Team-based primary care practice and physician's services: Evidence from Family Health Teams in Ontario, Canada

Somé, Nibene Habib; Devlin, Rose Anne; Mehta, Nirav; Zaric, Gregory S.; Sarma, Sisira

doi:10.1016/j.socscimed.2020.113310

Cited by 26 publications

(19 citation statements)

References 22 publications

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“…Prior to the COVID-19 pandemic, primary care teams frequently provided care for common mental health conditions, such as depression and anxiety [17,18]. Family physicians working in tandem with a range of health and mental health care providers in primary care teams have demonstrated increased capacity for patient care, and increased access to a broad range of health and mental health services for patients [19]. Team models of primary care facilitate access to mental health services including assessments, pharmacotherapy, psychotherapy, and care coordination needed for the recovery of common mental health conditions [2].…”

Section: Mental Health Care In Primary Care Teamsmentioning

confidence: 99%

Primary care teams’ experiences of delivering mental health care during the COVID-19 pandemic: a qualitative study

et al. 2021

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Background Integrated primary care teams are ideally positioned to support the mental health care needs arising during the COVID-19 pandemic. Understanding how COVID-19 has affected mental health care delivery within primary care settings will be critical to inform future policy and practice decisions during the later phases of the pandemic and beyond. The objective of our study was to describe the impact of the COVID-19 pandemic on primary care teams’ delivery of mental health care. Methods A qualitative study using focus groups conducted with primary care teams in Ontario, Canada. Focus group data was analysed using thematic analysis. Results We conducted 11 focus groups with 10 primary care teams and a total of 48 participants. With respect to the impact of the COVID-19 pandemic on mental health care in primary care teams, we identified three key themes: i) the high demand for mental health care, ii) the rapid transformation to virtual care, and iii) the impact on providers. Conclusions From the outset of the COVID-19 pandemic, primary care quickly responded to the rising mental health care demands of their patients. Despite the numerous challenges they faced with the rapid transition to virtual care, primary care teams have persevered. It is essential that policy and decision-makers take note of the toll that these demands have placed on providers. There is an immediate need to enhance primary care’s capacity for mental health care for the duration of the pandemic and beyond.

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Section: Mental Health Care In Primary Care Teamsmentioning

confidence: 99%

Primary care teams’ experiences of delivering mental health care during the COVID-19 pandemic: a qualitative study

et al. 2021

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“…Eine koordinierte patientenzentrierte Versorgung, die den gesamten Versorgungsverlauf im Blick hat, ist dabei zentral, eine abgestimmte Vorgehensweise ein Grundbaustein (Lerberghe, Evans et al 2008). Trotz methodischer Schwächen gibt es zunehmend Hinweise darauf, dass interprofessionelle Zusammenarbeit zur Verbesserung der Versorgungsqualität, Patientenzufriedenheit und Arbeitszufriedenheit beitragen kann (Reeves 2017, Sangaleti, Schveitzer et al 2017, Somé, Devlin et al 2020. Sie ermöglicht die optimale Nutzung spezialisierten Wissens und der Praktiken verschiedener Berufsgruppen (Sangaleti, Schveitzer et al 2017).…”

Section: Schlüsselwörterunclassified

Zum Stand interprofessioneller Zusammenarbeit in der Gesundheitsversorgung

Sturm¹

2022

MVF

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“…FHTs are an example of a newer team-based model of primary care that emerged in 2005 from a period of healthcare system reform ( Hutchison et al 2011 ). There are 184 FHTs providing services to approximately 25% of Ontario's population, with the FHTs being the largest team-based primary care model in Canada ( Glazier et al 2012 ; Somé et al 2020 ). The implementation of FHTs was intended to expand access to comprehensive healthcare services, particularly for the prevention, treatment and management of chronic conditions ( Hutchison et al 2011 ).…”

Section: Team-based Primary Care In Ontario Canadamentioning

confidence: 99%

The Delivery of Patient Care in Ontario’s Family Health Teams during the First Wave of the COVID-19 Pandemic

Ashcroft¹,

Donnelly²,

Gill³

et al. 2021

hcpol

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Objective: The objective of this paper was to identify continuations and changes in care delivery methods in primary care teams during the COVID-19 pandemic. Design: The study used a cross-sectional, web-based survey comprising close-ended and open-ended questions. Setting: The setting comprised family health teams (FHTs) across Ontario, Canada. Participants: The participants included executive directors of FHTs or designates of their choosing. Survey: Descriptive statistics were derived from responses to close-ended questions, and responses to open-ended questions were coded using thematic analysis.Results: With 93 participants, the response rate was 48%. Participants reported the continuation of in-person care, the implementation of virtual care across FHTs and collaboration within these teams and their communities. RésuméObjectif : L' objectif de cet article était d'identifier la continuation et les changements dans les méthodes de prestation de soins au sein des équipes de soins primaires pendant la pandémie de COVID-19. Conception : L'étude a consisté en une enquête transversale en ligne comprenant des questions fermées et ouvertes. Milieu : Le milieu concerné comprenait des équipes Santé familiale (ESF) en Ontario, au Canada. Participants : Les participants comprenaient des directeurs administratifs d'ESF ou les personnes désignées de leur choix. Enquête : Les statistiques descriptives ont été dérivées à partir des réponses aux questions fermées, et les réponses aux questions ouvertes ont été codées à l' aide d' une analyse thématique. Résultats : Avec 93 participants, le taux de réponse était de 48 %. Les participants ont fait état de la continuation des soins en personne, de la mise en oeuvre des soins virtuels dans les ESF et de la collaboration au sein des équipes et de leurs communautés.

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Team-based primary care practice and physician's services: Evidence from Family Health Teams in Ontario, Canada

Cited by 26 publications

References 22 publications

Primary care teams’ experiences of delivering mental health care during the COVID-19 pandemic: a qualitative study

Primary care teams’ experiences of delivering mental health care during the COVID-19 pandemic: a qualitative study

Zum Stand interprofessioneller Zusammenarbeit in der Gesundheitsversorgung

The Delivery of Patient Care in Ontario’s Family Health Teams during the First Wave of the COVID-19 Pandemic

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