Les nouvelles formes d’organisations de soins de santé primaires (OSSP) sont-elles associées à une meilleure expérience de soins chez les patients atteints de maladies chroniques au Québec ?

Pineault, Raynald; Silva, Roxane Borgès Da; Provost, Sylvie; Fournier, Michel; Prud’homme, Alexandre

doi:10.3917/spub.150.0119

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…In a study on the experience of care of patients with chronic illnesses, conducted using the same data set, the authors concluded that all experience of care indicators were high for this type of patient, except accessibility. 33 By isolating the effect of registered nurses’ systematic follow-up on experience of care, our study has shown that, in PHCOs where registered nurses perform systematic follow-up, accessibility is enhanced.…”

Section: Discussionmentioning

confidence: 81%

Nursing Practice in Primary Care and Patients’ Experience of Care

Silva

Brault

Pineault

et al. 2018

J Prim Care Community Health

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Purpose: Nurses are identified as a key provider in the management of patients in primary care. The objective of this study was to evaluate patients’ experience of care in primary care as it pertained to the nursing role. The aim was to test the hypothesis that, in primary health care organizations (PHCOs) where patients are systematically followed by a nurse, and where nursing competencies are therefore optimally used, patients’ experience of care is better. Method: Based on a cross-sectional analysis combining organizational and experience of care surveys, we built 2 groups of PHCOs. The first group of PHCOs reported having a nurse who systematically followed patients. The second group had a nurse who performed a variety of activities but did not systematically follow patients. Five indicators of care were constructed based on patient questionnaires. Bivariate and multivariate linear mixed models with random intercepts and with patients nested within were used to analyze the experience of care indicators in both groups. Results: Bivariate analyses revealed a better patient experience of care in PHCOs where a nurse systematically followed patients than in those where a nurse performed other activities. In multivariate analyses that included adjustment variables related to PHCOs and patients, the accessibility indicator was found to be higher. Conclusion: Results indicated that systematic follow-up of patients by nurses improved patients’ experience of care in terms of accessibility. Using nurses’ scope of practice to its full potential is a promising avenue for enhancing both patients’ experience of care and health services efficiency.

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Section: Discussionmentioning

confidence: 81%

Nursing Practice in Primary Care and Patients’ Experience of Care

Silva

Brault

Pineault

et al. 2018

J Prim Care Community Health

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“…Several studies have demonstrated the impact of PHC services organization on patients' experience of care and other aspects of health services utilization [ 24 – 28 ]. Commonwealth Fund data compiled from several countries show considerable variation in patients' reported experience of care in terms of accessibility, continuity, comprehensiveness, care coordination, and chronic illness management [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

Does the Primary Care Experience Influence the Cancer Diagnostic Process?

Provost

Pineault

Tousignant

et al. 2015

International Journal of Family Medicine

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Objective. To analyze the impact of patients' experience of care at their usual source of primary care on their choice of point of entry into cancer investigation process, time to diagnosis, and presence of metastatic cancer at time of diagnosis. Method. A questionnaire was administered to 438 patients with cancer (breast, lung, and colorectal) between 2011 and 2013 in four oncology clinics of Quebec (Canada). Multiple regression analyses (logistic and Cox models) were conducted. Results. Among patients with symptoms leading to investigation of cancer (n = 307), 47% used their usual source of primary care as the point of entry for investigation. Greater comprehensiveness of care was associated with the decision to use this source as point of entry (OR = 1.25; CI 90% = 1.06–1.46), as well as with shorter times between first symptoms and investigation (HR = 1.11; p = 0.05), while greater accessibility was associated with shorter times between investigation and diagnosis (HR = 1.13; p < 0.01). Conclusion. Experience of care at the usual source of primary care has a slight influence on the choice of point of entry for cancer investigation and on time to diagnosis. This influence appears to be more related to patients' perceptions of the accessibility and comprehensiveness of their usual source of primary care.

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