Abstract：
BACKGROUND:The visions of more integrated care have created new roles and accountabilities for organizations and professionals. Thus, professionals are increasingly expected to engage in boundary spanning activities in order to facilitate inter-organizational and inter-sectoral collaboration. However, this task can be difficult for individual actors and it is important to investigate the work and challenges of boundary spanners in various settings. This study explores the challenges related to a new boundary spanning role for general practitioners employed to facilitate collaboration between the municipalities and general practice. METHODS:The study is based on semi-structured interviews with ten general practitioners acting as municipal practice consultants in the Capital Region of Denmark. The transcribed interviews were analyzed in several steps organizing the material into a set of coherent and distinct categories covering the different types of challenges experienced by the informants. RESULTS:The main challenges of the general practitioners acting as boundary spanners were: 1) defining and negotiating the role in terms of tasks and competencies; 2) representing and mobilizing colleagues in general practice; 3) navigating in an unfamiliar organizational context. CONCLUSIONS:The results support previous studies in emphasizing the difficult and multifaceted character of the boundary spanning role. While some of these challenges are not easily dealt with due to their structural causes, organizations employing boundary spanners should take note of these challenges and support their boundary spanners with matching resources and competencies.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Kousgaard MB,Joensen AS,Thorsen Tdoi
10.1186/s12875-015-0231-zsubject
Has Abstractpub_date
2015-02-13 00:00:00pages
17issn
1471-2296pii
10.1186/s12875-015-0231-zjournal_volume
16pub_type
杂志文章abstract：BACKGROUND:General practitioners (GPs) and patients find it difficult to talk about risk of future disease, especially when patients have asymptomatic conditions, and treatment options are unlikely to cause immediate perceptible improvements in well-being. Further studies in risk communication training are needed. AIM...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2296-11-70
更新日期：2010-09-22 00:00:00
abstract：BACKGROUND:Scientific evidence for the frequency of monitoring of type 2 diabetes patients is lacking. If three-monthly control in general practice could be reduced to six-monthly control in some patients, this would on the one hand reduce the use of medical services including involvement of practice nurses, and thus r...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2296-11-35
更新日期：2010-05-11 00:00:00
abstract：BACKGROUND:In the Netherlands, about half of the patient contacts with a general practitioner (GP) cooperative are nonurgent from a medical perspective. A part of these problems can wait until office hours or can be managed by the patient himself without further professional care. However, from the patient's perspectiv...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-015-0376-9
更新日期：2015-10-28 00:00:00
abstract：BACKGROUND:In the primary health care setting, patients interact directly with their healthcare workers (HCW), which include their primary physicians, nurses and pharmacists. Studies have shown that such interactions, when interrupted by phone calls received by either party, can lead to adverse outcomes and negative ex...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-015-0330-x
更新日期：2015-09-02 00:00:00
abstract：BACKGROUND:Prognosis has been described as an important but neglected branch of clinical science. While patients' views have been sought in the context of life-threatening illness, similar research is lacking for patients presenting with common, non-life-threatening musculoskeletal complaints. The aim of this study was...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-10-50
更新日期：2009-07-07 00:00:00
abstract：BACKGROUND:'Ad hoc' help-seeking by trainees from their supervisors during trainee consultations is important for patient safety, and trainee professional development. We explored trainee objectives and activities in seeking supervisor assistance, and trainee perceptions of the outcomes of this help-seeking (including ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-1084-7
更新日期：2020-02-07 00:00:00
abstract：BACKGROUND:Depression is a major health concern, predominantly treated by general practitioners (GPs). Problem solving therapy (PST) is recognised as an effective treatment for depression that is not widely used by GPs. This research aims to explore barriers and enablers that may influence GPs use of this treatment. M...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-8-24
