1.1 IPCP in Chronic Disease

• Interdisciplinary practice


  Professionals from different disciplines work together, but maintain their own disciplinary boundaries and approaches
• Multidisciplinary practice


  Professionals from different disciplines work in parallel, but independently, to address different aspects of a patient's care
• Transdisciplinary practice


  Professionals share roles across disciplinary boundaries to provide more coordinated and integrated services to meet complex care needs
• Increasing complex health issues, healthcare workers shortage, poor patient safety records, duplication of services, escalating costs, limited access, and healthcare workers burnout drive the need for collaborative team care
• Impacts of IPCP

  • Improved work life quality
  • Improved quality of care
  • Increased staff satisfaction and reduced burnout (staff)
  • Reduced pain, fall incidence, improved QoL, independence for ADL, reduced depression, reduced agitated behaviours, improved transitions, reduced LOS and mortality, improved period of rehabilitation, increased patient satisfaction, better access to healthcare, improved workplace practices and productivity, reduced complication rate, improved quality of care, improved patient safety (patient)
  • Better access to healthcare, improved utilization of medical services (organization)
• Interprofessional competencies

  Integrated enactment of knowledge, skills, and values/attitudes that define working together across the professions, with other healthcare workers, patients, families, and communities as appropriate to improve health outcomes in specific care
• Six competency domains of IPCP

  • Interprofessional communication
  • Patient/community-centred care
  • Role clarification
  • Team functioning
  • Collaborative leadership
  • Interprofessional conflict resolution
• Individual competence


  Traditional view of competence as a quality that individuals acquire and possess
• Collective competence


  A distributed capacity of a system which is not easily reducible to an individual, jointly accomplished through the interdependent and emergent relationships among individuals and the system
• Determinants of team effectiveness

  • Shared identity
  • Clear roles/tasks/goals
  • Interdependence of members
  • Integration of work
  • Shared responsibilities
  • Team task – predictability, urgency and complexity of team's work
• Factors affecting IPCP

  • Organizational culture and leadership
  • Interprofessional education and training
  • Regulatory and policy environment
  • Funding and incentives
  • Patient/community engagement
  • Interprofessional communication and collaboration