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Table 3 Participant profiles of GPs in IHSNs

From: Fostering participation of general practitioners in integrated health services networks: incentives, barriers, and guidelines

Profile 1- Active GPs
- % of elderly in clientele: > 50%
- Collaborating with home care team: familiar
- SIPA patient/physician in SIPA: 5.2
- Initial concerns: not having enough time to participate
- Initial expectations: avoid abandoning their patients
- Physician recruitment: comfortable
- Information on implementation: Satisfied
- Contact with the case manager: close relationship
- Contact with the geriatrician: conflict about recommendations
- Communications concerning patient: enough information
- Efficacy and quality of SIPA services: very satisfied
- Funding: seen as unfair
- Physician-patient relationships: satisfied
- Professional practice: were able to do more work in less time and see improved quality of care
Profile 2- Non-active GPs
- % of elderly in clientele: > 25%
- Collaborating with home care team: unfamiliar
- SIPA patient/physician in SIPA: 2.4
- Initial concerns:
- Initial expectations: obtain assistance in managing elderly patients
- Physician recruitment: unsatisfied; wanted to be consulted before patient selection
- Information on implementation: shortcomings with respect to task distribution
- Contact with the case manager: not enough
- Contact with the geriatrician: dislike sharing clinical responsibility
- Communications concerning patient: lack of information
- Quality of services: satisfied
- Funding: useless because they were not often called upon
- Physician-patient relationships: unwanted patient loss
- Professional practice: none
Profile 3- Active GPs
- % of elderly in clientele: > 25%
- Collaborating with home care team: unfamiliar
- SIPA patient/physician in SIPA: 4.1
- Initial concerns: would take too much of their time
- Initial expectations: none expressed
- Physician recruitment: satisfied
- Information on implementation: satisfied
- Contact with the case manager: satisfied
- Contact with the geriatrician: no conflict
- Communications on patients: not receiving enough information on their patients
- Efficacy and quality of SIPA services: very satisfied
- Funding: justified, given the need to modify practices and work habits
- Physician-patient relationships: satisfied
- Professional practice: improved quality because problems were anticipated by the case manager
Profile 4- Non active GPs
- % of elderly in clientele: < 25%
- Collaborating with home care team: unfamiliar
- SIPA patient/physician in SIPA: 1.1
- Initial concerns: none expressed
- Initial expectation: offload heavier cases
- Physician recruitment: unsatisfied; wanted to participate in the selection process
- Information on implementation: none expressed
- Contact with the case manager: rare
- Contact with the geriatrician: none
- Communications on patients: none expressed
- Quality of SIPA services: very satisfied, which reinforced their willingness to transfer patients to SIPA
- Funding: considered a gift because they did not actively participate
- Physician-patient relationship: satisfied
- Professional practice: they were relieved of their heavier cases