更新日期：2007-04-25 00:00:00
abstract：BACKGROUND:During an influenza epidemic prompt diagnosis of influenza is important. This diagnosis however is still essentially based on the interpretation of symptoms and signs by general practitioners. No single symptom is specific enough to be useful in differentiating influenza from other respiratory infections. Ou...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-12-4
更新日期：2011-02-09 00:00:00
abstract：BACKGROUND:Alcohol dependence (AD) in Europe is prevalent and causes considerable health burden. Recognition by general practitioners (GPs) and provision of or referral to treatment may contribute to reduce this burden. This paper studied AD prevalence in varying European primary care settings and examined who received...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-015-0308-8
更新日期：2015-07-29 00:00:00
abstract：BACKGROUND:General practitioners (GPs) are ideally placed to bridge the widely noted evidence-practice gap between current management of NVAF and the need to increase anticoagulant use to reduce the risk of fatal and disabling stroke in NVAF. We aimed to identify gaps in current care, and asked GPs to identify potentia...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-9-62
更新日期：2008-11-13 00:00:00
abstract：BACKGROUND:Evidence-based medicine (EBM) is gradually being recognized worldwide as an important clinical skill and plays an important role in health care. Although the concept has successfully spread in the health care field, EBM still has not been widely incorporated into clinical decisions in primary care due to pot...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-019-1062-0
更新日期：2019-12-06 00:00:00
abstract：BACKGROUND:The reorientation of primary health care towards prevention is fundamental to addressing the rising burden of chronic disease. However, in Australia, cardiovascular disease prevention practice in primary health care is not generally consistent with existing guidelines. The Model for Prevention study was a wh...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-017-0580-x
更新日期：2017-02-24 00:00:00
abstract：BACKGROUND:The general practitioner (GP) can play an important role in promoting a healthy lifestyle, which is especially relevant in people with an elevated risk of cardiovascular diseases due to hypertension. Therefore, the aim of this study was to determine the frequency and content of lifestyle counseling about wei...
journal_title：BMC family practice
pub_type： 杂志文章,多中心研究
doi：10.1186/1471-2296-9-58
更新日期：2008-10-14 00:00:00
abstract：BACKGROUND:Chronically ill patients often experience psychosocial problems in everyday life. A biopsychosocial approach is considered to be essential in chronic care. In Dutch primary health care the current biomedically oriented clinical practice may conflict with the biopsychosocial approach. This study is aimed to e...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-13-14
更新日期：2012-03-12 00:00:00
abstract：BACKGROUND:Intimate partner violence is highly prevalent and mostly affects women with negative consequences for their physical and mental health. Children often witness the violence which has negative consequences for their well-being too. Care offered by family physicians is often rejected because abused women experi...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-12-113
更新日期：2011-10-18 00:00:00
abstract：BACKGROUND:Guidelines for primary prevention of cardiovascular disease provide little guidance on how patients' preferences should be taken into account. We wanted to explore whether general practitioners (GPs) are sensitive to patient preferences regarding survival gains from statin therapy. METHODS:In a cross sectio...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-015-0288-8
更新日期：2015-07-03 00:00:00
abstract：BACKGROUND:The Mini-Mental State Examination (MMSE) has contributed to detecting cognitive impairment, yet few studies have evaluated its accuracy when used by general practitioners (GP) in an actual public-health setting. OBJECTIVES:We evaluated the accuracy of MMSE scores obtained by GPs by comparing them to scores ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-9-29
更新日期：2008-05-13 00:00:00
abstract：BACKGROUND:We undertook a systematic review of observational studies of depression in primary care to determine 1) the nature and scope of the published studies 2) the methodological quality of the studies; 3) the identified recovery and risk factors for persistent depression and 3) the treatment and health service use...
journal_title：BMC family practice
pub_type： 杂志文章,评审
doi：10.1186/1471-2296-8-28
更新日期：2007-05-11 00:00:00
abstract：BACKGROUND:Reform of primary healthcare (PHC) organisations is underway in Canada. The capacity of various types of PHC organizations to respond to populations' needs remains to be assessed. The main objective of this study was to evaluate the association of PHC affiliation with unmet needs for care. METHODS:Populatio...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-13-66
更新日期：2012-07-02 00:00:00
abstract：BACKGROUND:Since 2008 mental health practice nurses have been gradually introduced in general practices in the Netherlands as part of health policy aiming to improve early identification and treatment of mental health problems in primary care. This study aims to investigate the effect of the introduction of the practic...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-019-0938-3
更新日期：2019-04-02 00:00:00
abstract：BACKGROUND:General practitioners (GPs) often manage individuals with work-related common mental disorders (CMD: depressive disorders, anxiety and alcohol abuse). However, little is known about the ways in which they proceed. The aim of this study is to analyze GPs' management and patterns of referral to other health pr...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01203-z
更新日期：2020-07-02 00:00:00
abstract：BACKGROUND:Metabolic syndrome (MetS) is a major public health challenge. General practitioners (GPs) could play a key role in its recognition. However, it often remains undiagnosed in primary care. This study assesses how well GPs and patients recognise MetS among patients with coronary heart disease or at least one of...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-10-76
更新日期：2009-11-30 00:00:00
abstract：BACKGROUND:Medication review is often recommended to optimize medication use. In clinical practice it is mostly operationalized as an intervention without co-interventions during a short term intervention period. However, most systematic reviews also included co-interventions and prolonged medication optimization inter...
journal_title：BMC family practice
pub_type： 杂志文章,meta分析,评审
doi：10.1186/s12875-016-0577-x
更新日期：2017-01-17 00:00:00
abstract：BACKGROUND:A cluster randomised trial was conducted to determine the effectiveness of locally adapted practice guidelines and education about paediatric asthma management, delivered to general practitioners (GPs) in small group interactive workshops. METHODS:Twenty-nine practices were randomly allocated to one of thre...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2296-9-22
更新日期：2008-04-20 00:00:00
abstract：BACKGROUND:Ischaemic heart disease and congestive heart failure are common and important conditions in family practice. Effective treatments may be underutilized, particularly in women and the elderly. The objective of the study was to determine the rate of prescribing of evidence-based cardiovascular medications and d...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-5-6
更新日期：2004-04-01 00:00:00
abstract：BACKGROUND:As part of a broader study to improve the capacity for advance care planning (ACP) in primary healthcare settings, the research team set out to develop and validate a computerized algorithm to help primary care physicians identify individuals at risk of death, and also carried out focus groups and interviews...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01206-w
更新日期：2020-07-09 00:00:00
abstract：BACKGROUND:Over 90% of antibiotics for human use in Europe are prescribed in primary care. We assessed the congruence between primary care treatment guidelines for skin infections and commensal Staphylococcus aureus (S. aureus) antimicrobial resistance levels in community-dwelling persons. METHODS:The prevalence of an...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-014-0175-8
更新日期：2014-10-25 00:00:00
abstract：BACKGROUND:Despite increased investment in primary care research and development (R&D), the level of engagement of primary healthcare professionals with research remains poor. The aim of this study is to assess the level of research activity and capacity for research among primary healthcare professionals in a health a...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-10-33
更新日期：2009-05-11 00:00:00
abstract：BACKGROUND:Multimorbidity is defined as suffering from coexistent chronic conditions. Multimorbid patients demand highly complex patient-centered care which often includes polypharmacy, taking an average of six different drugs per day. Adverse drug reactions, adverse drug events and medication errors are all potential ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-14-119
更新日期：2013-08-15 00:00:00
abstract：BACKGROUND:Low participation rates among ethnic minorities in preventive healthcare services are worrisome and not well understood. The objective of this study was to explore how adults of Turkish and Moroccan origin living in the Netherlands, aged 45 years and older, can be reached to participate in health checks for ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-016-0476-1
更新日期：2016-07-21 00:00:00
