European Forum Primary Care location:Gotheborg date:3-4 september 2012
To learn what the the critical factors are for a successful and adequate team concertation (TC) in complex home care patients.
After a systematic literature search the procedures for team concertations of the local health organisations (SEL) were investigated. A group interview with delegates of all SELs was performed, followed by personal interviews with pharmacists, general practitioners, social workers, nurses and patient representatives. Results were processed through thematic analysis.
Critical success factors for adequate and effective TCs are a transdisciplinary care system with enough social, political and financial support of multidisciplinary consultation. Care-givers should have some basic qualities necessary for collaboration and should know each other’s skills, are familiar with the principles of TC and are convinced of its value. Team concertations have a known structure, are led by an external person. The patient and his/her carers are maximally involved. A care plan is written down inventarising care goals and appointments. Regulations and administration should be at a minimum level.
Team Concertation in primary care in Flanders could be of value on the quality of chronic care if the current care system and the working methods of health care professionals are changed. Necessary supporting conditions are a good infrastructure and social/political support.