Perceptions of Rheumatologists on Barriers and Enablers to Adoption of Interdisciplinary Models of Care in Rheumatology in Ontario, Canada
Authors' conclusion
This study identified behavioural determinants of rheumatologists' adoption of an interdisciplinary model of care. To overcome barriers and strengthen enablers, sustainable funding, IHP workforce development, practical implementation resources (business guidance and training), and clear blueprints of successful care models including IHP role descriptions, are required.
Study context
- Population
- Rheumatologists practicing without IHP support in Ontario, Canadarheumatologists interviewed
- Participants
- 14 rheumatologists
- Outcome
- TDF domains relevant to adoption of interdisciplinary care
Methodological detailsinterview guide informed by the Theoretical Domains Framework (TDF), content analysis (deductive coding to TDF domains, inductive within-domain themes)
- Interview guide informed by the Theoretical Domains Framework (TDF)
- Content analysis (deductive coding to TDF domains, inductive within-domain themes)
Main finding
As reported in the abstract
- Seven TDF domains: Optimism, Beliefs about Capabilities, Beliefs about Consequences, Reinforcement, Environmental Context and Resources, Knowledge, and Skills
Further findings
Enablers of adoption
- Optimism that interdisciplinary models would achieve desired outcomes, confidence in training interdisciplinary healthcare professionals (IHPs), anticipated benefits for patients and rheumatologists, and prior positive experience with interdisciplinary teams
Barriers to adoption
- Insufficient funding, space constraints, limited availability of trained IHPs, and turnover risk
- Most rheumatologists reported gaps in knowledge of IHP training and scope, and limited business skills for recruitment/hiring
Original publication
Perceptions of Rheumatologists on Barriers and Enablers to Adoption of Interdisciplinary Models of Care in Rheumatology in Ontario, Canada. Arthritis Care Res (Hoboken). Published 9 November 2026. doi:10.
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