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Area of Science:

  • Primary Care Research
  • Health Services Research
  • Patient Experience Studies

Background:

  • Integrated Primary Care Teams (IPCTs) in Quebec, Canada, feature intensive interdisciplinary practice, advanced nursing roles, group practice, and enhanced accessibility.
  • These teams aim to strengthen the primary care system.

Purpose of the Study:

  • To evaluate the evolution of patient care experience over time for individuals utilizing IPCTs as their primary healthcare source.
  • To assess the impact of IPCTs on patient-reported accessibility, continuity, comprehensiveness, responsiveness, and outcomes.

Main Methods:

  • A quasi-experimental longitudinal design was employed, utilizing pre- and post-surveys administered two years apart.
  • Patient-reported measures of care experience were collected without a control group.

Main Results:

  • Patients newly joining an IPCT demonstrated a significant improvement in reported care experience.
  • Patients registered with an IPCT for at least two years prior to the initial survey already reported high care experiences, which remained stable.
  • Linear regression revealed that improvements in care experience dimensions varied significantly based on the specific IPCT site and patient characteristics.

Conclusions:

  • The IPCT model effectively meets the needs of its patient populations, leading to enhanced Patient Reported Experience Measures (PREMs).
  • These findings support the consideration of wider implementation of innovative, flexible, community-based care models by policymakers.