Table 1
Characteristics of IPCTs.
| IPCT A | IPCT B | IPCT C | IPCT D | IPCT E | IPCT F | |
|---|---|---|---|---|---|---|
| Composition of the care team (Full-time equivalent)1 | MD = 10 NP = 2 RN = 5,5 LPN = 1,5 SW = 0,5 Psychologist = 0,6 | MD = 5 RN = 2,6 | MD = 8 NP = 1 RN = 6 Other = 3 | MD = 11,5 NP = 3 RN = 10,5 SW = 1 Other = 2 | MD = 0,6 RN = 1 Peer helpers = 0,8 | NP = 1,5 RN = 1 SW = 0,3 |
| Type of clientele | General population | General population | General population | General population and recent immigrants | Marginalized people2 | General population and marginalized people2 |
| Number of registered patients at the time of the study | 10 000–15000 | 5000–10 000 | 10 000–15 000 | 5000–10 000 | <2500 | <2500 |
[i] 1 Medical Doctor (MD), Nurse Practitionner (NP), Registered nurse (RN), Licensed Practical Nurses (LPN), Social worker (SW).
2 Homeless people, drug users, people from prison or prostitution.
Table 2
Definitions of attributes of experience of care.
| ATTRIBUTES | DEFINITIONS |
|---|---|
| Accessibility | The patient’s perception on the possibility to obtain healthcare services [23]. |
| Continuity | The seamless flow in which multiple services are to be provided. These services are continuous if they are harmoniously linked to each other (management continuity) and when patients are treated continuously by the same professional or the same team (relational continuity) [23, 28]. |
| Comprehensiveness | How the patient perceives that all his needs for care are addressed [23]. |
| Responsiveness | How the system responds to legitimate the expectations of the patient in regards to the non-technical elements or actions of a treatment [23]. |
| Outcomes of care | The patient’s perception of the effects or the consequences of the received care on his health [23]. |
Figure 1
Assessment of care experience in 5 dimensions, t0 and t2, for 6 IPCT in Quebec.
* P < 0.05; ** P < 0.01; *** P < 0,001.
Table 3
Scores of care experience regarding 6 IPCTs for t0 and t2.
| ACCESSIBILITY | CONTINUITY | COMPREHENSIVENESS | RESPONSIVENESS | OUTCOME OF CARE | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| t0 | t2 | t0 | t2 | t0 | t2 | t0 | t2 | t0 | t2 | ||
| IPCT A | Q1 | 5,0 | 7,0** | 6,5 | 8,4 | 5,8 | 8,0* | 6,5 | 9,3*** | 5,7 | 8,4* |
| Q2 | 7,1 | 6,9 | 8,4 | 8,7 | 9,2 | 9,2 | 9,4 | 9,4 | 8,9 | 8,8 | |
| IPCT B | Q1 | 6,3 | 7,7*** | 8,6 | 9,1 | 8,5 | 8,9 | 8,5 | 9,5*** | 8,5 | 9,1* |
| Q2 | 7,8 | 7,7 | 8,5 | 8,7 | 9,1 | 8,8* | 9,3 | 9,2 | 8,9 | 8,6* | |
| IPCT C | Q1 | 5,9 | 7,0*** | 8,0 | 8,5 | 7,6 | 9,2*** | 8,2 | 9,4*** | 7,8 | 9,0*** |
| Q2 | 6,6 | 6,7 | 8,8 | 9,0** | 9,3 | 9,3 | 9,2 | 9,2 | 9,2 | 9,2 | |
| IPCT D | Q1 | 5,8 | 6,0 | 7,3 | 7,6 | 6,8 | 8,7* | 7,7 | 9,1** | 7,5 | 8,2 |
| Q2 | 6,5 | 6,4 | 7,8 | 8,2 | 8,4 | 8,3 | 8,8 | 8,7 | 8,4 | 8,5 | |
| IPCT E | Q1 | 5,4 | 6,8** | 7,8 | 7,5 | 7,3 | 8,9* | 8,3 | 9,3** | 8,1 | 8,4 |
| IPCT F | Q1 | 5,5 | 8,0*** | 7,2 | 8,4** | 7,1 | 9,3*** | 8,0 | 9,7*** | 7,5 | 9,0*** |
[i] * P < 0.05; ** P < 0.01; *** P < 0,001.
