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Are characteristics of team members important for quality management of chronic patients at primary care level?

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  • Zalika Klemenc‐Ketis
  • Antonija Poplas‐Susič

Abstract

Aims and objectives To determine the possible associations between higher levels of selected quality indicators and the characteristics of providers. Background In 2011, an ongoing project on a new model of family medicine practice was launched in Slovenia; the family physicians’ working team (a family physician and a practice nurse) was extended by a nurse practitioner working 0.5 full‐time equivalents. This was an example of a personalised team approach to managing chronic patients. Methods We included all family medicine practices in the six units of the Community Health Centre Ljubljana which were participating in the project in December 2015 (N = 66). Data were gathered from automatic electronic reports on quality indicators provided monthly by each practice. We also collected demographic data. Results There were 66 family medicine teams in the sample, with 165 members of their teams (66 family physicians, 33 nurse practitioners and 66 practice nurses). Fifty‐six (84.4%) of the family physicians were women, as were 32 (97.0%) of the nurse practitioners, and 86 (95.5%) of the practice nurses. Multivariate analysis showed that a higher level of the quality indicator “Examination of diabetic foot once per year” was independently associated with nurse practitioners having attended additional education on diabetes, duration of participation in the project, age and years worked since graduation of nurse practitioners, working in the Center unit and not working in the Bezigrad unit. Conclusions Characteristics of team members are important in fostering quality management of chronic patients. Nurse practitioners working in new model family practices need obligatory, continuous professional education in the management of chronic patients. Relevance to clinical practice The quality of care of chronic patients depends on the specific characteristics of the members of the team, which should be taken into account when planning quality improvements.

Suggested Citation

  • Zalika Klemenc‐Ketis & Antonija Poplas‐Susič, 2017. "Are characteristics of team members important for quality management of chronic patients at primary care level?," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 5025-5032, December.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:5025-5032
    DOI: 10.1111/jocn.14002
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    References listed on IDEAS

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    1. Zalika Klemenc‐Ketis & Alenka Terbovc & Bostjan Gomiscek & Janko Kersnik, 2015. "Role of nurse practitioners in reducing cardiovascular risk factors: a retrospective cohort study," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(21-22), pages 3077-3083, November.
    2. Tricia Collins Higgins & Jesse Crosson & Deborah Peikes & Robert McNellis & Janice Genevro & David Meyers, "undated". "Using Health Information Technology to Support Quality Improvement in Primary Care," Mathematica Policy Research Reports aad2d999a1ec484b873fa85d5, Mathematica Policy Research.
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    1. Zalika Klemenc-Ketis & Irena Makivić & Antonija Poplas Susic, 2018. "The development and validation of a new interprofessional team approach evaluation scale," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-13, August.

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