BMJ Open (Feb 2023)

Qualitative examination of collaboration in team-based primary care during the COVID-19 pandemic

  • Lisa Dolovich,
  • Toula Kourgiantakis,
  • Keith Adamson,
  • Rachelle Ashcroft,
  • Judith Belle Brown,
  • Catherine Donnelly,
  • Simon Lam,
  • Deepy Sur,
  • David Verilli,
  • Peter Sheffield,
  • Anne Kirvan,
  • Maya Dancey,
  • Sandeep Gill,
  • Kavita Mehta

DOI
https://doi.org/10.1136/bmjopen-2022-067208
Journal volume & issue
Vol. 13, no. 2

Abstract

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Objective The objective of this study was to describe Ontario primary care teams’ experiences with collaboration during the COVID-19 pandemic. Descriptive qualitative methods using focus groups conducted virtually for data collection.Setting Primary care teams located in Ontario, Canada.Participants Our study conducted 11 focus groups with 10 primary care teams, with a total of 48 participants reflecting a diverse range of interprofessional healthcare providers and administrators working in primary care.Results Three themes were identified using thematic analysis: (1) prepandemic team functioning facilitated adaptation, (2) new processes of team interactions and collaboration, and (3) team as a foundation of support.Conclusions Results revealed the importance of collaboration for provider well-being, and the challenges of providing collaborative team-based primary care in the pandemic context. Caution against converting primary care collaboration to predominantly virtual modalities postpandemic is recommended. Further research on team functioning during the COVID-19 pandemic in other healthcare organisations will offer additional insight regarding how primary care teams can work collaboratively in a postpandemic environment.