Care managers in rural Japan: Challenges to interprofessional collaboration

Home Health Care Serv Q. 2019 Oct-Dec;38(4):270-285. doi: 10.1080/01621424.2019.1673867. Epub 2019 Sep 28.

Abstract

Effective interprofessional collaboration for care managers is vital for the care of older people. This study's aim was to inquire into the obstacles to interprofessional collaboration faced by care managers in rural areas of Japan. Forty-six care managers participated in group discussions and semi-structured interviews, and the qualitative data were analyzed using thematic analysis. Five themes related to obstacles emerged from the analysis regarding relationships with physicians, professional competency, relationships among other professionals, environmental constraints, and relationships with nonprofessionals. Other professionals' unfamiliarity with the care manager's role and a lack of mutual understanding, boundaries, and information sharing among medical professionals were also cited as issues.

Keywords: Care managers; Japan; interprofessional collaboration; long-term insurance care; rural areas.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Case Managers / psychology*
  • Case Managers / standards*
  • Case Managers / statistics & numerical data
  • Cooperative Behavior*
  • Female
  • Home Health Nursing / organization & administration*
  • Humans
  • Interprofessional Relations*
  • Japan
  • Male
  • Middle Aged
  • Professional Role / psychology*
  • Qualitative Research
  • Rural Population