Publications

Authors:

Mezzalira, Elisabetta; Longhini, Jessica; Ambrosi, Elisa; Marini, Giulia; Saiani, Luisa; Di Falco, Achille; Leardini, Chiara; Canzan, Federica

Title:

The experience of an innovative interdisciplinary model of primary care delivery in changing organizational dynamics: a grounded theory study

Year:

2025

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Format:

Elettronico

Referee:

No

Name of journal:

PRIMARY HEALTH CARE RESEARCH & DEVELOPMENT

ISSN of journal:

1463-4236

N° Volume:

26

Page numbers:

1-10

Keyword:

Adult; Attitude of Health Personnel; Female; Grounded Theory; Group Dynamics; Humans; Interviews as Topic; Italy; Male; Middle Aged; Models, Organizational; Organizational Innovation; Patient Care Team; Primary Health Care; Qualitative Research

Short description of contents:

Introduction: Changing dynamics are pushing institutions to focus on care delivery innovation. To address the shortage of general practitioners (GPs), an Italian health district recently introduced a new primary care model called Primary Health Point (PHP) to provide primary integrated care to its population. Aim: To investigate the healthcare professionals' (HCPs) experience regarding the introduction of the PHP and to describe its process of care delivery. Methods: Qualitative study design with a grounded theory approach and convenience sampling. Interviews were conducted using a semi structured guide to explore the experience of HCPs working at the PHP. The development of open coding was followed by the creation of categories. The analysis was conducted utilizing NVivo software. Results: Twelve HCPs working at the PHP were interviewed and highlighted the model structure. The themes were the context and the antecedents that identified the most common health complaints and the patients with more needs and reflected on the traditional GP model; the process, which highlighted the complexity of interdisciplinary teamwork and the role of the Family and Community Nurse (FCN) in the new model; the outcome identified the factors mediating satisfaction with the care delivered by the PHP. Conclusions: The PHP has been considered a possible alternative to the GP model by its end users. It addresses disease pathway coordination, referrals, and medication management, focusing on chronic and older adult populations. It features interdisciplinary workflows with rotating physicians and consistent family nurse support. Proactive monitoring and a focus on disease education benefit fragile patients.

Note:

The supplementary material for this article can be found at https://doi.org/10.1017/S1463423625000210

Product ID:

144522

Handle IRIS:

11562/1156327

Last Modified:

May 8, 2025

Bibliographic citation:

Mezzalira, Elisabetta; Longhini, Jessica; Ambrosi, Elisa; Marini, Giulia; Saiani, Luisa; Di Falco, Achille; Leardini, Chiara; Canzan, Federica, The experience of an innovative interdisciplinary model of primary care delivery in changing organizational dynamics: a grounded theory study «PRIMARY HEALTH CARE RESEARCH & DEVELOPMENT» , vol. 26 , 2025 , pp. 1-10

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