by some interviewees particularly supportive teamwork. Few had received, knew any training work teams. <h3>Conclusion</h3> Health system, funding, factors still act significant barriers the successful implementation for, effective settings, despite ways working.