Table 4
Multivariate linear regression models of the 5 dimensions of care experience for 6 IPCT in Quebec.
| ACCESSIBILITY (n = 1133) | CONTINUITY (n = 971) | COMPREHENSIVENESS (n = 1135) | RESPONSIVENESS (n = 1116) | OUTCOMES OF CARE (n = 1126) | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| B | SD | CI 95% | B | SD | | CI 95% | B | SD | CI 95% | B | SD | CI 95% | B | SD | CI 95% | |
| Constant | 2,824 | 0,456 | (1.92, 3.71) | 6,035 | 0,537 | (4.98, 7.08) | 5,129 | 0,506 | (4.13, 6.12) | 6,585 | 0,308 | (5.98, 7.18) | 5,754 | 0,488 | (4.79, 6.71) |
| IPCT A | 0,580 | 0,211 | (0.16, 0.99) | 0,393 | 0,255 | (–0.10, 0.89) | 0,463 | 0,239 | (–0.00, 0.93) | 0,502 | 0,129 | (0.24, 0.75) | 0,240 | 0,232 | (–0.21, 0.69) |
| IPCT B | 0,997 | 0,206 | (0.59, 1.40) | 0,462 | 0,244 | (–0.01, 0.94) | 0,133 | 0,231 | (–0.31, 0.58) | 0,320 | 0,125 | (0.07, 0.56) | 0,047 | 0,224 | (–0.39, 0.48) |
| IPCT C | 0,343 | 0,204 | (–0.05, 0.74) | 0,627 | 0,243 | (0.15, 1.10) | 0,510 | 0,231 | (0.05, 0.96) | 0,298 | 0,125 | (0.05, 0.54) | 0,433 | 0,224 | (–0.00, 0.87) |
| IPCT E | 0,577 | 0,336 | (–0.08, 1.23) | –0,566 | 0,402 | (–1.35, 0.22) | 0,337 | 0,373 | (–0.39, 1.06) | 0,307 | 0,202 | (–0.08, 0.70) | –0,245 | 0,358 | (–0.94, 0.45) |
| IPCT F | 1,524 | 0,263 | (1.00, 2.03) | 0,350 | 0,318 | (–0.27, 0.97) | 0,768 | 0,291 | (0.19, 1.33) | 0,571 | 0,158 | (0.26, 0.88) | 0,426 | 0,282 | (–0.12, 0.97) |
| Gender (women) | 0,028 | 0,098 | (–0,16)–(0,22) | –0,282 | 0,120 | (–0.51, –0.04) | –0,245 | 0,109 | (–0.45, –0.03) | –0,043 | 0,059 | (–0.15, 0.07) | –0,245 | 0,104 | (–0.44, –0.04) |
| Age | 0,001 | 0,003 | (–0.00, 0.00) | 0,006 | 0,004 | (–0.00, 0.01) | 0,001 | 0,003 | (–0.00, 0.00) | 0,004 | 0,002 | (0.00, 0.00) | 0,002 | 0,003 | (–0.00, 0.00) |
| Married or law-parner | –0,128 | 0,103 | (–0.33, 0.07) | –0,148 | 0,126 | (–0.39, 0.09) | 0,013 | 0,115 | (–0.21, 0.23) | –0,005 | 0,062 | (–0.12, 0.11) | 0,149 | 0,110 | (–0.06, 0.36) |
| Highest level of education – Diploma of college or less | 0,224 | 0,099 | (0.02, 0.41) | 0,022 | 0,120 | (–0.21, 0.25) | 0,099 | 0,111 | (–0.11, 0.31) | 0,087 | 0,060 | (–0.03, 0.20) | 0,254 | 0,106 | (0.04, 0.46) |
