Establishing primary care physician commitment in Canadian long-term care homes: a protocol for a modified e-Delphi study
Introduction The delivery of medical services by primary care physicians (PCPs) in long-term care (LTC) homes lacks consistency. There is no Canadian standard for PCP commitment in the LTC home setting, which can influence the quality of care delivered and resident health outcomes. The PCP’s commitm...
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BMJ Publishing Group
2025-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/2/e093277.full |
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| author | Andrew P Costa Aaron Jones Darly Dash Paula Rochon Patrick Quail Rachel D Savage Henry Yu-Hin Siu Lisa M McCarthy Nathan Stall Dee Tripp Maya Potter Paul Katz Samantha Peck |
| author_facet | Andrew P Costa Aaron Jones Darly Dash Paula Rochon Patrick Quail Rachel D Savage Henry Yu-Hin Siu Lisa M McCarthy Nathan Stall Dee Tripp Maya Potter Paul Katz Samantha Peck |
| author_sort | Andrew P Costa |
| collection | DOAJ |
| description | Introduction The delivery of medical services by primary care physicians (PCPs) in long-term care (LTC) homes lacks consistency. There is no Canadian standard for PCP commitment in the LTC home setting, which can influence the quality of care delivered and resident health outcomes. The PCP’s commitment to LTC practice is theorised as the proportion of a physician’s practice dedicated to LTC, the number of residents for whom they provide care and the time spent on individual resident encounters. We aim to establish consensus on expectations concerning PCP commitment in Canadian LTC homes.Methods and analysis We describe a protocol for a two-round modified e-Delphi study assessing the consensus of an expert panel, guided by the RAND methodological guidance for conducting Delphi panels and the ACcurate COnsensus Reporting Document (ACCORD) guideline for healthcare-based consensus studies. We will recruit pan-Canadian experts who demonstrate extensive knowledge and experience in medical care delivery and medical practice models in the Canadian LTC sector. A literature review will generate a candidate list of statements constituting PCP commitment. The first round evaluates the relevance and feasibility of candidate statements through an online questionnaire. Panellists may also write open-ended, qualitative responses to add rationales, suggest alternatives and share new ideas. We will then host a virtual synchronous meeting to have an in-depth discussion about the results from round one. A second questionnaire will be distributed to evaluate the remaining statements that have not reached consensus, and any new statements added based on the same criteria.Ethics and dissemination The Hamilton Integrated Research Ethics Board (Project ID #17321) approved our study. The findings will be disseminated through manuscripts, presentations, and the lead author’s thesis.Trial registration number The ISRCTN Registry: #35125526. |
| format | Article |
| id | doaj-art-a608e96d2e734ecdba77499a5261d1c1 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a608e96d2e734ecdba77499a5261d1c12025-02-08T06:20:14ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2024-093277Establishing primary care physician commitment in Canadian long-term care homes: a protocol for a modified e-Delphi studyAndrew P Costa0Aaron Jones1Darly Dash2Paula Rochon3Patrick Quail4Rachel D Savage5Henry Yu-Hin Siu6Lisa M McCarthy7Nathan Stall8Dee Tripp9Maya Potter10Paul Katz11Samantha Peck1211 Centre for Integrated Care, St Joseph`s Health System, Hamilton, Ontario, Canada1 Department of Health Research Methods, Evidence, and Impact, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada1 Department of Health Research Methods, Evidence, and Impact, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada12 Women’s Age Lab and Women’s College Research Institute, Toronto, Ontario, Canada4 Family Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada12 Women’s Age Lab and Women’s College Research Institute, Toronto, Ontario, Canada3 Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada7 Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada12 Women’s Age Lab and Women’s College Research Institute, Toronto, Ontario, Canada10 Ontario Association of Residents’ Councils, Toronto, Ontario, Canada2 Division of General Internal Medicine and Geriatrics, Sinai Health, Toronto, Ontario, Canada5 Department of Geriatrics, Florida State University College of Medicine, Tallahassee, Florida, USA9 Family Councils of Ontario, Toronto, Ontario, CanadaIntroduction The delivery of medical services by primary care physicians (PCPs) in long-term care (LTC) homes lacks consistency. There is no Canadian standard for PCP commitment in the LTC home setting, which can influence the quality of care delivered and resident health outcomes. The PCP’s commitment to LTC practice is theorised as the proportion of a physician’s practice dedicated to LTC, the number of residents for whom they provide care and the time spent on individual resident encounters. We aim to establish consensus on expectations concerning PCP commitment in Canadian LTC homes.Methods and analysis We describe a protocol for a two-round modified e-Delphi study assessing the consensus of an expert panel, guided by the RAND methodological guidance for conducting Delphi panels and the ACcurate COnsensus Reporting Document (ACCORD) guideline for healthcare-based consensus studies. We will recruit pan-Canadian experts who demonstrate extensive knowledge and experience in medical care delivery and medical practice models in the Canadian LTC sector. A literature review will generate a candidate list of statements constituting PCP commitment. The first round evaluates the relevance and feasibility of candidate statements through an online questionnaire. Panellists may also write open-ended, qualitative responses to add rationales, suggest alternatives and share new ideas. We will then host a virtual synchronous meeting to have an in-depth discussion about the results from round one. A second questionnaire will be distributed to evaluate the remaining statements that have not reached consensus, and any new statements added based on the same criteria.Ethics and dissemination The Hamilton Integrated Research Ethics Board (Project ID #17321) approved our study. The findings will be disseminated through manuscripts, presentations, and the lead author’s thesis.Trial registration number The ISRCTN Registry: #35125526.https://bmjopen.bmj.com/content/15/2/e093277.full |
| spellingShingle | Andrew P Costa Aaron Jones Darly Dash Paula Rochon Patrick Quail Rachel D Savage Henry Yu-Hin Siu Lisa M McCarthy Nathan Stall Dee Tripp Maya Potter Paul Katz Samantha Peck Establishing primary care physician commitment in Canadian long-term care homes: a protocol for a modified e-Delphi study BMJ Open |
| title | Establishing primary care physician commitment in Canadian long-term care homes: a protocol for a modified e-Delphi study |
| title_full | Establishing primary care physician commitment in Canadian long-term care homes: a protocol for a modified e-Delphi study |
| title_fullStr | Establishing primary care physician commitment in Canadian long-term care homes: a protocol for a modified e-Delphi study |
| title_full_unstemmed | Establishing primary care physician commitment in Canadian long-term care homes: a protocol for a modified e-Delphi study |
| title_short | Establishing primary care physician commitment in Canadian long-term care homes: a protocol for a modified e-Delphi study |
| title_sort | establishing primary care physician commitment in canadian long term care homes a protocol for a modified e delphi study |
| url | https://bmjopen.bmj.com/content/15/2/e093277.full |
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