Tip 3: ‘Be effective in running the collaborative meetings’

The collaborative meetings have to be chaired by experts in improvement methods and group dynamics to ensure motivation of the participants and the best use of their knowledge and time.



In the Basque Country, the collaborative team working in the scaling-up of the integrated care for multimorbid patients was composed of stakeholders of distinct levels (macro, meso and micro), with varied roles and representatives of all organizations where the intervention was expected to be implemented. In particular, the Health- care Directorate represented the policy makers of Osakidetza (macro), whereas Medical and Nursing directors provided meso-level managers’ opinion. Primary care (GPs, GP practice nurses) and secondary care (internists, hospital nurses) professionals represented front line staff’s views.


Transfer to other settings:
  • You need someone that is capable of leading a good group discussion and make the interaction in the multidisciplinary teams proactive, creative, constructive.
  • A facilitator will need to create space for critical feedback; it should be an expert in the methodology being applied as well as in group dynamics.
  • This person will need to have adequate time to prepare for the meetings, and in the meeting offer points of discussion, create the right atmosphere and bring together and summarise what has been said at the meetings.


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