title: Integrated Primary Care Teams (IPCT) pilot project in Quebec: a protocol paper.
abstract: BACKGROUND
  The overall aim of this project is to help develop knowledge about primary care delivery models likely to improve the accessibility, quality and efficiency of care. Operationally, this objective will be achieved through supporting and evaluating 8 primary care team pilot sites that rely on an expanded nursing role within a more intensive team-based, interdisciplinary setting.
  
  
  METHODS
  The first research component is aimed at supporting the development and implementation of the pilot projects, and is divided into 2 parts. The first part is a logical analysis based on interpreting available scientific data to understand the causal processes by which the objectives of the intervention being studied may be achieved. The second part is a developmental evaluation to support teams in the field in a participatory manner and thereby learn from experience. Operationally, the developmental evaluation phase mainly involves semistructured interviews. The second component of the project design focuses on evaluating pilot project results and assessing their costs. This component is in turn made up of 2 parts. Part 1 is a pre-and-post survey of patients receiving the intervention care to analyse their care experience. In part 2, each patient enrolled in part 1 (around 4000 patients) will be matched with 2 patients followed within a traditional primary care model, so that a comparative analysis of the accessibility, quality and efficiency of the intervention can be performed. The cohorts formed in this way will be followed longitudinally for 4 years.
  
  
  BACKGROUND
  The project, as well as all consent forms and research tools, have been accepted by 2 health sciences research ethics committees. The procedures used will conform to best practices regarding the anonymity of patients.
authors.affiliation: Faculty of Nursing, University of Montreal, Montréal, Québec, Canada.
authors.forename: Damien
authors.initials: D
authors.lastname: Contandriopoulos
authors.affiliation: Faculty of Nursing, University of Montreal, Montréal, Québec, Canada.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Duhoux
authors.affiliation: Faculty of Nursing, University of Laval, Québec, Québec, Canada.
authors.forename: Bernard
authors.initials: B
authors.lastname: Roy
authors.affiliation: Faculty of Medicine, University of Laval, Québec, Québec, Canada.
authors.forename: Maxime
authors.initials: M
authors.lastname: Amar
authors.affiliation: Faculty of Nursing, University of Montreal, Montréal, Québec, Canada.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Bonin
authors.affiliation: Faculty of Nursing, University of Montreal, Montréal, Québec, Canada.
authors.forename: Roxane
authors.initials: R
authors.lastname: Borges Da Silva
authors.affiliation: Faculty of Nursing, University of Montreal, Montréal, Québec, Canada.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Brault
authors.affiliation: Faculty of Nursing, University of Laval, Québec, Québec, Canada.
authors.forename: Clémence
authors.initials: C
authors.lastname: Dallaire
authors.affiliation: Faculty of Nursing, University of Montreal, Montréal, Québec, Canada.
authors.forename: Carl-Ardy
authors.initials: CA
authors.lastname: Dubois
authors.affiliation: Faculty of Nursing, University of Montreal, Montréal, Québec, Canada.
authors.forename: Francine
authors.initials: F
authors.lastname: Girard
authors.affiliation: University of Québec in Rimouski, Rimouski, Québec, Canada.
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Jean
authors.affiliation: Faculty of Nursing, University of Montreal, Montréal, Québec, Canada.
authors.forename: Caroline
authors.initials: C
authors.lastname: Larue
authors.affiliation: University of Québec in Rimouski, Rimouski, Québec, Canada.
authors.forename: Lily
authors.initials: L
authors.lastname: Lessard
authors.affiliation: University of Sherbrook, School of Nursing, Sherbrooke, Québec, Canada.
authors.forename: Luc
authors.initials: L
authors.lastname: Mathieu
authors.affiliation: Faculty of Nursing, University of Montreal, Montréal, Québec, Canada.
authors.forename: Jacinthe
authors.initials: J
authors.lastname: Pépin
authors.affiliation: Faculty of Nursing, University of Montreal, Montréal, Québec, Canada.
authors.forename: Mélanie
authors.identifier: http://orcid.org/0000-0003-1849-5913
authors.initials: M
authors.lastname: Perroux
authors.affiliation: Faculty of Nursing, University of Montreal, Montréal, Québec, Canada.
authors.forename: Aurore
authors.initials: A
authors.lastname: Cockenpot
mesh_terms: D002985:Clinical Protocols; D003695:Delivery of Health Care / Q000458:organization & administration*; D006297:Health Services Accessibility; D006801:Humans; D008137:Longitudinal Studies; D010348:Patient Care Team / Q000458:organization & administration*; D010865:Pilot Projects; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D011785:Quality Assurance, Health Care; D011792:Quebec
keywords: PRIMARY CARE; interdisciplinarity; primary healthcare team