Dataset Information

Under the same roof: co-location of practitioners within primary care is associated with specialized chronic care management.

ABSTRACT:

Background

International and national bodies promote interdisciplinary care in the management of people with chronic conditions. We examine one facilitative factor in this team-based approach - the co-location of non-physician disciplines within the primary care practice.

Methods

We used survey data from 330 General Practices in Ontario, Canada and New Zealand, as a part of a multinational study using The Quality and Costs of Primary Care in Europe (QUALICOPC) surveys. Logistic and linear multivariable regression models were employed to examine the association between the number of disciplines working within the practice, and the capacity of the practice to offer specialized and preventive care for patients with chronic conditions.

Results

We found that as the number of non-physicians increased, so did the availability of special sessions/clinics for patients with diabetes (odds ratio 1.43, 1.25-1.65), hypertension (1.20, 1.03-1.39), and the elderly (1.22, 1.05-1.42). Co-location was also associated with the provision of disease management programs for chronic obstructive pulmonary disease, diabetes, and asthma; the equipment available in the centre; and the extent of nursing services.

Conclusions

The care of people with chronic disease is the 'challenge of the century'. Co-location of practitioners may improve access to services and equipment that aid chronic disease management.

SUBMITTER: Rumball-Smith J

PROVIDER: S-EPMC4171578 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature

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Publications

Under the same roof: co-location of practitioners within primary care is associated with specialized chronic care management.

Rumball-Smith Juliet J Wodchis Walter P WP Koné Anna A Kenealy Tim T Barnsley Jan J Ashton Toni T

BMC family practice 20140902

<h4>Background</h4>International and national bodies promote interdisciplinary care in the management of people with chronic conditions. We examine one facilitative factor in this team-based approach - the co-location of non-physician disciplines within the primary care practice.<h4>Methods</h4>We used survey data from 330 General Practices in Ontario, Canada and New Zealand, as a part of a multinational study using The Quality and Costs of Primary Care in Europe (QUALICOPC) surveys. Logistic an ...[more]

PMID: 25183554

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Dataset Information

Under the same roof: co-location of practitioners within primary care is associated with specialized chronic care management.

Background

Methods

Results

Conclusions

Publications

Under the same roof: co-location of practitioners within primary care is associated with specialized chronic care management.

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