Is multidisciplinary teamwork the key? A qualitative study of the development of respiratory services in the UK

Journal of the Royal Society of Medicine

Volumn 102, Issue 9, 2009, Pages 378-390

  Pinnock, Hilary ^a   Huby, Guro ^a   Tierney, Alison ^b   Hamilton, Sonya ^c   Powell, Alison ^a   Kielmann, Tara ^a   Sheikh, Aziz ^a  

^a UNIVERSITY OF EDINBURGH   (United Kingdom)

^b UNIVERSITY OF BRISTOL   (United Kingdom)

^c WESTERN GENERAL HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHRONIC DISEASE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL PRACTICE; FINANCIAL MANAGEMENT; HEALTH CARE ORGANIZATION; INTERDISCIPLINARY RESEARCH; LENGTH OF STAY; MEDICAL EDUCATION; MEDICAL SPECIALIST; POLICY; PRIMARY MEDICAL CARE; PURPOSIVE SAMPLE; QUALITATIVE RESEARCH; RESPIRATORY CARE; RESPIRATORY TRACT DISEASE; SEMI STRUCTURED INTERVIEW; STRATEGIC PLANNING; TEAMWORK; TRAINING; UNITED KINGDOM;

ENGLAND; GREAT BRITAIN; HUMANS; INTERPROFESSIONAL RELATIONS; LONG-TERM CARE; PATIENT CARE TEAM; PHYSICIAN'S ROLE; PRIMARY HEALTH CARE; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; PULMONARY MEDICINE; WALES;

EID: 70049108300     PISSN: 01410768     EISSN: None     Source Type: Journal    
DOI: 10.1258/jrsm.2009.080356     Document Type: Article

References (31)

1. World Health Organization. Innovative care for chronic conditions: building blocks for action. Geneva: WHO; 2002
2. Department of Health. Improving chronic disease management. London: DOH; 2004
3. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global burden of disease study. Lancet 1997;349:1498-1504
4. British Thoracic Society. The Burden of Lung Disease. 2nd edn. London: BTS; 2006
5. Damiani M, Dixon J. Managing the pressure. Emergency Hospital Admissions in London 1997-2001. London: The Kings Fund; 2002
6. NHS Modernisation Agency. Learning Distillation of Chronic Disease Management in the UK. London: Matrix Research and Consultancy; 2004
7. Ram FSF,Wedzicha JA, Wright J, Greenstone M. Hospital at home for patients with acute exacerbations of chronic obstructive pulmonary disease: systematic review of evidence. BMJ 2004;329:315-318 (Pubitemid 39062294)
8. Gask L. Role of specialists in common chronic diseases. BMJ 2005;330:651-653 (Pubitemid 40444765)
9. Sibbald B, Shen J, McBride A. Changing the skill-mix of the health care workforce. J Health Serv Res Policy 2004;9 (Suppl. 1):28-38 (Pubitemid 38173622)
10. Williams S, Ryan D, Price D, Langley C, Fletcher M, Everden P. General practitioners with a special clinical interest: a model for improving respiratory disease management. Br J Gen Pract 2002;52:838-843
11. Royal College of Physicians of London, Royal College of General Practitioners, NHS Alliance. Clinicians, services and commissioning in chronic disease management in the NHS: the need for co-ordinated management programmes. London: RCP; 2004
12. Kielmann T, Tierney A, Porteous R, Huby G, Sheikh A, Pinnock H. The Department of Health's Research Governance Framework remains an impediment to multi-centre studies: findings from a national descriptive study. J R Soc Med 2007;100:234-238 (Pubitemid 46814779)
13. Pinnock H, Netuveli G, Price D, Sheikh A. General Practitioners with a Special Interest in respiratory medicine: national survey of primary care organisations. BMC Health Services Research 2005;5:40 (Pubitemid 41074264)
14. General Practice Airways Group. GPwSI Resource Pack: Learning from the experience of GPs and other practitioners with a special interest in respiratory medicine. London: GPAG; 2005
15. Moffat M, Sheikh A, Price D, et al. Can a GP be a generalist and a specialist? Stakeholders views on a respiratory General Practitioner with a special interest service in the UK. BMC Health Services Research 2006;6:62 (Pubitemid 44139335)
16. Department of Health. Supporting People with Long Term Conditions. An NHS and Social Care Model to support local innovation and integration. London: DOH; 2005
17. Audit Commission. Quicker treatment closer to home: Primary care trusts' success in redesigning care pathways. London: Audit Commission; 2004
18. Department of Health. Guidelines for the appointment of General Practitioners with Special Interests in the delivery of clinical services: Respiratory Medicine. London: DOH; 2003. See http://www.dh.gov.uk/en/ Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH-4009510 (last accessed November 2008)
19. Ziebland S, McPherson A. Making sense of qualitative data analysis: an introduction with illustration from DIPEx personal experiences of health and illness. Med Education 2006;40:405-414
20. Hamilton S, Huby G, Tierney A, et al. Mind the gap between policy imperatives and service provision: a qualitative study of the process of respiratory service development in England and Wales. BMC Health Services Research 2008;8:248
21. O'Brien MA, Freemantle N, Oxman AD,Wolf F, Davis DA, Herrin J. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews 2001, Issue 1. Art. No.: CD003030
22. Department of Health. The NHS Plan: a plan for investment, a plan for reform. London: The Stationery Office; 2000
23. Department of Health. Implementing care closer to home: Convenient quality care for patients. London: DOH; 2007
24. Boggis AR, Cornford CS. General Practitioners with special clinical interests: A qualitative study of the views of doctors, health managers and patients. Health Policy 2007;80:172-178
25. Department of Health. Our NHS Our future: NHS next stage review - interim report. London: DOH; 2007
26. Edwards N. Doctors and managers: building a new relationship. Clin Med 2005;5:577-579 (Pubitemid 41826487)
27. Ham C. Competition and integration in the English National Health Service. BMJ 2008;336:805-807 (Pubitemid 351548220)
28. NHS Alliance. The future of clinical leadership in primary care and PCTs. Retford: NHS Alliance, 2006
29. NHS Scotland. Our National Health: A plan for action, a plan for change. Edinburgh: Scottish Executive; 2000
30. NHS Scotland. Managed Clinical Networks. See http://www.mcns.nhsscotland. com (last accessed 23 May 2009)
31. NHS Confederation. The challenges of leadership in the NHS. London: NHS Confederation; 2007