Literature DB >> 30979773

Engaging primary care physicians in care coordination for patients with complex medical conditions.

Elizabeth Lockhart1, Gillian A Hawker2, Noah M Ivers3, Tara O'Brien4, Geetha Mukerji5, Pauline Pariser6, Ian Stanaitis7, Laura Pus8, G Ross Baker9.   

Abstract

OBJECTIVE: To explore the dynamics of primary care physicians' (PCPs') engagement with the Seamless Care Optimizing the Patient Experience (SCOPE) project.
DESIGN: Qualitative study using semistructured interviews.
SETTING: Solo and small group primary care practices in urban Toronto, Ont. PARTICIPANTS: A total of 22 of the 29 SCOPE PCPs (75.8%) were interviewed 14 to 19 months after the initiation of SCOPE.
METHODS: Qualitative semistructured interviews were conducted to examine influencing factors associated with PCPs' engagement in SCOPE. Transcripts were analyzed using a grounded theory-informed approach and key themes were identified. MAIN
FINDINGS: The SCOPE project provided practical mechanisms through which PCPs could access information and connect with resources. Contextual and historical factors including strained relationships between hospital specialists and community PCPs and PCPs' feelings of responsibility, isolation, disconnection, and burnout influenced readiness to engage. Provision of clinically useful supports in a trusting, collaborative manner encouraged PCPs' engagement in newer, more collaborative ways of working.
CONCLUSION: The SCOPE project provided an opportunity for PCPs to build meaningful relationships, reconnect to the broader health care system, and redefine their roles. For many PCPs, reestablishing connections reaffirmed their role in the system and enabled a more collaborative care model. Strategies for connecting community-based PCPs to the broader system need to consider contextual factors and the effects of new linkages and coordination on the identities and relationships of PCPs. Copyright© the College of Family Physicians of Canada.

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Year:  2019        PMID: 30979773      PMCID: PMC6467654     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


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