Interprofessional primary care during COVID-19: a survey of the provider perspective
Abstract Background Interprofessional primary care (IPC) teams provide comprehensive and coordinated care and are ideally equipped to support those populations most at risk of adverse health outcomes during the COVID-19 pandemic, including older adults, and patients with chronic physical and mental...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | BMC Family Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12875-020-01366-9 |
| _version_ | 1811329276391194624 |
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| author | Catherine Donnelly Rachelle Ashcroft Nicole Bobbette Christine Mills Amanda Mofina Todd Tran Kyle Vader Ashley Williams Sandeep Gill Jordan Miller |
| author_facet | Catherine Donnelly Rachelle Ashcroft Nicole Bobbette Christine Mills Amanda Mofina Todd Tran Kyle Vader Ashley Williams Sandeep Gill Jordan Miller |
| author_sort | Catherine Donnelly |
| collection | DOAJ |
| description | Abstract Background Interprofessional primary care (IPC) teams provide comprehensive and coordinated care and are ideally equipped to support those populations most at risk of adverse health outcomes during the COVID-19 pandemic, including older adults, and patients with chronic physical and mental health conditions. There has been little focus on the experiences of healthcare teams and no studies have examined IPC practice during the early phase of the COVID-19 pandemic. The objective of the study was to describe the state of interprofessional health provider practice within IPC teams during the COVID-19 pandemic. Methods Observational cross-sectional design. A web-based survey was deployed to IPC providers working in team-based primary care clinics in the province of Ontario, Canada. The survey included 26 close-ended and six open-ended questions. Close-ended questions were analyzed using descriptive statistics. Content analysis was used to analyze the open-ended questions. Results 445 surveys were included in the final analysis. Service delivery shifted from in-person care (77% pre-COVID-19) to telephone (76.5% during the COVID-19 pandemic). Less than half of the respondents (40%) reported receiving any training for virtual delivery. Wait times to access team members were reported to have decreased. There has also been a shift in what IPC providers report as the most commonly seen conditions, with increases in visits related to mental health concerns, acute infections (including COVID-19), social isolation, and resource navigation. Respondents also reported a reduction in healthcare provision for multiple chronic conditions including diabetes, cardiovascular disease, and chronic pain. Conclusions IPC teams are rapidly shifting their practice to supporting their patients during the pandemic. A surge in mental health issues has been seen and is expected to continue to increase in response to COVID-19. Understanding early experiences can help plan for future pandemic waves. |
| first_indexed | 2024-04-13T15:40:56Z |
| format | Article |
| id | doaj.art-9a317116fad74074b46aed017fe8f96f |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-04-13T15:40:56Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-9a317116fad74074b46aed017fe8f96f2022-12-22T02:41:09ZengBMCBMC Family Practice1471-22962021-02-0122111210.1186/s12875-020-01366-9Interprofessional primary care during COVID-19: a survey of the provider perspectiveCatherine Donnelly0Rachelle Ashcroft1Nicole Bobbette2Christine Mills3Amanda Mofina4Todd Tran5Kyle Vader6Ashley Williams7Sandeep Gill8Jordan Miller9Queen’s UniversityUniversity of TorontoCentre for Addiction and Mental HealthQueen’s UniversityQueen’s UniversityQueen’s UniversityQueen’s UniversityQueen’s UniversityAssociation of Family Health Teams of OntarioQueen’s UniversityAbstract Background Interprofessional primary care (IPC) teams provide comprehensive and coordinated care and are ideally equipped to support those populations most at risk of adverse health outcomes during the COVID-19 pandemic, including older adults, and patients with chronic physical and mental health conditions. There has been little focus on the experiences of healthcare teams and no studies have examined IPC practice during the early phase of the COVID-19 pandemic. The objective of the study was to describe the state of interprofessional health provider practice within IPC teams during the COVID-19 pandemic. Methods Observational cross-sectional design. A web-based survey was deployed to IPC providers working in team-based primary care clinics in the province of Ontario, Canada. The survey included 26 close-ended and six open-ended questions. Close-ended questions were analyzed using descriptive statistics. Content analysis was used to analyze the open-ended questions. Results 445 surveys were included in the final analysis. Service delivery shifted from in-person care (77% pre-COVID-19) to telephone (76.5% during the COVID-19 pandemic). Less than half of the respondents (40%) reported receiving any training for virtual delivery. Wait times to access team members were reported to have decreased. There has also been a shift in what IPC providers report as the most commonly seen conditions, with increases in visits related to mental health concerns, acute infections (including COVID-19), social isolation, and resource navigation. Respondents also reported a reduction in healthcare provision for multiple chronic conditions including diabetes, cardiovascular disease, and chronic pain. Conclusions IPC teams are rapidly shifting their practice to supporting their patients during the pandemic. A surge in mental health issues has been seen and is expected to continue to increase in response to COVID-19. Understanding early experiences can help plan for future pandemic waves.https://doi.org/10.1186/s12875-020-01366-9Primary care teamsinterprofessional primary careCOVID-19 |
| spellingShingle | Catherine Donnelly Rachelle Ashcroft Nicole Bobbette Christine Mills Amanda Mofina Todd Tran Kyle Vader Ashley Williams Sandeep Gill Jordan Miller Interprofessional primary care during COVID-19: a survey of the provider perspective BMC Family Practice Primary care teams interprofessional primary care COVID-19 |
| title | Interprofessional primary care during COVID-19: a survey of the provider perspective |
| title_full | Interprofessional primary care during COVID-19: a survey of the provider perspective |
| title_fullStr | Interprofessional primary care during COVID-19: a survey of the provider perspective |
| title_full_unstemmed | Interprofessional primary care during COVID-19: a survey of the provider perspective |
| title_short | Interprofessional primary care during COVID-19: a survey of the provider perspective |
| title_sort | interprofessional primary care during covid 19 a survey of the provider perspective |
| topic | Primary care teams interprofessional primary care COVID-19 |
| url | https://doi.org/10.1186/s12875-020-01366-9 |
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