Implementation of interprofessional digital communication tools in primary care for frail older adults: An interview study

• Published in: Journal of interprofessional care Vol. 37; no. 3; pp. 362 - 370
• Main Authors: Oostra, Dorien L., Fierkens, Carlien, Alewijnse, Marloes E. J., Olde Rikkert, Marcel G. M., Nieuwboer, Minke S., Perry, Marieke
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 04-05-2023; Taylor & Francis Ltd
• Subjects: Aged; Care coordination; Caregivers; Communication; communication tool; Content analysis; Continuity of care; Coordination; Elder care; Frail; Frail Elderly; Health care; Humans; Implementation; Integrated care; Interdisciplinary aspects; interprofessional; Interprofessional Relations; Interviews; Long term; Medical personnel; Older people; Patient participation; Policy making; Primary care; Primary Health Care; Qualitative Research; frail elderly; qualitative research; integrated care; interprofessional; communication tool; Care coordination
• ISSN: 1356-1820; 1469-9567
• DOI: 10.1080/13561820.2022.2086858

Communication and coordination between primary healthcare professionals and informal caregivers involved in the care for frail older adults is suboptimal and could benefit from interprofessional digital communication tools. Implementation in daily practice however frequently fails. We aim to identify generic barriers and facilitators experienced by healthcare professionals and informal caregivers during implementation of interprofessional communication tools to improve their long-term use. Qualitative content analysis using individual semi-structured interviews was used for evaluating three different digital communication tools used by interprofessional primary care networks for frail older adults by 28 professionals and 10 caregivers. After transcription and open coding, categories and themes were identified. Barriers and facilitators were related to: tool characteristics, context of use, involvement of professionals and caregivers. The tool improved availability, approachability and users' involvement. The large number of digital systems professionals simultaneously use, and different work agreements hampered tool use. The tools facilitated care coordination, and professionals declared to be better informed about patients' current situations. Overall, interprofessional digital communication tools can facilitate communication in networks for primary elderly care. However, integration between digital systems is needed to reduce the number of tools. Organizations and policy makers have an important role in realizing the tools' long-term use.