Patients' perceptions of team-based care in family practice: access, benefits and team roles.

INTRODUCTION: The increasing complexity of health care and escalating prevalence of multiple chronic conditions have driven interprofessional team-based care in family practice. Most published studies examine team-based care from the perspective of health professionals. The purpose of this study was...

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Publicado en:Journal of Primary Health Care Vol. 10; no. 3; pp. 248 - 258
Autores principales: Szafran, Olga, Kennett, Sandra L., Bell, Neil R., Green, Lee
Formato: research tables/charts Journal Article
Publicado: CSIRO Publishing Sep2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Patients' perceptions of team-based care in family practice: access, benefits and team roles.
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          Szafran, Olga
          Kennett, Sandra L.
          Bell, Neil R.
          Green, Lee
        affil: Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada
      sug:
        subj:
          Family Practice
          Patient Attitudes
          Multidisciplinary Care Team
          Patient Centered Care
          Human
          Male
          Female
          Adolescence
          Adult
          Young Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Alberta
          Health Services Accessibility
          Questionnaires
          Descriptive Statistics
          Chronic Disease Prevention and Control
          Health Knowledge
          Cross Sectional Studies
          Data Analysis Software
          Chi Square Test
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: INTRODUCTION: The increasing complexity of health care and escalating prevalence of multiple chronic conditions have driven interprofessional team-based care in family practice. Most published studies examine team-based care from the perspective of health professionals. The purpose of this study was to examine patients' perceptions of team-based care in family practice. METHODS: This was a waiting room survey conducted in five family medicine academic teaching clinics in Edmonton, Alberta, Canada. Patients aged ≥18 years were invited to participate in a survey addressing patient access to team-based care, perceived benefits, preferred health professional and team member roles. RESULTS: Of the 44.3% (565/1274) of respondents, 41.8% (231/552) reported receiving care from a team of health professionals, primarily for chronic disease management or pharmacy consultations. While there was a consistent pattern of patient perception that many aspects of care did not worsen with team-based care, improvements in knowledge of their medical condition (67.4%); the care received (65.0%); access to care (51.1%); ability to self-care (48.9%) and maintain their independence (43.7%); and overall health (51.1%) were reported. Some patients felt that team-based care reduced emergency visits (34.6%) and hospitalisations (29.9%), and 44.1% of patients felt that they had an active role on the team and made decisions about their care together with health professionals. CONCLUSION: Patients perceive that team-based care in family practice has improved their knowledge and access to care, overall health and avoided some emergency department visits and hospital admissions. The findings support the continued development of team-based care in family practice.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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