A Literature Review on the Facilitators and Barriers to the Uptake of Interprofessional Collaboration in the Field of Assistive Technology within Rehabilitation Medicine

PJAHS Pub Date : 2021-02-01 DOI:10.36413/PJAHS.0402.006
D. P. Yao, Kenneth Matthew B. Beltran, T. Santos, Kaoru Inoue
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Abstract

Assistive technology (AT) enables an optimized life for persons with disability through the scaffolding of functional capabilities. However, AT provision faces challenges such as long approval processes, funding inadequacies, and difficulties integrating evidence into practice. A means to address these issues is through interprofessional collaboration (IPC), the process by which health professionals efficiently coordinate and work with each other towards a common goal to maximize limited resources. To promote its effective implementation, there is a need to know the facilitators and barriers that affect its implementation. Thus, this paper aims to review the facilitators and barriers to the uptake of IPC in the field of AT within rehabilitation medicine identified by existing literature. This literature review followed the steps outlined by The Model Systems Knowledge Translation Center. Articles published between January 2000 until September 2019 were retrieved from four electronic databases (Cochrane Library, PubMed, Scopus, Science Direct). Three studies were included in the study. Facilitators identified were: (1) optimal work culture, (2) professional competence, and (3) associating with team members. Barriers to effective IPC in the field of AT were identified as: (1) presence of professional silos, (2) lack of unified language, and (3) gaps in bureaucratic support. The mechanisms and factors in implementing interprofessional collaboration identified by the World Health Organization are vital in the field of AT. However, the barriers identified above need to be addressed to promote the uptake of IPC within this specialized field.
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康复医学辅助技术领域接受跨专业合作的推动者和障碍的文献综述
辅助技术(AT)通过功能能力的支架为残疾人提供了优化的生活。然而,AT条款面临着审批过程长、资金不足以及难以将证据纳入实践等挑战。解决这些问题的一种方法是通过跨专业合作(IPC),即卫生专业人员有效协调和相互合作的过程,以实现最大限度地利用有限资源的共同目标。为了促进其有效执行,有必要了解影响其执行的促进者和障碍。因此,本文旨在回顾现有文献中确定的在康复医学中AT领域吸收IPC的促进因素和障碍。这篇文献综述遵循了模型系统知识翻译中心概述的步骤。从四个电子数据库(Cochrane Library、PubMed、Scopus、Science Direct)检索2000年1月至2019年9月期间发表的文章。本研究包括三项研究。确定的促进者有:(1)最佳工作文化,(2)专业能力,(3)与团队成员建立联系。AT领域有效IPC的障碍被确定为:(1)存在专业筒仓,(2)缺乏统一的语言,以及(3)官僚支持方面的差距。世界卫生组织确定的实施跨专业合作的机制和因素在AT领域至关重要。然而,需要解决上述障碍,以促进IPC在该专业领域的应用。
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