文章基本信息

标题：Rethinking Primary Care Delivery Models: Can Integrated Primary Care Teams Improve Care Experience?
本地全文：下载
作者：Arnaud Duhoux ; Émilie Dufour ; Martin Sasseville 等
期刊名称：International Journal of Integrated Care
电子版ISSN：1568-4156
出版年度：2022
卷号：22
DOI：10.5334/ijic.5945
语种：English
出版社：Utrecht University, Maastricht University, Groningen University
摘要：Background: Integrated Primary Care Teams (IPCTs) have four key characteristics (intensive interdisciplinary practice; advanced nursing practice with an expanded role; group practice; increased proximity and availability) aimed at strengthening primary care in Quebec, Canada. The purpose of this paper is to examine the care experience over time of patients who have an IPCT as their primary source of care. Methods: We used a quasi-experimental longitudinal design based on a pre-and-post administered survey at a 2-year interval without a control group. We measured patient-reported accessibility, continuity, comprehensiveness, responsiveness and outcomes of care. Results: Results showed that patients who were newly registered with an IPCT had a significant increase in reported care experience, whereas patients who have been registered with an IPCT for 2 years prior to the first round of data collection had already high reported care experience that was maintained over time. Moreover, linear regression models showed statistically significant different increases in the dimensions of care experience by site and patients’ characteristics. Conclusions: Our results suggest that the IPCT model is tailored to the needs of its target populations, resulting in improved Patient Reported Experience Measures. These results imply that broader implementation of innovative and flexible community-based care models should be considered by policymakers.