EURO 2024 Copenhagen
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2194. Collaboration and decision-making patterns between allied health- and primary care professionals using game theoretical models

Invited abstract in session TB-7: Behavioural Studies in Health Care , stream Behavioural OR.

Tuesday, 10:30-12:00
Room: 1019 (building: 202)

Authors (first author is the speaker)

1. Tijmen Geurts
Geriatrics, Radboudumc
2. Femke Bekius
Nijmegen School of Management, Radboud University
3. Dorien Oostra
Geriatrics, Radboudumc
4. Marieke Perry
Geriatrics, Radboudumc

Abstract

Allied health professionals possess expertise to improve primary care for frail older adults but structural interprofessional collaboration remains difficult. We aim to characterize person and group-level behavioral factors influencing collaboration and decision-making between care professionals.
We conducted 24 semi-structured interviews with allied health- and other primary care professionals and asked about collaborative experiences between disciplines. We deductively coded the interviews with elements (actors, actions and outcomes) of three game theoretical models (Principal-Agent (PA) game, Volunteer’s Dilemma (VD) and Battle of the Sexes (BS)) to characterize collaboration patterns.
We found empirical situations of behavioral patterns representing characteristics of each model. Based on these patterns, we clustered situations on two axes, resulting in four categories. PA games differentiate between the principal using power or the agent’s information to decide, and direct versus indirect collaboration between professionals. VD-games show waiting or volunteering behavior, central to patient care or professionals themselves. BS-games differ between collaborative- and conflict-inducing behavior, and resulting collective or individual actions.
Our findings may help raise awareness of (un)desirable dynamics in primary care collaboration and decision-making. Furthermore, it provides starting points to change behavioral patterns and improve collaboration.

Keywords

Status: accepted


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