Skip to main content

Main menu

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums

User menu

  • My alerts

Search

  • Advanced search
The College of Family Physicians of Canada
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums
  • My alerts
The College of Family Physicians of Canada

Advanced Search

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • RSS feeds
  • Follow cfp Template on Twitter
  • LinkedIn
  • Instagram
Abstract

Enhancing primary care for complex patients. Demonstration project using multidisciplinary teams.

Canadian Family Physician July 2004, 50 (7) 998-1003;
Karen B Farris
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Isabelle Côté
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David Feeny
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jeffrey A Johnson
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ross T Tsuyuki
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sandra Brilliant
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sherry Dieleman
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • eLetters
  • Info & Metrics
  • PDF
Loading
  1. Karen B Farris,
  2. Isabelle Côté,
  3. David Feeny,
  4. Jeffrey A Johnson,
  5. Ross T Tsuyuki,
  6. Sandra Brilliant and
  7. Sherry Dieleman

    Abstract

    PROBLEM BEING ADDRESSED Communication between community-based providers is often sporadic and problem-focused.

    OBJECTIVE OF PROGRAM To implement collaborative community-based care among providers distant from one another and to improve or maintain the health of high-risk community-dwelling patients, with a focus on medication use.

    PROGRAM DESCRIPTION Six primary health care teams were formed of a family physician, a pharmacist, and a home care case manager (nurse). Three of these teams also had a family physician's office nurse. Teams received training and decided on processes of care that included a home visit, medication history, and weekly 1.5-hour face-to-face team meetings. In 151 team conferences, 705 medication or health issues were identified for 182 patients over 6 months. Medication adherence was improved at 3 and 6 months. After 6 months, all providers had a greater understanding of the roles of the other providers.

    CONCLUSION Primary health care teams developed in this study require few structural changes to existing health care systems, but will require more reimbursement options.

    PreviousNext
    Back to top

    In this issue

    Canadian Family Physician
    Vol. 50, Issue 7
    1 Jul 2004
    • Table of Contents
    • Index by author
    Download PDF
    Article Alerts
    Sign In to Email Alerts with your Email Address
    Email Article

    Thank you for your interest in spreading the word on The College of Family Physicians of Canada.

    NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

    Enter multiple addresses on separate lines or separate them with commas.
    Enhancing primary care for complex patients. Demonstration project using multidisciplinary teams.
    (Your Name) has sent you a message from The College of Family Physicians of Canada
    (Your Name) thought you would like to see the The College of Family Physicians of Canada web site.
    CAPTCHA
    This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
    Citation Tools
    Enhancing primary care for complex patients. Demonstration project using multidisciplinary teams.
    Karen B Farris, Isabelle Côté, David Feeny, Jeffrey A Johnson, Ross T Tsuyuki, Sandra Brilliant, Sherry Dieleman
    Canadian Family Physician Jul 2004, 50 (7) 998-1003;

    Citation Manager Formats

    • BibTeX
    • Bookends
    • EasyBib
    • EndNote (tagged)
    • EndNote 8 (xml)
    • Medlars
    • Mendeley
    • Papers
    • RefWorks Tagged
    • Ref Manager
    • RIS
    • Zotero
    Respond to this article
    Share
    Enhancing primary care for complex patients. Demonstration project using multidisciplinary teams.
    Karen B Farris, Isabelle Côté, David Feeny, Jeffrey A Johnson, Ross T Tsuyuki, Sandra Brilliant, Sherry Dieleman
    Canadian Family Physician Jul 2004, 50 (7) 998-1003;
    Twitter logo Facebook logo Mendeley logo
    • Tweet Widget
    • Facebook Like
    • Google Plus One

    Jump to section

    • Article
    • eLetters
    • Info & Metrics
    • PDF

    Related Articles

    • No related articles found.
    • PubMed
    • Google Scholar

    Cited By...

    • Survey of pharmacist prescribing practices in Alberta
    • Difficulties Encountered in Collaborative Care: Logistics Trumps Desire
    • Methods for a study of Anticipatory and Preventive multidisciplinary Team Care in a family practice
    • Collaboration between family physicians and community pharmacists to enhance adherence to chronic medications: Opinions of Saskatchewan family physicians
    • Pharmacist and physician collaborative prescribing: For medication renewals within a primary health centre
    • Google Scholar

    Similar Articles

    Navigate

    • Home
    • Current Issue
    • Archive
    • Collections - English
    • Collections - Française

    For Authors

    • Authors and Reviewers
    • Submit a Manuscript
    • Permissions
    • Terms of Use

    General Information

    • About CFP
    • About the CFPC
    • Advertisers
    • Careers & Locums
    • Editorial Advisory Board
    • Subscribers

    Journal Services

    • Email Alerts
    • Twitter
    • LinkedIn
    • Instagram
    • RSS Feeds

    Copyright © 2025 by The College of Family Physicians of Canada

    Powered by HighWire