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

Ashcroft, Rachelle; Donnelly, Catherine W.; Gill, Sandeep Singh; Dancey, Maya; Lam, Simon; Grill, Allan; Mehta, Kavita

doi:10.12927/hcpol.2021.26656

Cited by 8 publications

(20 citation statements)

References 45 publications

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“…Such models ranged from virtual reality programs to help isolated seniors, proactive wellness checks of vulnerable adults, new models of mental health care, and many more. [36][37][38] Indeed, over half of FHTs reported providing care to individuals who were not their regular patients and over half reported involvement in COVID-19 response regional planning (Association of Family Health Teams of Ontario, personal communication). Both CHCs and other PCPs connected with COVID-19 isolation hotels and homeless shelters, as well as farms to reach migrant workers.…”

Section: Wraparound Supportsmentioning

confidence: 99%

Brief on Primary Care Part 1: The Roles of Primary Care Clinicians and Practices in the First Two Years of the COVID-19 Pandemic in Ontario

Kiran¹,

Eissa²,

Mangin³

et al. 2022

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About Us: The Ontario COVID-19 Science Advisory Table is a group of scientific experts and health system leaders who evaluate and report on emerging evidence relevant to the COVID-19 pandemic, to inform Ontario's response. The Science Advisory Table's mandate is to provide summaries of relevant scientific evidence to public health and health care professionals, as well as the general public, by integrating information from existing scientific tables, Ontario's universities and agencies, and the best global evidence. The Science Advisory Table is hosted by Public Health Ontario (PHO). Aligned with PHO's mandate, the Science Advisory Table provides credible and independent scientific and technical advice to inform government and the broader public about COVID-19 and to help prepare for and respond to future public health emergencies.

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Section: Wraparound Supportsmentioning

confidence: 99%

Brief on Primary Care Part 1: The Roles of Primary Care Clinicians and Practices in the First Two Years of the COVID-19 Pandemic in Ontario

Kiran¹,

Eissa²,

Mangin³

et al. 2022

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“…We conducted semi-structured interviews to explore how interprofessional primary care teams in Ontario continued to provide care during the COVID-19 pandemic. Informed by emerging literature on the COVID-19 pandemic as well as results from a surveys conducted with interprofesional primary care providers and EDs [7,16], we developed a semi-structured interview guide. The interview guide was pilot-tested by the research team.…”

Section: Data Collectionmentioning

confidence: 99%

The experience of primary care teams during the early phase of COVID-19: A qualitative study of primary care practice leaders in Ontario, Canada

et al. 2022

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Background The COVID-19 pandemic has caused a rapid shift to virtual care in primary care practices around the globe. There has been little focus on the experiences of interprofessional teams through the lens of primary care practice leaders. The objective of this study was to examine the experience of primary care teams during the first wave of the COVID-19 pandemic from the perspective of primary care leadership. Methods Qualitative study using qualitative description methods. Executive Directors of interprofessional primary care teams belonging to the Association of Family Health Teams of Ontario (AFHTO) were invited to participate. Executive Directors were interviewed and the interview transcripts were analyzed using thematic analysis. Results Seventy-one Executive Directors from across all regions of Ontario were interviewed for the study, representing 37% of the AFHTO member clinics. Four themes were identified in the data: i) Complexities of Virtual Care, ii) Continuation of In-person Care, iii) Supporting Patients at Risk, and iv) Stepping up and into New Roles. Conclusions Primary care teams rapidly mobilized to deliver the majority of their care virtually, while continuing to provide in-person and home care as required. Major challenges to virtual care included technological infrastructure and unfamiliarity with virtual platforms. Advantages to virtual care included convenience and time savings. Virtual care will likely continue to be an important mode of primary care delivery moving forward.

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“…Interprofessional primary care teams rapidly shifted from providing in-person to virtual care as part of required public health guidelines in the context of the COVID-19 pandemic. [1][2][3][4] It is not clear, however, how shifting from working in-person to working virtually impacted collaboration in these interprofessional primary care teams. Worldwide, primary care is a cornerstone of most health systems, 2 and the first point of contact for patients in the medical system which is typically provided by family physicians or nurse practitioners.…”

Section: Introductionmentioning

confidence: 99%

“…9 It is important to note that the composition of the types and amounts of providers vary from team to team. [3][4][5][6] Collaboration in primary care teams occurs when two or more health professionals work together to provide comprehensive patient care. 5 Primary care teams offer patients the benefits of a broad range of comprehensive…”

Section: Introductionmentioning

confidence: 99%

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Qualitative examination of collaboration in team-based primary care during the COVID-19 pandemic

et al. 2023

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ObjectiveThe objective of this study was to describe Ontario primary care teams’ experiences with collaboration during the COVID-19 pandemic. Descriptive qualitative methods using focus groups conducted virtually for data collection.SettingPrimary care teams located in Ontario, Canada.ParticipantsOur study conducted 11 focus groups with 10 primary care teams, with a total of 48 participants reflecting a diverse range of interprofessional healthcare providers and administrators working in primary care.ResultsThree themes were identified using thematic analysis: (1) prepandemic team functioning facilitated adaptation, (2) new processes of team interactions and collaboration, and (3) team as a foundation of support.ConclusionsResults revealed the importance of collaboration for provider well-being, and the challenges of providing collaborative team-based primary care in the pandemic context. Caution against converting primary care collaboration to predominantly virtual modalities postpandemic is recommended. Further research on team functioning during the COVID-19 pandemic in other healthcare organisations will offer additional insight regarding how primary care teams can work collaboratively in a postpandemic environment.

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

Cited by 8 publications

References 45 publications

Brief on Primary Care Part 1: The Roles of Primary Care Clinicians and Practices in the First Two Years of the COVID-19 Pandemic in Ontario

Brief on Primary Care Part 1: The Roles of Primary Care Clinicians and Practices in the First Two Years of the COVID-19 Pandemic in Ontario

The experience of primary care teams during the early phase of COVID-19: A qualitative study of primary care practice leaders in Ontario, Canada

Qualitative examination of collaboration in team-based primary care during the COVID-19 pandemic

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