Development of an organizational typology of interprofessional primary care teams in Quebec, Canada: A multivariate analysis.

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Policy Pub Date : 2024-11-10 DOI:10.1016/j.healthpol.2024.105202

Maria Alejandra Rodriguez-Duarte, Pamela Fernainy, Lise Gauvin, Géraldine Layani, Marie-Eve Poitras, Mylaine Breton, Claire Godard-Sebillotte, Catherine Hudon, Janusz Kaczorowski, Yves Couturier, Anaïs Lacasse, Marie-Thérèse Lussier, Cristina Longo, Nadia Sourial

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引用次数: 0

Abstract

Background: This study aimed to develop an organizational typology of Interprofessional Primary Care (IPC) teams in Quebec, Canada, by describing their organizational profiles and assessing the association between the characteristics of the populations served and the organizational profiles.

Methods: This cross-sectional study was carried out using a finite mixture model of the 2021 financial monitoring data from the Ministry of Health and Social Services of Quebec. The population consisted of all IPC teams in Quebec (N = 368). A multinomial logistic model was used to assess the association between the population characteristics and the organizational profiles.

Results: The analysis revealed that IPC teams were heterogeneous and could be classified into five distinct profiles varying in size, team composition, sector, type, and level of partnership. Pregnant women (odds ratio [OR] = 2.78, 95 % confidence interval [CI] 1.98-3.91), disadvantaged patients ([OR] = 1.62, [CI] 1.15-2.28), patients receiving homecare support ([OR] = 1.85, [CI] 1.28-2.66) and rural patients ([OR] = 0.66, [CI] 0.50-0.86)) were more likely to be associated to the medium, public, university-affiliated, practitioner-oriented, low partnered profile compared to the very small, private, regular, high-partnered profile.

Conclusion: IPC teams can be characterized into five distinct profiles that are associated with the characteristics of the populations they serve. These results may help to better evaluate if the desired effects of IPC teams have been achieved.

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.