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Thinking and Enacting the Patient Medical Home Under Pandemic Conditions: A Qualitative Study From Primary Care in Alberta, Canada.
- Source :
- Journal of Primary Care & Community Health; 4/16/2024, p1-11, 11p
- Publication Year :
- 2024
-
Abstract
- Background: The COVID-19 (C19) pandemic shocked primary care systems around the world. Those systems responded by supporting patients in the community, and acute care facilities in crisis. In Canada, the Patient Medical Home (PMH) is a widely adopted care model that aims to operationalize the tenets and principles of Primary Health Care (PHC) as developed since the Alma-Ata Declaration. This paper describes how personnel working in and with Primary Care Networks (PCNs) in Alberta, Canada deployed the PMH model and its underlying PHC principles to frame and respond to the C19 shock. Methods: Using purposive and snowball sampling techniques, we interviewed 57 participants who worked in public health and primary care, including community-based family physicians. We used interpretive description to analyze the interviews. Results: PCN staff and physicians described how the PMH model was foundational to normal operations, and how C19 responses were framed by the patient-centric, team-delivered, and continuous care principles the model shares with PHC. Specifically, participants described ensuring access to care, addressing the social determinants of health, being patient centered, and redeploying and expanding PHC teams to accomplish these goals. Discussion: Delivering PHC through the PMH allowed physicians and allied health staff to deliver patient-centered, team-based, holistic bio-medical services to Albertans. In tailoring services to meet the specific social and health needs of the populations served by each PCN, healthcare providers were able to ensure relevant support remained available and accessible. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL personnel
OCCUPATIONAL roles
HUMAN services programs
QUALITATIVE research
RESEARCH funding
PRIMARY health care
STATISTICAL sampling
PATIENT care
JUDGMENT sampling
DESCRIPTIVE statistics
LONGITUDINAL method
THEMATIC analysis
ATTITUDES of medical personnel
COVID-19 pandemic
PSYCHOSOCIAL factors
THOUGHT & thinking
Subjects
Details
- Language :
- English
- ISSN :
- 21501319
- Database :
- Complementary Index
- Journal :
- Journal of Primary Care & Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 176652445
- Full Text :
- https://doi.org/10.1177/21501319241236007