Table 2 GPs’ key concepts for multidisciplinary elderly care teams – ‘GPs see the bigger picture’
From: The role of the general practitioner in multidisciplinary teams: a qualitative study in elderly care
| Â | 1. Key concepts | Â | Starting teams | Â | Experienced teams |
|---|---|---|---|---|---|
1. | Networking (community level) | → | Establishing contacts with community partners, health insurers, hospitals, social services | → | Developing and maintaining contacts |
2. | Facilitating (organizational level) | → | Choosing an EPR, negotiating with health insurers and social and care services, setting up an MTM | → | Adjusting MTM to demands of time, quality improvement |
3. | Team building (professional level) | → | Team composition (type of professionals, selection of organizations, competencies, personality), distribution of tasks and responsibilities, improve connection among professionals | → | Encouragement of team members, equivalence between team members and GP(s) |
4. | Integrating care (patient level) | → | Coordination of care in the medical domain, keeping an overview of care, connecting domains (hospitals, primary care, nursing homes, social services, community services, prevention) | → | Prevention of decline / preservation of functioning, keeping an overview, delivering proactive care. |
5. | Leadership (personal level) | → | Passion for care for older people, clear vision, endurance, drive, taking responsibility | → | Focusing on medical domain, background position, relying on skills of team members, coordination of care |