Patient experience and primary care teams: a cross-sectional survey of French elderly patients
Objective To assess whether patient experience is better for patients followed in a primary care team (PCT) than for patients with traditional follow-up in usual care.Design A cross-sectional survey based on a self-administered questionnaire.Setting Pays de la Loire geographical area (located on the...
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| Format: | Article |
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BMJ Publishing Group
2025-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/3/e085626.full |
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| author | Cédric Rat Aurélie Gaultier Maud Jourdain Jean-François Huon Morgane Angibaud Alice Grimal Emmanuelle Bataille |
| author_facet | Cédric Rat Aurélie Gaultier Maud Jourdain Jean-François Huon Morgane Angibaud Alice Grimal Emmanuelle Bataille |
| author_sort | Cédric Rat |
| collection | DOAJ |
| description | Objective To assess whether patient experience is better for patients followed in a primary care team (PCT) than for patients with traditional follow-up in usual care.Design A cross-sectional survey based on a self-administered questionnaire.Setting Pays de la Loire geographical area (located on the French west coast).Patients and methods Patients over 75 or over 65 years of age with at least one chronic disease were included. A sample of 9900 frail elderly patients was invited to answer a 23-item questionnaire that investigated four dimensions: ‘communication and patient-centred care’, ‘availability and accessibility’, ‘coordination’ and ‘caregiver’. Their answers were then analysed depending on whether they were followed in a mature PCT, in an emerging PCT or in usual care. The associations between follow-up in a PCT and patient experience were tested with generalised estimation equation models with a Poisson link function, adjusted for sex, age, educational level and the place of residence (French department).Results A total of 4078 responses were received. The result of the assessment for the ‘communication and patient-centred care’ dimension was improved for the participants in the PCT group for the following items: ‘Health professionals were concerned about the impact my health had on my everyday life.’ (RR=1.22, 95% CI (1.04; 1.43)), ‘I have received help to better adapt my everyday life to my health.’ (RR=1.25, 95% CI (1.05; 1.50)), ‘I could take part in decisions concerning my health and care.’ (RR=1.19, 95% CI (1.01; 1.42)) and ‘My consent was requested prior to the transmission of the information between health professionals.’ (RR=1.27, 95% CI (1.09; 1.48)). These assessments were not different between the PCT group and usual care group for other dimensions: ‘availability and accessibility’, ‘coordination’ and ‘caregiver’.Conclusion This study suggests an improved patient experience in regard to the communication perspective for patients in the PCT group. However, it remains unclear whether interprofessional collaboration (IPC) improves overall patient experience. Additional research could explore aspects of IPC that influence patient experience, providing insights to enhance strategies for improving PCTs. |
| format | Article |
| id | doaj-art-c074d90877bb4a2ab2b9e458a7382049 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-c074d90877bb4a2ab2b9e458a73820492025-08-20T02:10:28ZengBMJ Publishing GroupBMJ Open2044-60552025-03-0115310.1136/bmjopen-2024-085626Patient experience and primary care teams: a cross-sectional survey of French elderly patientsCédric Rat0Aurélie Gaultier1Maud Jourdain2Jean-François Huon3Morgane Angibaud4Alice Grimal5Emmanuelle Bataille6Université de Nantes, Département de Médecine Générale, F-44007, Nantes, FranceResearch Department, Methodology and Biostatistics Platform, University Hospital of Nantes, Universite de Nantes, Nantes, Pays de la Loire, France7 Department of General Practice, Faculty of Medicine, University of Nantes, Nantes, FranceNantes Université, CHU Nantes, Pharmacie, F-44000, FranceINSERM UMR 1246 Methods in Patients-Centered Outcomes and Health Research, Nantes, Loire-Atlantique, FranceDepartment of General Practice, Nantes Université, Nantes, Pays de la Loire, FranceDepartment of Statistics and Studies, Health Insurance System, Nantes, FranceObjective To assess whether patient experience is better for patients followed in a primary care team (PCT) than for patients with traditional follow-up in usual care.Design A cross-sectional survey based on a self-administered questionnaire.Setting Pays de la Loire geographical area (located on the French west coast).Patients and methods Patients over 75 or over 65 years of age with at least one chronic disease were included. A sample of 9900 frail elderly patients was invited to answer a 23-item questionnaire that investigated four dimensions: ‘communication and patient-centred care’, ‘availability and accessibility’, ‘coordination’ and ‘caregiver’. Their answers were then analysed depending on whether they were followed in a mature PCT, in an emerging PCT or in usual care. The associations between follow-up in a PCT and patient experience were tested with generalised estimation equation models with a Poisson link function, adjusted for sex, age, educational level and the place of residence (French department).Results A total of 4078 responses were received. The result of the assessment for the ‘communication and patient-centred care’ dimension was improved for the participants in the PCT group for the following items: ‘Health professionals were concerned about the impact my health had on my everyday life.’ (RR=1.22, 95% CI (1.04; 1.43)), ‘I have received help to better adapt my everyday life to my health.’ (RR=1.25, 95% CI (1.05; 1.50)), ‘I could take part in decisions concerning my health and care.’ (RR=1.19, 95% CI (1.01; 1.42)) and ‘My consent was requested prior to the transmission of the information between health professionals.’ (RR=1.27, 95% CI (1.09; 1.48)). These assessments were not different between the PCT group and usual care group for other dimensions: ‘availability and accessibility’, ‘coordination’ and ‘caregiver’.Conclusion This study suggests an improved patient experience in regard to the communication perspective for patients in the PCT group. However, it remains unclear whether interprofessional collaboration (IPC) improves overall patient experience. Additional research could explore aspects of IPC that influence patient experience, providing insights to enhance strategies for improving PCTs.https://bmjopen.bmj.com/content/15/3/e085626.full |
| spellingShingle | Cédric Rat Aurélie Gaultier Maud Jourdain Jean-François Huon Morgane Angibaud Alice Grimal Emmanuelle Bataille Patient experience and primary care teams: a cross-sectional survey of French elderly patients BMJ Open |
| title | Patient experience and primary care teams: a cross-sectional survey of French elderly patients |
| title_full | Patient experience and primary care teams: a cross-sectional survey of French elderly patients |
| title_fullStr | Patient experience and primary care teams: a cross-sectional survey of French elderly patients |
| title_full_unstemmed | Patient experience and primary care teams: a cross-sectional survey of French elderly patients |
| title_short | Patient experience and primary care teams: a cross-sectional survey of French elderly patients |
| title_sort | patient experience and primary care teams a cross sectional survey of french elderly patients |
| url | https://bmjopen.bmj.com/content/15/3/e085626.full |
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