文章基本信息

标题：Primary Healthcare Solo Practices: Homogeneous or Heterogeneous?
本地全文：下载
作者：Raynald Pineault ; Roxane Borgès Da Silva ; Sylvie Provost 等
期刊名称：International Journal of Family Medicine
印刷版ISSN：2090-2042
电子版ISSN：2090-2050
出版年度：2014
卷号：2014
DOI：10.1155/2014/373725
出版社：Hindawi Publishing Corporation
摘要：Introduction. Solo practices have generally been viewed as forming a homogeneous group. However, they may differ on many characteristics. The objective of this paper is to identify different forms of solo practice and to determine the extent to which they are associated with patient experience of care. Methods. Two surveys were carried out in two regions of Quebec in 2010: a telephone survey of 9180 respondents from the general population and a postal survey of 606 primary healthcare (PHC) practices. Data from the two surveys were linked through the respondent’s usual source of care. A taxonomy of solo practices was constructed (), using cluster analysis techniques. Bivariate and multilevel analyses were used to determine the relationship of the taxonomy with patient experience of care. Results. Four models were derived from the taxonomy. Practices in the “resourceful networked” model contrast with those of the “resourceless isolated” model to the extent that the experience of care reported by their patients is more favorable. Conclusion. Solo practice is not a homogeneous group. The four models identified have different organizational features and their patients’ experience of care also differs. Some models seem to offer a better organizational potential in the context of current reforms.