Unknown

Dataset Information

0

Evaluation of an interprofessional primary healthcare team as a new model of primary care in Quebec: a protocol for a type 2 effectiveness-implementation hybrid study.


ABSTRACT:

Introduction

One family medicine group (FMG) in Quebec has commenced a 5-year pilot project, which is herein referred to as the Archimède model, to implement a patient-centred model based on interprofessional care and the optimal use of healthcare providers' practice scopes. A research project will be conducted to: (1) assess this model's effect on the FMG's operational performance, and its users' resource utilisation at the public health system level; (2) investigate its optimisation with respect to professional roles, interprofessional teamwork and patient-centredness and (3) document users' experience with the model. The aim of this article is to describe the protocol that will be used for this research.

Methods and analysis

A hybrid implementation approach (type 2 model) will be used. We will collect both quantitative and qualitative data. Regarding the quantitative dimension, and because this is a single-unit intervention study, we will use either or both synthetic control methods and one-sample generalised linear models for analyses at the FMG level. To evaluate the broader impact of Archimède on the public health system, we will use mixed-effects models and propensity score matching methods. Regarding the qualitative research dimension, using an interpretative descriptive approach, we will document users' experience and identify the factors that optimise professional scopes of practice, collaborative practices and patient-centredness. We will conduct individual in-depth semistructured interviews with healthcare providers, administrative staff, stakeholders involved in the Archimède model implementation and patients.

Ethics and dissemination

This study was approved by the Ethics Committee of the Sectoral Research in Population Health and Primary Care of the Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale (#2019-1503). The results of the investigation will be presented to the stakeholders involved in the advisory committees and at several scientific conferences. Manuscripts will be submitted to peer-reviewed journals.

SUBMITTER: Cote N 

PROVIDER: S-EPMC10254604 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature

altmetric image

Publications

Evaluation of an interprofessional primary healthcare team as a new model of primary care in Quebec: a protocol for a type 2 effectiveness-implementation hybrid study.

Côté Nancy N   Frikha Yasmine Y   Freeman Andrew A   Cortez Ghio Sergio S   Laberge Maude M   Isabelle Maripier M   Duhoux Arnaud A   Denis Jean-Louis JL   Jean Emmanuelle E   Binette Sébastien S  

BMJ open 20230530 5


<h4>Introduction</h4>One family medicine group (FMG) in Quebec has commenced a 5-year pilot project, which is herein referred to as the <i>Archimède</i> model, to implement a patient-centred model based on interprofessional care and the optimal use of healthcare providers' practice scopes. A research project will be conducted to: (1) assess this model's effect on the FMG's operational performance, and its users' resource utilisation at the public health system level; (2) investigate its optimisa  ...[more]

Similar Datasets

| S-EPMC7908139 | biostudies-literature
| S-EPMC10294351 | biostudies-literature
| S-EPMC7357028 | biostudies-literature
| S-EPMC10790254 | biostudies-literature
| S-EPMC10030669 | biostudies-literature
| S-EPMC11786338 | biostudies-literature
| S-EPMC7783522 | biostudies-literature
| S-EPMC9020307 | biostudies-literature
| S-EPMC6293205 | biostudies-literature
| S-EPMC11683308 | biostudies-literature