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. 2022 Apr 27;22(2):8.
doi: 10.5334/ijic.5945. eCollection 2022 Apr-Jun.

Rethinking Primary Care Delivery Models: Can Integrated Primary Care Teams Improve Care Experience?

Arnaud Duhoux  1   2   3 , Émilie Dufour  1 , Martin Sasseville  2   4 , Dominique Laroche  1 , Damien Contandriopoulos  3   5
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Rethinking Primary Care Delivery Models: Can Integrated Primary Care Teams Improve Care Experience?

Arnaud Duhoux et al. Int J Integr Care. .

Abstract

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.

Keywords: community care; delivery of health care; interdisciplinary teams; patient-reported measures.

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Conflict of interest statement

The authors have no competing interests to declare.

Figures

Assessment of care experience in 5 dimensions, t0 and t2, for 6 IPCT in Quebec
Figure 1
Assessment of care experience in 5 dimensions, t0 and t2, for 6 IPCT in Quebec. * P < 0.05; ** P < 0.01; *** P < 0,001.
See this image and copyright information in PMC

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