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Fast Facts National Physician Survey

Vol 55: december • décembre 2009 Canadian Family PhysicianLe Médecin de famille canadien

1215

Collaboration with other

professionals to provide patient care C

anada’s health care system has been described as

a system comprising vertical silos, leading to a lack of system level coordination.1 This is attributed to the lack of mechanisms to facilitate the sharing of resources and information.1 This type of infrastructure leads to decreased patient and FP satisfaction—evidence sug- gests that fragmented care has a negative effect on patient care.1 As such, there have been calls for more collaborative relationships between providers to bridge health care delivery from one silo to another.1,2

Results from the 2007 National Physician Survey (NPS) show the various ways FPs collaborate with other pro- fessionals (note that the term other professionals was not defined in the questionnaire): 90.1% of FPs consult with other professionals by telephone to provide patient care;

20.1% discuss patient or clinical issues electronically; and 56% meet together to review patients or clinical problems.

Also, 83.1% of FPs share patient care decisions with other professionals; 74.1% discuss new evidence and its appli- cability to patients; and 63.2% review adverse events or critical incidents together. A little more than 90% of FPs believe this type of working relationship with other pro- fessionals improves both the care their patients receive and that which they deliver (Figure 1).

The data show that FPs are engaged in collabora- tion; however, there is room for improvement in some

areas. Collaborative and interdisciplinary models of care delivery are being implemented in several Canadian provinces.3,4 This is the result of an improved fiscal cli- mate, increased federal transfers, recommendations from the Romanow Commission and Kirby Committee, and growing concerns among politicians and the public about health care access and quality.3

The NPS is a collaborative project of the College of Family Physicians of Canada, the Canadian Medical Association, and the Royal College of Physicians and Surgeons of Canada. Additional results are available at www.nationalphysiciansurvey.ca. If you would like the opportunity to develop and write a future Fast Fact using the NPS results, please contact Harleen Sahota, National Physician Survey Project Manager, at 800 387-6197, extension 416, or hs@cfpc.ca.

references

1. Masotti P, Rivoire E, Rowe W, Dahl M, Plain E. Collaborative partnerships:

managing increased healthcare demand without increasing overall system capacity. Healthc Q 2006;9(2):72-6.

2. Health Canada [website]. A framework for collaborative Pan-Canadian health human resources planning. Ottawa, ON: Health Canada; 2007. Available from: www.hc-sc.gc.ca/hcs-sss/pubs/hhrhs/2007-frame-cadre/index- eng.php. Accessed 2009 Oct 26.

3. Hutchison B. A long time coming: primary healthcare renewal in Canada.

Healthc Pap 2008;8(2):10-24.

4. Health Council of Canada. Teams in action: primary health care teams for Canadians. Toronto, ON: Health Council of Canada; 2009. Available from:

www.healthcouncilcanada.ca/teamsinaction.pdf. Accessed 2009 Oct 26.

Figure 1. Percentage of FPs who collaborate with other professionals to provide patient care, by methods of and

opinions about collaboration*

*Only those respondents who completed the long questionnaire were asked about collaboration with other professionals to provide patient care.

The responding sample (n=3761) has been weighted to represent the population (N=28 739).

Consult by telephone Discuss patients or clinical issues electronically Meet together to review patients or clinical problems Share patient care decisions Discuss new evidence and its applicability to your patients Review adverse events or critical incidents together Feel this working relationship improves the care your patients receive Feel this working relationship enhances the care you can deliver

METHODS OF AND OPINIONS

FAMILY PHYSICIANS, %

0 20 40 60 80 100

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