Awareness and Use of Community Services among Primary Care Physicians
| Autor: | Jessica J. Rodrigues, Patricia O'Campo, Nathalie Sava, Tatiana Aratangy, Tara Kiran, Kimberly Devotta |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Canada education MEDLINE Health Services Accessibility Physicians Primary Care 03 medical and health sciences 0302 clinical medicine Phone Surveys and Questionnaires Health care medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Referral and Consultation Telehomecare Service (business) Family Health Ontario Patient Care Team Government Social work business.industry 030503 health policy & services Community Health Centers Awareness Middle Aged Cross-Sectional Studies Logistic Models Family medicine Community health Female 0305 other medical science business Social Welfare Research Paper |
| Zdroj: | Healthc Policy |
| ISSN: | 1715-6580 |
| Popis: | Primary care physicians play an important role in care coordination, including initiating referrals to community resources. Yet, it is unclear how awareness and use of community resources vary between physicians practising with and without an extended healthcare team. We conducted a cross-sectional survey of primary care physicians practising in Toronto, Canada, to compare awareness and use of community services between physicians practising in team- and non-team-based practice models. Team-based models included Community Health Centres and Family Health Teams - settings in which the government provides funding for the practice to hire non-physician health professionals, such as social workers, pharmacists, nurse practitioners, registered nurses and others. The survey was mailed to physicians, and reminders were done by phone, fax and e-mail. We used logistic regression to compare awareness between physicians in team-based (N = 89) and non-team-based (N = 138) models after controlling for confounders. We found that fewer than half of the physicians were aware of five of eight centralized intake services (e.g., ConnexOntario, Telehomecare). For most services, team-based physicians had at least twice the odds of being aware of the service compared to non-team-based physicians. Our findings suggest that patients in team-based practices may be doubly advantaged, with access to non-physician health professionals within the practice as well as to physicians who are more aware of community resources. |
| Databáze: | OpenAIRE |
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