| Economic situation – very poor/poor | –0,246 | 0,141 | (–0.52, 0.03) | –0,128 | 0,168 | (–0.45, 0.20) | 0,221 | 0,157 | (–0.08, 0.52) | 0,064 | 0,084 | (–0.10, 0.22) | 0,024 | 0,149 | (–0.26, 0.31) |
| Employment status – full/part time/self- employed | –0,125 | 0,098 | (–0.31, 0.06) | –0,154 | 0,118 | (–0.38, 0.07) | 0,020 | 0,109 | (–0.19, 0.23) | 0,024 | 0,059 | (–0.09, 0.14) | –0,009 | 0,104 | (–0.21, 0.19) |
| SF12 – Physical health | 0,013 | 0,004 | (0.00, 0.02) | –0,001 | 0,005 | (–0.01, 0.00) | 0,011 | 0,005 | (0.00, 0.02) | 0,004 | 0,003 | (–0.00, 0.00) | 0,001 | 0,005 | (–0.00, 0.01) |
| SF12 – Mental health | 0,022 | 0,005 | (0.01, 0.03) | 0,014 | 0,005 | (0.00, 0.02) | 0,031 | 0,005 | (0.02, 0.04) | 0,017 | 0,003 | (0.01, 0.02) | 0,020 | 0,005 | (0.01, 0.02) |
| High blood pressure or hypertension | 0,019 | 0,117 | (–0.21, 0.24) | –0,205 | 0,138 | (–0.47, 0.06) | –0,151 | 0,131 | (–0.40, 0.10) | –0,131 | 0,071 | (–0.26, 0.00) | –0,216 | 0,125 | (–0.46, 0.02) |
| Diabetes | 0,036 | 0,164 | (–0.28, 0.35) | 0,335 | 0,190 | (–0.03, 0.70) | 0,425 | 0,184 | (0.06, 0.78) | 0,279 | 0,099 | (0.08, 0.47) | 0,377 | 0,175 | (0.03, 0.71) |
| Asthma | –0,118 | 0,132 | (–0.37, 0.14) | –0,104 | 0,156 | (–0.40, 0.20) | –0,094 | 0,146 | (–0.38, 0.19) | –0,076 | 0,079 | (–0.23, 0.07) | 0,010 | 0,139 | (–0.26, 0.28) |
| Chronic bronchitis | –0,116 | 0,216 | (–0.54, 0.30) | 0,023 | 0,249 | (–0.46, 0.51) | 0,421 | 0,237 | (–0.04, 0.88) | 0,079 | 0,127 | (–0.17, 0.32) | 0,178 | 0,226 | (–0.26, 0.62) |
| Depression | –0,085 | 0,141 | (–0.36, 0.19) | –0,012 | 0,164 | (–0.33, 0.31) | 0,336 | 0,157 | (0.02, 0.64) | 0,211 | 0,084 | (0.04, 0.37) | 0,236 | 0,149 | (–0.05, 0.52) |
| Anxiety | 0,125 | 0,120 | (–0.11, 0.36) | 0,146 | 0,142 | (–0.13, 0.42) | –0,023 | 0,134 | (–0.28, 0.24) | –0,166 | 0,072 | (–0.30, –0.0) | –0,231 | 0,128 | (–0.48, 0.01) |
| Other mental health disorder | 0,314 | 0,235 | (–0.14, 0.77) | –0,018 | 0,268 | (–0,54)–(0,50) | –0,174 | 0,260 | (–0.68, 0.33) | 0,013 | 0,139 | (–0.26, 0.28) | 0,172 | 0,247 | (–0.31, 0.65) |
| Adjusted R2: | 0,485 | Adjusted R2: | 0,498 | Adjusted R2: | 0,551 | Adjusted R2: | 0,676 | Adjusted R2: | 0,496 | ||||||
[i] All significant results are indicated in bold.