Development of an organizational typology of interprofessional primary care teams in Quebec, Canada: A multivariate analysis

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2025-02-01 DOI:10.1016/j.healthpol.2024.105202

Maria Alejandra Rodriguez-Duarte , Pamela Fernainy , Lise Gauvin , Géraldine Layani , Marie-Eve Poitras , Mylaine Breton , Claire Godard-Sebillotte , Catherine Hudon , Janusz Kaczorowski , Yves Couturier , Anaïs Lacasse , Marie-Thérèse Lussier , Cristina Longo , Nadia Sourial

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引用次数: 0

Abstract

Background

This study aimed to develop an organizational typology of Interprofessional Primary Care (IPC) teams in Quebec, Canada, by describing their organizational profiles and assessing the association between the characteristics of the populations served and the organizational profiles.

Methods

This cross-sectional study was carried out using a finite mixture model of the 2021 financial monitoring data from the Ministry of Health and Social Services of Quebec. The population consisted of all IPC teams in Quebec (N = 368). A multinomial logistic model was used to assess the association between the population characteristics and the organizational profiles.

Results

The analysis revealed that IPC teams were heterogeneous and could be classified into five distinct profiles varying in size, team composition, sector, type, and level of partnership. Pregnant women (odds ratio [OR] = 2.78, 95 % confidence interval [CI] 1.98–3.91), disadvantaged patients ([OR] = 1.62, [CI] 1.15–2.28), patients receiving homecare support ([OR] = 1.85, [CI] 1.28–2.66) and rural patients ([OR] = 0.66, [CI] 0.50–0.86)) were more likely to be associated to the medium, public, university-affiliated, practitioner-oriented, low partnered profile compared to the very small, private, regular, high-partnered profile.

Conclusion

IPC teams can be characterized into five distinct profiles that are associated with the characteristics of the populations they serve. These results may help to better evaluate if the desired effects of IPC teams have been achieved.

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加拿大魁北克省跨专业初级保健团队组织类型的发展：多变量分析。

背景：本研究旨在通过描述其组织概况和评估服务人群特征与组织概况之间的关系，建立加拿大魁北克省跨专业初级保健（IPC）团队的组织类型。方法：本横断面研究采用魁北克卫生和社会服务部2021年财务监测数据的有限混合模型进行。人群包括魁北克省所有IPC小组（N = 368）。使用多项逻辑模型来评估人口特征与组织概况之间的关联。结果：分析显示，IPC团队是异质的，在规模、团队组成、部门、类型和伙伴关系水平上可以分为五种不同的类型。孕妇（优势比[OR] = 2.78, 95%可信区间[CI] 1.98-3.91）、处境不利的患者（[OR] = 1.62, [CI] 1.15-2.28）、接受家庭护理支持的患者（[OR] = 1.85, [CI] 1.28-2.66）和农村患者（[OR] = 0.66, [CI] 0.50-0.86）与非常小的、私人的、普通的、高伙伴关系的患者相比，更可能与中等、公立、大学附属、以医生为中心、低伙伴关系的患者相关联。结论：IPC工作队可根据其所服务人群的特点分为五种不同的概况。这些结果可能有助于更好地评估IPC小组是否达到了预期的效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.