A Framework for Expectations of Physician Commitment in Long-Term Care Homes: A Consensus Statement
Rattachement africain : ca, nl, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVES: Our objective was to establish consensus-guided expectations for primary care physician (PCP) commitment in Canadian long-term care (LTC) homes, developing a comprehensive framework for this multifaceted concept. DESIGN: This was a 2-round modified e-Delphi study with a virtual consensus meeting between rounds. SETTING AND PARTICIPANTS: Twenty-seven Canadian LTC PCPs as expert panelists (63% female; median age, 54 years; median 15 years of LTC experience) were included. METHODS: Panel members rated 38 candidate statements on relevance and feasibility using a 7-point scale, providing qualitative feedback in an online questionnaire. Consensus was defined a priori as ≥70% of panelists rating a statement in a particular direction. Nonconsensus statements in round 1 were revised and reevaluated in round 2 after the virtual meeting (study registration number: ISRCTN35125526). RESULTS: In round 1, 18 statements were endorsed as relevant and feasible expectations for PCP commitment. After the virtual meeting, 22 statements were rated in round 2, yielding 3 additional consensus statements. The final 21 endorsed statements encompassed the following: time allocated in LTC, in-person visits and on-site presence, number of residents cared for, assessments and care conferences, interdisciplinary collaboration, accessibility of PCP to staff, emphasis on medical care approaches for medication management and palliative care principles, and ongoing competency development. The panel did not endorse statements focused on the number of LTC homes a PCP serves, cumulative experience, specialized certifications, clinical leadership, or research activities as essential to commitment. CONCLUSIONS AND IMPLICATIONS: This first consensus-based framework for PCP commitment in Canadian LTC provides a clear, evidence-informed, multidimensional understanding, enhancing our ability to characterize and quantify physician involvement in LTC. This framework is crucial for enhancing care quality in the LTC sector, guiding policies and practices, influencing minimum care standards, and addressing health human resources while supporting future research linking PCP commitment to resident health outcomes and developing measurement tools to assess physician commitment in LTC.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A Framework for Expectations of Physician Commitment in Long-Term Care Homes: A Consensus Statement
- Date Crossref
- 01/01/2026
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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McMaster University Department of Health Research Methods pays non établi dans la noticeUniversité ou école supérieure
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Sinai Health System pays non établi dans la noticeÉtablissement de santé
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Dalhousie University Department of Family Medicine pays non établi dans la noticeUniversité ou école supérieure
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Vrije Universiteit Amsterdam Department of Medicine for Older People pays non établi dans la noticeUniversité ou école supérieure
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Trillium Health Centre pays non établi dans la noticeÉtablissement de santé
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University of Calgary pays non établi dans la noticeUniversité ou école supérieure
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Florida State University Department of Geriatrics pays non établi dans la noticeUniversité ou école supérieure
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Women's College Hospital Women's Age Lab pays non établi dans la noticeÉtablissement de santé
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City of Toronto pays non établi dans la noticeOrganisme public
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University of Toronto Lunenfeld-Tanenbaum Research Institute pays non établi dans la noticeUniversité ou école supérieure
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Baycrest Academy for Research and Education pays non établi dans la noticeOrganisation à but non lucratif
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Impact pays non établi dans la noticeOrganisation à but non lucratif
Department of Health Research Methods — McMaster University, Sinai Health System et Department of Family Medicine — Dalhousie University, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.