Evaluating the implementation of collaborative teams in community family practice using the Primary Care Assessment Tool

Grace C. Moe; Jessica E.S. Moe; Allan L. Bailey

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Figure 1.
The PCAT scores^* over time (2007, 2010, 2013, and 2016) at the WPCN level: Assessment of primary care received, by WPCN user population (multiyear telephone surveys—WPCN catchment residents).
NA—not applicable, PCAT—Primary Care Assessment Tool, WPCN—WestView Primary Care Network.
^*The PCAT scores range from 0 to 4, with higher scores indicating better performance.
^†The 3 ancillary domains (family-centredness, community orientation, and cultural competence) were excluded from the PCAT summary primary care score, as they were not measured in 2010 owing to budget constraints.
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Figure 2.
The PCAT summary scores, by clinic
PCAT—Primary Care Assessment Tool.

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Table 1.

Study population, sampling, response rates, and respondent subgroups

DESCRIPTIONS	2007	2010	2013	2016
Study population
WPCN catchment population,^* N	71 864	77 148	82 707	88 892
WPCN family practice clinics, N	6	7	7	10
WPCN family physicians, N	35	43	50	45
WPCN family practice panel (ie, patients attached to WPCN-member family practice clinics),^† N	49 377	53 396	61 637	61 611
Age,^† %
• 0–19 y	29.60	26.90	26.50	26.10
• 20–64 y	61.30	62.60	62.20	61.60
• ≥ 65 y	9.70	10.40	11.30	12.30
Male sex,^† %	49.60	50.10	49.30	50.10
Sampling
Target sample size for surveys, N	1000	1000	1000	1800
Survey results
Response rate, %	64.59	45.56	54.90	37.67
Completed surveys—respondent sample size, N	896	904	1000	1800
Respondent subgroup
WPCN users,^‡ n (%)	832 (92.86)	717 (79.31)	861 (86.10)	1676 (93.11)
Unattached,^§ n (%)	35 (3.91)	21 (2.31)	20 (2.00)	35 (1.94)
WPCN nonusers,^‖ n (%)	28 (3.13)	160 (17.7)	119 (11.90)	89 (4.94)
Other (do not know or cannot provide), n (%)	1 (0.11)	6 (0.66)	0 (0.00)	0 (0.00)

WPCN—WestView Primary Care Network,
↵* Population of Spruce Grove, Stony Plain, and Parkland County in Alberta (Alberta Health Services Department of Population Health Surveillance and Reporting, written communication, 2018).
↵† These data come from WPCN administrative records based on data provided by Alberta Health semi-annual payment reports to WPCN 2007–2016 (unpublished data). WPCN panel refers to the total number of Albertans informally enrolled to member physicians of the WPCN per Alberta Health proxy attachment methodology.
↵‡ WPCN users refers to respondents who had visited a WPCN-member physician or clinic at least once in the previous 18 months and who had named a WPCN-member physician as their family doctor.
↵§ Unattached refers to respondents who reported having no family doctor.
↵‖ WPCN nonusers refers to respondents naming a family doctor who was not a member physician of WPCN. This group was excluded from analyses in this study.

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Table 2.

Characteristics of survey respondents, by subgroup

CHARACTERISTICS, BY SUBGROUP	2007	2010	2013	2016
WPCN users^*
• Respondents, N (%)	832 (92.90)	717 (79.30)	861 (86.10)	1676 (93.10)
• Mean (SD) age, y	47.9 (16.6)	51.60 (15.1)	49.0 (16.7)	53.7 (16.4)
• Male sex, %	43.50	35.70	46.50	46.90
• Chronic disease: “Yes,” %	41.90	23.10	19.40	22.90
• Employed, %	56.70	52.70	64.00	54.10
• Not employed, %	7.70	4.50	2.90	6.00
• Did not finish high school,%	24.20	16.70	14.50	14.50
• Finished university or vocational school, %	32.10	37.70	41.40	41.90
• Household income < $34 999, %	20.70	24.30	14.60	NA
• Household income > $80 000, %	41.10	41.80	55.40	51.60
Unattached^†
• Respondents, N (%)	35 (3.91)	21 (2.31)	20 (2.00)	35 (1.94)
• Mean (SD) age, y	37.4 (12.1)	44.1 (18.2)	42.5 (14.5)	48.6 (16.7)
• Male sex, %	51.40	33.30	60.00	57.10
• Chronic disease: “Yes,” %	37.10	19.00	10.00	20.00
• Employed, %	68.50	66.60	80.00	60.00
• Not employed, %	11.40	4.80	10.00	11.40
• Did not finish high school, %	37.10	28.60	10.00	5.70
• Finished university or vocational school, %	25.70	33.30	60.00	48.60
• Household income < $34 999, %	21.40	27.80	5.90	NA
• Household income > $80 000, %	35.70	33.30	76.50	52.90
WPCN nonusers^‡
• Respondents, N (%)	28 (3.13)	160 (17.7)	119 (11.90)	89 (4.94)
• Mean (SD) age, y	53.7 (21.1)	51.8 (14.8)	47.1 (15.7)	58.9 (14.1)
• Male sex, %	25.00	33.10	42.90	39.30
• Chronic disease: “Yes,” %	39.30	22.00	16.90	26.10
• Employed, %	50.00	55.10	71.40	55.40
• Not employed, %	3.60	2.50	2.50	7.90
• Did not finish high school, %	25.00	17.50	5.90	14.60
• Finished university or vocational school, %	28.60	38.80	43.70	50.60
• Household income < $34 999, %	31.80	21.90	10.20	NA
• Household income > $80 000, %	40.90	48.10	64.80	50.60

NA—not available, WPCN—WestView Primary Care Network.
↵* WPCN users refers to respondents who had visited a WPCN-member physician or clinic at least once in the previous 18 months and who had named a WPCN-member physician as their family doctor.
↵† Unattached refers to respondents who reported having no family doctor.
↵‡ WPCN nonusers refers to respondents naming a family doctor who was not a member physician of WPCN. This group was excluded from analyses in this study.