Analytical typology of multiprofessional primary care models

Area of Science:

• Healthcare Management
• Primary Care Research
• Health Services Research

Background:

• Limited evidence exists for care redefinition and role optimization to strengthen primary care capacity.
• Scaling up primary care requires robust strategies for structural and functional improvements.

Purpose of the Study:

• To identify central elements for transforming primary care provision.
• To develop typologies for analyzing and improving multiprofessional primary care teams.
• To refine the definition of care comprehensiveness and its relation to professional role optimization.

Main Methods:

• Systematic literature search across MEDLINE, EMBASE, and CINAHL databases.
• Inclusion criteria applied to 3,229 initial documents, resulting in 52 for final selection.
• Four-step analysis process to identify key elements for primary care transformation.

Main Results:

• Developed two typologies characterizing multiprofessional primary care teams.
• First typology based on task formalization and nurse centrality/autonomy.
• Second typology refines comprehensiveness of care and professional role optimization.

Conclusions:

• Identified plausible approaches for articulating patient, professional, and care pathway relationships.
• Human resources, expertise, and environmental constraints influence model coherence.
• Developed typologies aid in assessing current models and proposing optimal operational parameters for primary care.