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Expanding general practice with interprofessional teams: a mixed-methods patient perspective study.

Birgit Abelsen1, Kine Pedersen2, Hanna Isabel Løyland2

  • 1Department of Community Medicine, National Centre for Rural Medicine, UiT The Arctic University of Norway, Postbox 6050 Langnes, 9037, Tromsø, Norway. birgit.abelsen@uit.no.

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Patient experiences with interprofessional primary healthcare teams show improved coordination and understanding of health. A key finding is that a visible general practitioner presence strengthens team-based care continuity.

Keywords:
ContinuityGeneral practiceGeneral practitionerInterprofessional primary healthcare teamPatient perspectivePatient-reported experienceRegistered nurseTeamwork

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Area of Science:

  • Healthcare Management
  • Primary Care Research
  • Patient Experience Studies

Background:

  • Current health policies advocate for interprofessional teamwork in healthcare.
  • Interprofessional primary healthcare teams aim to manage complex patient needs more effectively than single-profession general practitioner care.
  • This study investigates patient perspectives on the shift from general practitioner (GP) care to interprofessional team-based care.

Purpose of the Study:

  • To explore patient experiences with interprofessional team-based primary healthcare.
  • To compare patient perceptions of interprofessional care versus traditional GP care.
  • To identify factors influencing patient satisfaction and continuity in team-based primary care settings.

Main Methods:

  • Qualitative interviews with ten patients and four next of kin.
  • Quantitative survey with 287 adult primary healthcare patients.
  • Thematic analysis and continuity framework for qualitative data; descriptive statistics for survey data.
  • All participants were part of a primary healthcare team pilot transitioning from single-profession GP care.

Main Results:

  • Patients reported team-based care as more coordinated, offering more time and learning opportunities.
  • Most patients experienced enhanced understanding and mastery of their health issues.
  • Improved information continuity was noted, particularly for multi-morbid and mentally ill patients, with seamless communication between GPs and nurses.
  • Patients expressed satisfaction with nurse inclusion and improved access to care, trusting the GP's overall management.

Conclusions:

  • Interprofessional teamwork in general practice enhances management, informational, and relational continuity from the patient's viewpoint.
  • A clear and present general practitioner within the team is crucial for successful interprofessional primary healthcare.
  • Patient-centered care is strengthened through effective collaboration in primary care teams.