Adeline Cachou de Camaret, Pascal Wild, Nicolas Senn, Christine Cohidon
{"title":"西方国家全科医生的组成及其与慢性疾病患者管理能力的关系。","authors":"Adeline Cachou de Camaret, Pascal Wild, Nicolas Senn, Christine Cohidon","doi":"10.3399/BJGPO.2024.0200","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Primary care teams (PCTs) are recognized to improve the quality of care. However, few studies have examined which PCT composition best meets patients' primary care (PC) needs.</p><p><strong>Aim: </strong>The present study aimed to describe the composition of PCTs in eleven Western countries and investigate potential associations with general practitioners' (GPs) opinions about their practice's ability to manage patients with chronic conditions and communicate with caregivers.</p><p><strong>Design & setting: </strong>We conducted a secondary analysis of the data from 11 Western countries that participated in the 2019 Commonwealth Fund International Health Policy Survey of Primary Care Physicians (<i>N</i>=13,200).</p><p><strong>Method: </strong>We used a hierarchical clustering algorithm to characterise different types of PCT according to the composition of the health care professionals (HCPs) making them up, in addition to GPs. We subsequently assessed associations between practice types and two GP-reported indicators: their practice's coordination with social services (SS) and other community providers (CPs) and ability to manage patients with chronic conditions.</p><p><strong>Results: </strong>We characterised five types of PCT (Traditional, Multidisciplinary, Nurse-centred, Psychologist-centred and Physiotherapist-centred). The <i>Traditional</i> type represented 51.6% of all PCTs; they were mainly composed of moderate percentages of all the HCPs: The <i>Multidisciplinary</i> (11.9%) were composed of high percentages of the different HCPs. After controlling for country, the <i>Multidisciplinariy</i> type reported better coordination with SS and CPs than did <i>Traditional</i> ones (OR 0.39, 95%CI [0.29-0.53]).</p><p><strong>Conclusion: </strong><i>Multidisciplinary</i> PCTs reported better outcomes than <i>Traditional</i> ones regarding their coordination with SS and CPs and perceived ability to manage patients with chronic conditions. These results should encourage governmental efforts to promote PC that uses multidisciplinary PCTs.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Composition of general practices in western countries and associations with their perceived ability to manage patients with chronic conditions.\",\"authors\":\"Adeline Cachou de Camaret, Pascal Wild, Nicolas Senn, Christine Cohidon\",\"doi\":\"10.3399/BJGPO.2024.0200\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Primary care teams (PCTs) are recognized to improve the quality of care. However, few studies have examined which PCT composition best meets patients' primary care (PC) needs.</p><p><strong>Aim: </strong>The present study aimed to describe the composition of PCTs in eleven Western countries and investigate potential associations with general practitioners' (GPs) opinions about their practice's ability to manage patients with chronic conditions and communicate with caregivers.</p><p><strong>Design & setting: </strong>We conducted a secondary analysis of the data from 11 Western countries that participated in the 2019 Commonwealth Fund International Health Policy Survey of Primary Care Physicians (<i>N</i>=13,200).</p><p><strong>Method: </strong>We used a hierarchical clustering algorithm to characterise different types of PCT according to the composition of the health care professionals (HCPs) making them up, in addition to GPs. We subsequently assessed associations between practice types and two GP-reported indicators: their practice's coordination with social services (SS) and other community providers (CPs) and ability to manage patients with chronic conditions.</p><p><strong>Results: </strong>We characterised five types of PCT (Traditional, Multidisciplinary, Nurse-centred, Psychologist-centred and Physiotherapist-centred). The <i>Traditional</i> type represented 51.6% of all PCTs; they were mainly composed of moderate percentages of all the HCPs: The <i>Multidisciplinary</i> (11.9%) were composed of high percentages of the different HCPs. After controlling for country, the <i>Multidisciplinariy</i> type reported better coordination with SS and CPs than did <i>Traditional</i> ones (OR 0.39, 95%CI [0.29-0.53]).</p><p><strong>Conclusion: </strong><i>Multidisciplinary</i> PCTs reported better outcomes than <i>Traditional</i> ones regarding their coordination with SS and CPs and perceived ability to manage patients with chronic conditions. These results should encourage governmental efforts to promote PC that uses multidisciplinary PCTs.</p>\",\"PeriodicalId\":36541,\"journal\":{\"name\":\"BJGP Open\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-10-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BJGP Open\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3399/BJGPO.2024.0200\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BJGP Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3399/BJGPO.2024.0200","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
Composition of general practices in western countries and associations with their perceived ability to manage patients with chronic conditions.
Background: Primary care teams (PCTs) are recognized to improve the quality of care. However, few studies have examined which PCT composition best meets patients' primary care (PC) needs.
Aim: The present study aimed to describe the composition of PCTs in eleven Western countries and investigate potential associations with general practitioners' (GPs) opinions about their practice's ability to manage patients with chronic conditions and communicate with caregivers.
Design & setting: We conducted a secondary analysis of the data from 11 Western countries that participated in the 2019 Commonwealth Fund International Health Policy Survey of Primary Care Physicians (N=13,200).
Method: We used a hierarchical clustering algorithm to characterise different types of PCT according to the composition of the health care professionals (HCPs) making them up, in addition to GPs. We subsequently assessed associations between practice types and two GP-reported indicators: their practice's coordination with social services (SS) and other community providers (CPs) and ability to manage patients with chronic conditions.
Results: We characterised five types of PCT (Traditional, Multidisciplinary, Nurse-centred, Psychologist-centred and Physiotherapist-centred). The Traditional type represented 51.6% of all PCTs; they were mainly composed of moderate percentages of all the HCPs: The Multidisciplinary (11.9%) were composed of high percentages of the different HCPs. After controlling for country, the Multidisciplinariy type reported better coordination with SS and CPs than did Traditional ones (OR 0.39, 95%CI [0.29-0.53]).
Conclusion: Multidisciplinary PCTs reported better outcomes than Traditional ones regarding their coordination with SS and CPs and perceived ability to manage patients with chronic conditions. These results should encourage governmental efforts to promote PC that uses multidisciplinary PCTs.
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