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Journal of Interprofessional Education & Practice Volume 8, September 2017, Pages 69-74

Factors contributing to interprofessional collaboration in Indonesian health centres: A focus group study Adji Prayitno Setiadi a

, Yosi Wibowo a

, Fauna Herawati a

, Sylvi Irawati a

, Eko Setiawan a

, Bobby Presley a

, M. Arif Zaidi b

, Bruce Sunderland c

Show more https://doi.org/10.1016/j.xjep.2017.06.002

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Abstract Background The burgeoning health burden in Indonesia requires strengthening primary care services through interprofessional collaboration. Purpose: to explore factors contributing to interprofessional collaboration within health centres Indonesia. Methods Eight focus group discussions involving a range of health professionals from health centres were conducted in four districts in East Java, Indonesia. Thematic analysis was used to generate findings. Results Collaborative practices in Indonesian health centres are directly affected by health professional interactions (personnel level) – hierarchy and lack of role understanding have been reported as barriers to the interactions. These factors are in turn affected by health centre's environment (organisational level) and the Government legislation/policy (health system). The health centre's environment included organisation's culture, team management, physical space, as well as communication and coordination mechanisms. Conclusions Factors contributing to collaborative practices in this setting were complex and intertwined. Structuring collective actions or strategies would be required to address the identified collaborative issues.

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Keywords Collaboration; Interprofessional; Indonesia; Health centres; Focus group discussion

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