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Analytical typology of multiprofessional primary care models

BACKGROUND: There is only limited evidence to support care redefinition and role optimization processes needed for scaling up of a stronger primary care capacity. METHODS: Data collection was based on a keyword search in MEDLINE, EMBASE and CINAHL databases. Three thousand, two hundred and twenty-ni...

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Autores principales: Contandriopoulos, Damien, Perroux, Mélanie, Cockenpot, Aurore, Duhoux, Arnaud, Jean, Emmanuelle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887224/
https://www.ncbi.nlm.nih.gov/pubmed/29621992
http://dx.doi.org/10.1186/s12875-018-0731-8
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author Contandriopoulos, Damien
Perroux, Mélanie
Cockenpot, Aurore
Duhoux, Arnaud
Jean, Emmanuelle
author_facet Contandriopoulos, Damien
Perroux, Mélanie
Cockenpot, Aurore
Duhoux, Arnaud
Jean, Emmanuelle
author_sort Contandriopoulos, Damien
collection PubMed
description BACKGROUND: There is only limited evidence to support care redefinition and role optimization processes needed for scaling up of a stronger primary care capacity. METHODS: Data collection was based on a keyword search in MEDLINE, EMBASE and CINAHL databases. Three thousand, two hundred and twenty-nine documents were identified, 1851 met our inclusion criteria, 71 were retained for full-text assessment and 52 included in the final selection. The analysis process was done in four steps. In the end, the elements that were identified as particularly central to the process of transforming primary care provision were used as the basis of two typologies. RESULTS: The first typology is based on two structural dimensions that characterize promising multiprofessional primary care teams. The first is the degree to which the division of tasks in the team was formalized. The second dimension is the centrality and autonomy of nurses in the care model. The second typology offers a refined definition of comprehensiveness of care and its relationship with the optimization of professional roles. CONCLUSIONS: The literature we analyzed suggests there are several plausible avenues for coherently articulating the relationships between patients, professionals, and care pathways. The expertise, preferences, and numbers of available human resources will determine the plausibility that a model will be a coherent response that is appropriate to the needs and environmental constraints (funding models, insurance, etc.). The typologies developed can help assess existing care models analytically or evaluatively and to propose, prospectively, some optimal operational parameters for primary care provision.
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spelling pubmed-58872242018-04-09 Analytical typology of multiprofessional primary care models Contandriopoulos, Damien Perroux, Mélanie Cockenpot, Aurore Duhoux, Arnaud Jean, Emmanuelle BMC Fam Pract Research Article BACKGROUND: There is only limited evidence to support care redefinition and role optimization processes needed for scaling up of a stronger primary care capacity. METHODS: Data collection was based on a keyword search in MEDLINE, EMBASE and CINAHL databases. Three thousand, two hundred and twenty-nine documents were identified, 1851 met our inclusion criteria, 71 were retained for full-text assessment and 52 included in the final selection. The analysis process was done in four steps. In the end, the elements that were identified as particularly central to the process of transforming primary care provision were used as the basis of two typologies. RESULTS: The first typology is based on two structural dimensions that characterize promising multiprofessional primary care teams. The first is the degree to which the division of tasks in the team was formalized. The second dimension is the centrality and autonomy of nurses in the care model. The second typology offers a refined definition of comprehensiveness of care and its relationship with the optimization of professional roles. CONCLUSIONS: The literature we analyzed suggests there are several plausible avenues for coherently articulating the relationships between patients, professionals, and care pathways. The expertise, preferences, and numbers of available human resources will determine the plausibility that a model will be a coherent response that is appropriate to the needs and environmental constraints (funding models, insurance, etc.). The typologies developed can help assess existing care models analytically or evaluatively and to propose, prospectively, some optimal operational parameters for primary care provision. BioMed Central 2018-04-05 /pmc/articles/PMC5887224/ /pubmed/29621992 http://dx.doi.org/10.1186/s12875-018-0731-8 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Contandriopoulos, Damien
Perroux, Mélanie
Cockenpot, Aurore
Duhoux, Arnaud
Jean, Emmanuelle
Analytical typology of multiprofessional primary care models
title Analytical typology of multiprofessional primary care models
title_full Analytical typology of multiprofessional primary care models
title_fullStr Analytical typology of multiprofessional primary care models
title_full_unstemmed Analytical typology of multiprofessional primary care models
title_short Analytical typology of multiprofessional primary care models
title_sort analytical typology of multiprofessional primary care models
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887224/
https://www.ncbi.nlm.nih.gov/pubmed/29621992
http://dx.doi.org/10.1186/s12875-018-0731-8
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