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 |
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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 |
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dc.subject |
Logistic Models |
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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 |
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dc.subject |
Male |
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dc.title |
Under the same roof: co-location of practitioners within primary care is associated with specialized chronic care management |
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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 |