Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? A cross-sectional analysis
Objectives 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 Cross-sectional analysis of administrative health data.Setting Ontario, Canada...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/12/e065362.full |
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| author | Walter P Wodchis Jennifer Rayner David Rudoler Sydney Jopling |
| author_facet | Walter P Wodchis Jennifer Rayner David Rudoler Sydney Jopling |
| author_sort | Walter P Wodchis |
| collection | DOAJ |
| description | Objectives 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 Cross-sectional analysis of administrative health data.Setting Ontario, Canada.Intervention TeamCare provides access to Community Health Centre services for patients of non-team physicians with complex health and social needs.Participants 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).Results 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.Conclusions 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.Strengths and limitations 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. |
| format | Article |
| id | doaj-art-dcd65ebe8a1a4162a9253ca6abd0fa0f |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-dcd65ebe8a1a4162a9253ca6abd0fa0f2025-08-20T02:14:42ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2022-065362Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? A cross-sectional analysisWalter P Wodchis0Jennifer Rayner1David Rudoler2Sydney Jopling3Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, CanadaAlliance for Healthier Communities, Toronto, Ontario, Canada15 Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, CanadaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, CanadaObjectives 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 Cross-sectional analysis of administrative health data.Setting Ontario, Canada.Intervention TeamCare provides access to Community Health Centre services for patients of non-team physicians with complex health and social needs.Participants 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).Results 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.Conclusions 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.Strengths and limitations 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.https://bmjopen.bmj.com/content/12/12/e065362.full |
| spellingShingle | Walter P Wodchis Jennifer Rayner David Rudoler Sydney Jopling Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? A cross-sectional analysis BMJ Open |
| title | Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? A cross-sectional analysis |
| title_full | Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? A cross-sectional analysis |
| title_fullStr | Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? A cross-sectional analysis |
| title_full_unstemmed | Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? A cross-sectional analysis |
| title_short | Who gets access to an interprofessional team-based primary care programme for patients with complex health and social needs? A cross-sectional analysis |
| title_sort | who gets access to an interprofessional team based primary care programme for patients with complex health and social needs a cross sectional analysis |
| url | https://bmjopen.bmj.com/content/12/12/e065362.full |
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