Table 3 Participant profiles of GPs in IHSNs
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 |