{"id":13207,"date":"2022-12-14T00:00:00","date_gmt":"2022-12-14T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/publications\/journal-articles\/who-gets-access-to-an-interprofessional-team-based-primary-care-programme-for-patients-with-complex-health-and-social-needs-a-cross-sectional-analysis\/"},"modified":"2023-07-21T15:34:04","modified_gmt":"2023-07-21T19:34:04","slug":"who-gets-access-to-an-interprofessional-team-based-primary-care-programme-for-patients-with-complex-health-and-social-needs-a-cross-sectional-analysis","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/who-gets-access-to-an-interprofessional-team-based-primary-care-programme-for-patients-with-complex-health-and-social-needs-a-cross-sectional-analysis\/","title":{"rendered":"Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? a cross-sectional analysis"},"content":{"rendered":"<p><strong>Objectives<\/strong> \u2014 To determine whether a voluntary referral-based interprofessional team-based primary care programme reached its target population and to assess the representativeness of referring primary care physicians.<\/p>\n<p><strong>Design<\/strong> \u2014 Cross-sectional analysis of administrative health data.<\/p>\n<p><strong>Setting<\/strong> \u2014 Ontario, Canada.<\/p>\n<p><strong>Intervention<\/strong> \u2014 TeamCare provides access to Community Health Centre services for patients of non-team physicians with complex health and social needs.<\/p>\n<p><strong>Participants<\/strong> \u2014 All adult patients who participated in TeamCare between 1 April 2015 and 31 March 2017 (n=1148), and as comparators, all non-referred adult patients of the primary care providers who shared patients in TeamCare (n=546 989), and a 1% random sample of the adult Ontario population (n=117 753).<\/p>\n<p><strong>Results<\/strong> \u2014 TeamCare patients were more likely to live in lower income neighbourhoods with a higher degree of marginalisation relative to comparison groups. TeamCare patients had a higher mean number of diagnoses, higher prevalence of all chronic conditions and had more frequent encounters with the healthcare system in the year prior to participation.<\/p>\n<p><strong>Conclusions<\/strong> \u2014 TeamCare reached a target population and fills an important gap in the Ontario primary care landscape, serving a population of patients with complex needs that did not previously have access to interprofessional team-based care.<\/p>\n<p><span class=\"bold\">Strengths and Limitations<\/span> \u2014 This study used population-level administrative health data. Data constraints limited the ability to identify patients referred to the programme but did not receive services, and data could not capture all relevant patient characteristics.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives \u2014 To determine whether a voluntary referral-based interprofessional team-based primary care programme reached its target population and to assess the representativeness of referring primary care physicians. Design \u2014 Cross-sectional analysis of administrative health data. Setting \u2014 Ontario, Canada. Intervention \u2014 TeamCare provides access to Community Health Centre services for patients of non-team physicians with [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,28],"migration-helper-qa-sample-set":[],"class_list":["post-13207","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-primary-care"],"acf":{"citation":"Jopling S, Wodchis WP, Rayner J, Rudoler D. <em>BMJ Open<\/em>. 2022; 12(12):e065362. Epub 2022 Dec 14.","source_url":"https:\/\/bmjopen.bmj.com\/content\/12\/12\/e065362","ices_scientist":[1332,1135,16891],"site":[6735],"research_program":[6740],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"0DDF4DB2-0CBC-4A89-AA6F-92CC23232A94","sitecore_item_name":"Who-gets-access-to-an-interprofessional-team-based-primary-care-programme","sitecore_field_values":"{\r\n  \"Title\": \"Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? a cross-sectional analysis\",\r\n  \"Short title\": \"Who gets access to an interprofessional\",\r\n  \"Summary\": \"This study found that TeamCare reached a target population and fills an important gap in the Ontario primary care landscape.\",\r\n  \"Citation\": \"<p>Jopling S, Wodchis WP, Rayner J, Rudoler D. <em>BMJ Open<\/em>. 2022; 12(12):e065362. Epub 2022 Dec 14. DOI: <a href=\"https:\/\/doi.org\/10.1136\/bmjopen-2022-065362\" title=\"opens external link\">https:\/\/doi.org\/10.1136\/bmjopen-2022-065362<\/a><\/p>\",\r\n  \"Abstract\": \"<p><strong>Objectives<\/strong> &mdash; To determine whether a voluntary referral-based interprofessional team-based primary care programme reached its target population and to assess the representativeness of referring primary care physicians.<\/p>n<p><strong>Design<\/strong> &mdash; Cross-sectional analysis of administrative health data.<\/p>n<p><strong>Setting<\/strong> &mdash; Ontario, Canada.<\/p>n<p><strong>Intervention<\/strong> &mdash; TeamCare provides access to Community Health Centre services for patients of non-team physicians with complex health and social needs.<\/p>n<p><strong>Participants<\/strong> &mdash; All adult patients who participated in TeamCare between 1 April 2015 and 31 March 2017 (n=1148), and as comparators, all non-referred adult patients of the primary care providers who shared patients in TeamCare (n=546 989), and a 1% random sample of the adult Ontario population (n=117 753).<\/p>n<p><strong>Results<\/strong> &mdash; TeamCare patients were more likely to live in lower income neighbourhoods with a higher degree of marginalisation relative to comparison groups. TeamCare patients had a higher mean number of diagnoses, higher prevalence of all chronic conditions and had more frequent encounters with the healthcare system in the year prior to participation.<\/p>n<p><strong>Conclusions<\/strong> &mdash; TeamCare reached a target population and fills an important gap in the Ontario primary care landscape, serving a population of patients with complex needs that did not previously have access to interprofessional team-based care.<\/p>n<p><span class=\"bold\">Strengths and Limitations<\/span> &mdash; This study used population-level administrative health data. Data constraints limited the ability to identify patients referred to the programme but did not receive services, and data could not capture all relevant patient characteristics.<\/p>n<p><a href=\"https:\/\/bmjopen.bmj.com\/content\/12\/12\/e065362\" title=\"opens external link\">View full text<\/a><\/p>\",\r\n  \"ICES Scientists\": \"{73BFBB45-3F05-4D4E-9723-4DB2A213A27A}|{26C6C411-14DA-4E2F-9D10-9564115ADE0A}\",\r\n  \"Posted Date\": \"20221214T000000\",\r\n  \"Show on Publications Landing Page\": \"1\"\r\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2022\/December\/Who-gets-access-to-an-interprofessional-team-based-primary-care-programme"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? a cross-sectional analysis<\/title>\n<meta name=\"description\" content=\"Objectives \u2014 To determine whether a voluntary referral-based interprofessional team-based primary care programme reached its target population and to\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/who-gets-access-to-an-interprofessional-team-based-primary-care-programme-for-patients-with-complex-health-and-social-needs-a-cross-sectional-analysis\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? 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