Access other health care providers to support quality patient care
When family doctors work in teams with other health professionals, they broaden the availability of clinical supports for their patients.
Team-based care is an essential component of a patient medical home.
Team members can include family doctors, nurse practitioners, nurses, social workers and other allied care providers; as well as therapists, pharmacists, and other clinical and non-clinical providers. They can be located in a family practice, or in the community and linked to the practice.
Teams are organized locally by doctors and partners based on the needs of patients in their practice and community. With the doctor leading care, team members can:
- Provide preventive care, disease management and counselling, and arrange for follow-up services in the community.
- Increase support for patients with complex and/or chronic health conditions.
- Work to their strengths, and support and rely on each other to give patients the best care.
- Collectively increase a community’s capacity to attach patients to a primary care provider.
Patients get timely access to continuous, comprehensive care and appropriate supports, which in turn can prevent unnecessary ER visits.
With the added support and expertise of a team, physicians can:
- Focus more of their time on difficult diagnoses and strengthening patient relationships.
- Reduce the burden of caring for patients alone, which can help prevent burnout.
- Feel more at ease when they know their patients are well cared for and getting comprehensive support.
- Increase the efficiency of a practice and streamline processes to maximize time and capacity.
- Improve the satisfaction of GPs, staff and partners.
Team-based care models aim to attract new doctors to family practice to further reduce pressures on existing GPs and communities.
Opportunities for GPs to work with teams are increasing as new models of care evolve in BC communities. Family doctors can:
- Use their EMR data (panel management) to understand their patients’ needs and arrange for appropriate team-based support to serve those needs.
- Work with other physicians and the local division of family practice to influence emerging, local team-based care models.
- Create an interdisciplinary team in practice or through the community as supports become available.
For more information about team-based care, please contact the GPSC.
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