Under the same roof: co-location of practitioners within primary care is associated with specialized chronic care management

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dc.contributor.author Rumball-Smith, J en
dc.contributor.author Wodchis, WP en
dc.contributor.author Koné, A en
dc.contributor.author Kenealy, Timothy en
dc.contributor.author Barnsley, J en
dc.contributor.author Ashton, Toni en
dc.date.accessioned 2016-03-10T02:04:21Z en
dc.date.available 2014-08-13 en
dc.date.issued 2014-09-02 en
dc.identifier.citation BMC Family Practice, 2014, 15, 149 en
dc.identifier.issn 1471-2296 en
dc.identifier.uri http://hdl.handle.net/2292/28430 en
dc.description.abstract BACKGROUND: International and national bodies promote interdisciplinary care in the management of people with chronic conditions. We examine one facilitative factor in this team-based approach - the co-location of non-physician disciplines within the primary care practice. METHODS: We used survey data from 330 General Practices in Ontario, Canada and New Zealand, as a part of a multinational study using The Quality and Costs of Primary Care in Europe (QUALICOPC) surveys. Logistic and linear multivariable regression models were employed to examine the association between the number of disciplines working within the practice, and the capacity of the practice to offer specialized and preventive care for patients with chronic conditions. RESULTS: We found that as the number of non-physicians increased, so did the availability of special sessions/clinics for patients with diabetes (odds ratio 1.43, 1.25-1.65), hypertension (1.20, 1.03-1.39), and the elderly (1.22, 1.05-1.42). Co-location was also associated with the provision of disease management programs for chronic obstructive pulmonary disease, diabetes, and asthma; the equipment available in the centre; and the extent of nursing services. CONCLUSIONS: The care of people with chronic disease is the 'challenge of the century'. Co-location of practitioners may improve access to services and equipment that aid chronic disease management. en
dc.description.uri http://www.ncbi.nlm.nih.gov/pubmed/25183554 en
dc.format.medium Electronic en
dc.language English en
dc.publisher BioMed Central en
dc.relation.ispartofseries BMC Family Practice en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1471-2296/ http://bmcfampract.biomedcentral.com/about en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en
dc.subject Canada en
dc.subject New Zealand en
dc.subject Chronic Disease en
dc.subject Patient Care Team en
dc.subject Primary care en
dc.subject Co-location en
dc.subject Humans en
dc.subject Asthma en
dc.subject Pulmonary Disease, Chronic Obstructive en
dc.subject Hypertension en
dc.subject Diabetes Mellitus en
dc.subject Linear Models en
dc.subject Logistic Models en
dc.subject Equipment and Supplies en
dc.subject Adult en
dc.subject Aged en
dc.subject Middle Aged en
dc.subject Health Facilities en
dc.subject Health Services for the Aged en
dc.subject Nursing Services en
dc.subject Primary Health Care en
dc.subject Disease Management en
dc.subject Quality of Health Care en
dc.subject Ontario en
dc.subject Female en
dc.subject Male en
dc.title Under the same roof: co-location of practitioners within primary care is associated with specialized chronic care management en
dc.type Journal Article en
dc.identifier.doi 10.1186/1471-2296-15-149 en
pubs.volume 15 en
dc.rights.holder en
dc.identifier.pmid 25183554 en
pubs.author-url http://bmcfampract.biomedcentral.com/articles/10.1186/1471-2296-15-149 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 458949 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
dc.identifier.eissn 1471-2296 en
pubs.number 149 en
pubs.record-created-at-source-date 2016-03-10 en
pubs.dimensions-id 25183554 en


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