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Perceptions and experiences of primary healthcare providers toward interprofessional collaboration in chronic disease management in Hue, Vietnam.

Authors
  • Huyen, Nguyen Thi Thanh1, 2
  • Tsakitzidis, Giannoula2
  • Tam, Nguyen Minh1
  • Valcke, Martin3
  • Chuong, Huynh Van4
  • Wens, Johan2
  • 1 Department of Family Medicine, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
  • 2 Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerpen, Belgium. , (Belgium)
  • 3 Department of Educational Studies, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium. , (Belgium)
  • 4 The Education Quality Management Agency, Ministry of Education and Training, Vietnam.
Type
Published Article
Journal
Journal of Interprofessional Care
Publisher
Informa UK (Taylor & Francis)
Publication Date
Jan 02, 2024
Volume
38
Issue
1
Pages
52–61
Identifiers
DOI: 10.1080/13561820.2023.2227650
PMID: 37366565
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

In Vietnam, each primary care community health center (CHC) consists of a multi-professional team with six disciplines, including a physician, assistant physician, nurse, pharmacist, midwife, and Vietnamese traditional physician, who are able to meet the majority of patient's needs at the primary care level. How they collaborate, especially in chronic disease management (CDM), is still limited described in the literature. This study aims to gain insight into the perceptions and the experiences of primary health care providers (PHCPs) toward interprofessional collaboration (IPC) in CDM in CHCs in (Hue) Vietnam. A qualitative study of descriptive phenomenology was performed using two focus groups and 15 semi-structured interviews with PHCPs from six professions relevant to CDM in CHCs. The data were analyzed using NVivo 12.0 with a thematic analysis method by a multiprofessional research team. From the analysis, the data were classified into three main themes: "lack of collaborative practice," "knowledge," and "facilitators and barriers to IPC." This study provided evidence of the awareness that actual collaboration in daily care is fragmentarily organized and that PHCPs try to finish their tasks within their profession. PHCPs work multiprofessionally and lack shared decision-making in patient-centered care. There is a need to develop an interprofessional education program and training to address these deficiencies in the Vietnamese context to improve interprofessional collaboration in health care.

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