Appropriate care for older adults with complex needs through interprofessional primary care

Previous research shows that interprofessional collaboration between allied health professionals, nurses and other primary care providers leads to better coordination and higher quality of care. However, it remains unclear to what extent this collaboration actually contributes to the 4 principles of appropriate care.

Aim

In 2 local primary care networks for frail older adults, we study the effects of interprofessional collaboration on: 
1.    value-based care 
2.    shared decision-making 
3.    the right care in the right place 
4.    health rather than disease

These principles are examined at the levels of client/relative, professional, team and organization.

Approach

In co-creation with practice partners, we’ve selected multiple validated instruments to make appropriate care measurable and will initiate an interdisciplinary improvement trajectory. Its effects are then evaluated across the 4 principles and levels. The results will be widely shared with regional and national networks.