Evolution of Experience of Care of Patients with and without Chronic Diseases following a Québec Primary Healthcare Reform
المؤلفون المشاركون
Borgès Da Silva, Roxane
Breton, Mylaine
Tousignant, Pierre
Fournier, Michel
Levesque, Jean-Frédéric
Provost, Sylvie
Pineault, Raynald
Prud'homme, Alexandre
المصدر
International Journal of Chronic Diseases
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-13، 13ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-04-07
دولة النشر
مصر
عدد الصفحات
13
التخصصات الرئيسية
الملخص EN
Objectives.
To assess the extent to which new primary healthcare (PHC) models implemented in two regions of Quebec have improved patient experience of care, unmet needs, and use of services for individuals with and without chronic diseases, compared with other forms of PHC practices.
Methods.
In 2005 and 2010, we carried out population and organization surveys.
We divided PHC organizations into new model practices and other practices and followed the evolution over time of patient experience of care.
Results.
Patients with chronic diseases had better accessibility but worse continuity of care in the new model practices than in the other practices at both time periods.
Through the reform, accessibility decreased evenly in both groups, but continuity and perceived outcomes improved more in the other practices.
Use of primary care services decreased more in the new model practices.
Among patients without chronic disease, accessibility decreased much less in the new models and responsiveness increased more.
There was no significant change in ER attendance and hospitalization.
Conclusion.
The evolution of patient experience of care has been more favorable for patients without chronic diseases.
These findings raise concerns about equity since the aim of the PHC reform was targeting in priority individuals with the greatest needs.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Pineault, Raynald& Borgès Da Silva, Roxane& Provost, Sylvie& Breton, Mylaine& Tousignant, Pierre& Fournier, Michel…[et al.]. 2016. Evolution of Experience of Care of Patients with and without Chronic Diseases following a Québec Primary Healthcare Reform. International Journal of Chronic Diseases،Vol. 2016, no. 2016, pp.1-13.
https://search.emarefa.net/detail/BIM-1105513
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Pineault, Raynald…[et al.]. Evolution of Experience of Care of Patients with and without Chronic Diseases following a Québec Primary Healthcare Reform. International Journal of Chronic Diseases No. 2016 (2016), pp.1-13.
https://search.emarefa.net/detail/BIM-1105513
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Pineault, Raynald& Borgès Da Silva, Roxane& Provost, Sylvie& Breton, Mylaine& Tousignant, Pierre& Fournier, Michel…[et al.]. Evolution of Experience of Care of Patients with and without Chronic Diseases following a Québec Primary Healthcare Reform. International Journal of Chronic Diseases. 2016. Vol. 2016, no. 2016, pp.1-13.
https://search.emarefa.net/detail/BIM-1105513
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1105513
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر