Multidisciplinary group performance—measuring integration intensity in the context of the North West London Integrated Care Pilot
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Multidisciplinary group performance ...
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Authors
Harris, MatthewGreaves, Felix
Gunn, Laura H.
Patterson, Susan
Greenfield, Geva
Car, Josip
Majeed, Azeem
Pappas, Yannis
Issue Date
2013
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Introduction: Multidisciplinary Group meetings (MDGs) are seen as key facilitators of integration, moving from individual to multidisciplinary decision-making, and from a focus on individual patients to a focus on patient groups. We have developed a method for coding MDG transcripts to identify whether they are or are not vehicles for delivering the anticipated efficiency improvements across various providers and apply it to a test case in the North West London Integrated Care Pilot. Methods: We defined ‘integrating’ as the process within the MDG meeting that enables or promotes an improved collaboration, improved understanding, and improved awareness of self and others within the local healthcare economy such that efficiency improvements could be identified and action taken. Utterances within the MDGs are coded according to three distinct domains grounded in concepts from communication, group decision-making, and integrated care literatures—the Valence, the Focus, and the Level. Standardized weighted integrative intensity scores are calculated across ten time deciles in the Case Discussion providing a graphical representation of its integrative intensity. Results: Intra- and Inter-rater reliability of the coding scheme was very good as measured by the Prevalence and Bias-adjusted Kappa Score. Standardized Weighted Integrative Intensity graph mirrored closely the verbatim transcript and is a convenient representation of complex communication dynamics. Trend in integrative intensity can be calculated and the characteristics of the MDG can be pragmatically described. Conclusion: This is a novel and potentially useful method for researchers, managers and practitioners to better understand MDG dynamics and to identify whether participants are integrating. The degree to which participants use MDG meetings to develop an integrated way of working is likely to require management, leadership and shared values.Citation
Harris, M., Greaves, F., Gunn, L., Patterson, S., Vaschitz, G., Car, J., Majeed, A., Pappas, Y. (2013) 'Multidisciplinary group performance – measuring integration intensity in the context of the North West London Integrated Care Pilot' International Journal of Integrated Care, 13.Publisher
Igitur PublishingDOI
10.5334/ijic.996PubMed ID
23687473PubMed Central ID
PMC3653286Additional Links
http://www.ijic.org/index.php/ijic/article/view/996/1960http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3653286/
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ArticleLanguage
enISSN
1568-4156ae974a485f413a2113503eed53cd6c53
10.5334/ijic.996
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