Table 1.
Theme | Cases | |||||
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Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | Case 6 | |
Location | Urban | Rural | Rural | Rural | Urban | Urban |
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Patient management model: joint, consultative, mixed* | Mostly consultative | Mixed | Consultative | Mixed or consultative | Consultative | Exclusively consultative |
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Type of clientele (socioeconomically, geographically). Large territory refers to a geographical area covering more than 3 cities and hundreds of miles |
Varied clientele, socioeconomically poor Small, dense territory |
Clientele with chronic illnesses Large territory |
Economically disadvantaged clientele High birth rate Large territory |
Clientele with chronic illnesses Pediatric clientele Large territory |
Clientele with chronic illnesses, socioeconomically poor, immigrants Small, dense territory |
Home care clientele (with the exception of palliative care) Small, dense territory |
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Type and number of professionals working closely with the PHCNP | 2 PHCNPs, 8 MDs, 2 RNs, 1 nursing assistant, 1 social worker, 1 psychologist, 1 nutritionist, 1 kinesiologist | 1 PHCNPs, 5 MDs, 2 RNs, 1 nursing assistant, 1 nutritionist | 2 PHCNPs, 2 MDs, 4 RNs, 2 nursing assistants, 3 social workers, 1 occupational therapist | 2 PHCNPs, 2 MDs, 1 RN, 1 nursing assistant | 1 PHCNP, 1 MD, 1 RN, 1 nursing assistant, 1 pharmacist | 1 PHCNP, 3 MDs, 2 RNs, 2 social workers, 2 occupational therapists, 2 physiotherapy technicians |
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Patients seen by the PHCNP on a daily basis in the walk-in clinic | Around 8–10 patients/day | 5-6 patients/day | 9 patients/day | Around 9 patients/day | Around 9 patients/day | Not applicable PHCNP's home care caseload: 80–100 patients |
*In the joint management model, a group of patients is managed jointly by the PHCNP and the physician partner. In the consultative management model, the PHCNP and the physician each manage a different group of patients and the PHCNP consults the physician as needed for patients in the group the PHCNP is following. The mixed model includes both joint and consultative patient management.