BACKGROUND: Team-based practice in primary care has been advocated for improved access, quality, effectiveness, and cost-efficiency of primary health care services, but there is limited empirical evidence supporting it. OBJECTIVE: To examine the impact of team-based practice on patients' perception of several process and outcome indicators from patients' perspective. DATA AND METHODS: Micro data from the 2007-08 Canadian Survey of Experiences with Primary Health Care conducted by Statistics Canada were utilized. Regression techniques and propensity score matching method were used to examine the impact of team-based primary care on several process and outcome indicators of primary care. RESULTS: The estimated average treatment effect of team-based care was positively significant and robust for access to after-hours care, quality of care, confidence in the system, overall coordination of care, and patient centeredness. Although the estimated average treatment effects for the two dimensions of follow-up coordination, continuity of care, health promotion and disease prevention initiatives, and utilization of physician and nurse services were statistically significant, sensitivity test results showed that these results were unreliable. CONCLUSIONS: Team-based primary care improves patients' perception of process and outcome indicators in the area of access to after-hours care, quality of care, confidence in the system, overall coordination and patient centeredness. Future research needs to establish the causal link between team-based primary care and health outcomes of patients.
BACKGROUND: Team-based practice in primary care has been advocated for improved access, quality, effectiveness, and cost-efficiency of primary health care services, but there is limited empirical evidence supporting it. OBJECTIVE: To examine the impact of team-based practice on patients' perception of several process and outcome indicators from patients' perspective. DATA AND METHODS: Micro data from the 2007-08 Canadian Survey of Experiences with Primary Health Care conducted by Statistics Canada were utilized. Regression techniques and propensity score matching method were used to examine the impact of team-based primary care on several process and outcome indicators of primary care. RESULTS: The estimated average treatment effect of team-based care was positively significant and robust for access to after-hours care, quality of care, confidence in the system, overall coordination of care, and patient centeredness. Although the estimated average treatment effects for the two dimensions of follow-up coordination, continuity of care, health promotion and disease prevention initiatives, and utilization of physician and nurse services were statistically significant, sensitivity test results showed that these results were unreliable. CONCLUSIONS: Team-based primary care improves patients' perception of process and outcome indicators in the area of access to after-hours care, quality of care, confidence in the system, overall coordination and patient centeredness. Future research needs to establish the causal link between team-based primary care and health outcomes of patients.
Authors: Hummy Song; Alyna T Chien; Josephine Fisher; Julia Martin; Antoinette S Peters; Karen Hacker; Meredith B Rosenthal; Sara J Singer Journal: Health Serv Res Date: 2014-11-25 Impact factor: 3.402
Authors: Lisa Lim; Matthew Moore; Jennifer R DuBose; Bushra Obeidat; Robert Stroebel; Craig M Zimring Journal: J Gen Intern Med Date: 2020-05-04 Impact factor: 5.128
Authors: Sarah C Fletcher; Elka Humphrys; Paule Bellwood; Tiffany T Hill; Ian R Cooper; Rita K McCracken; Morgan Price Journal: Can Fam Physician Date: 2021-12 Impact factor: 3.275