What is it about?
In this study, we involved primary care patients and clinicians as well as trained patient partners from metropolitan, suburban and small-town areas in Quebec (Canada) in a structured and anonymous communication process. After three rounds of open and closed questionnaires interspersed with feedback to participants, we identified six top priorities shared by patients and clinicians to optimally organize cardiovascular care provided in primary care settings for patients. We also found aspects of care on which patients' and clinicians' perspectives differed significantly.
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Why is it important?
Cardiovascular diseases and their risk factor are leading causes of morbidity and mortality globally, and virtually everyone is at risk of requiring cardiovascular care in their lifetime. Few studies involve patients in setting organizational priorities for care delivery, and no study to our knowledge had yet engaged patients and health care professionals jointly, which is critical for relevant priorities to be implemented and sustained in clinical settings.
Perspectives
Addressing health issues from multiple perspectives is very important, but it represents a significant challenge at a time of growing social polarization. I believe this study is a great example of a rigorous methodological approach to mobilize and combine diverse clinical and experiential knowledge in a democratic and non-threatening environment. That patients' and clinicians' opinions diverge on certain aspects of care really shows how important it is for both parties to be on the same page whenever changes in care processes or services are being considered.
Claudio Del Grande
Universite de Montreal
Read the Original
This page is a summary of: What are the top priorities of patients and clinicians for the organization of primary cardiovascular care in Quebec? A modified e-Delphi study, PLoS ONE, January 2023, PLOS,
DOI: 10.1371/journal.pone.0280051.
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