{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T21:21:38Z","timestamp":1762377698962,"version":"3.38.0"},"reference-count":45,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T00:00:00Z","timestamp":1740700800000},"content-version":"unspecified","delay-in-days":58,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1463423625000210_as1\">\n\t    <jats:title>Introduction:<\/jats:title>\n\t    <jats:p>Changing dynamics are pushing institutions to focus on care delivery innovation. To address the shortage of general practitioners (GPs), an Italian health district recently introduced a new primary care model called Primary Health Point (PHP) to provide primary integrated care to its population.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000210_as2\">\n\t    <jats:title>Aim:<\/jats:title>\n\t    <jats:p>To investigate the healthcare professionals\u2019 (HCPs) experience regarding the introduction of the PHP and to describe its process of care delivery.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000210_as3\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>Qualitative study design with a grounded theory approach and convenience sampling. Interviews were conducted using a semi structured guide to explore the experience of HCPs working at the PHP. The development of open coding was followed by the creation of categories. The analysis was conducted utilizing NVivo software.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000210_as4\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>Twelve HCPs working at the PHP were interviewed and highlighted the model structure. The themes were <jats:italic>the context and the antecedents<\/jats:italic> that identified the most common health complaints and the patients with more needs and reflected on the traditional GP model; <jats:italic>the process,<\/jats:italic> which highlighted the complexity of interdisciplinary teamwork and the role of the Family and Community Nurse (FCN) in the new model; <jats:italic>the outcome<\/jats:italic> identified the factors mediating satisfaction with the care delivered by the PHP.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000210_as5\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>The PHP has been considered a possible alternative to the GP model by its end users. It addresses disease pathway coordination, referrals, and medication management, focusing on chronic and older adult populations. It features interdisciplinary workflows with rotating physicians and consistent family nurse support. Proactive monitoring and a focus on disease education benefit fragile patients.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1463423625000210","type":"journal-article","created":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T07:12:55Z","timestamp":1740726775000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["The experience of an innovative interdisciplinary model of primary care delivery in changing organizational dynamics: a grounded theory study"],"prefix":"10.1017","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0486-0342","authenticated-orcid":false,"given":"Elisabetta","family":"Mezzalira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4198-075X","authenticated-orcid":false,"given":"Jessica","family":"Longhini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Ambrosi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1012-4914","authenticated-orcid":false,"given":"Giulia","family":"Marini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luisa","family":"Saiani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Achille","family":"Di Falco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Leardini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9927-6554","authenticated-orcid":false,"given":"Federica","family":"Canzan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,2,28]]},"reference":[{"key":"S1463423625000210_ref11","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1080\/028134301750235394","article-title":"Is general practice effective? A systematic literature review","volume":"19","author":"Engstr\u00f6m","year":"2001","journal-title":"Scandinavian Journal of Primary Health Care"},{"key":"S1463423625000210_ref2","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-021-00252-7"},{"key":"S1463423625000210_ref30","doi-asserted-by":"publisher","DOI":"10.2307\/3342881"},{"key":"S1463423625000210_ref26","first-page":"E331","article-title":"Advancing nursing in Italy through the development and evaluation of an innovative postgraduate programme in Family and Community Nursing - A pilot study","volume":"63","author":"Musio","year":"2022","journal-title":"Journal of Preventive Medicine and Hygiene"},{"key":"S1463423625000210_ref45","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"S1463423625000210_ref17","doi-asserted-by":"crossref","first-page":"e071188","DOI":"10.1136\/bmjopen-2022-071188","article-title":"Evidence-based practice models and frameworks in the healthcare setting: A scoping review","volume":"13","author":"Jarrod","year":"2023","journal-title":"BMJ Open"},{"key":"S1463423625000210_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13040"},{"key":"S1463423625000210_ref21","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2012.1242"},{"key":"S1463423625000210_ref12","doi-asserted-by":"publisher","DOI":"10.1111\/nin.12636"},{"key":"S1463423625000210_ref19","first-page":"n2061","article-title":"A new framework for developing and evaluating complex interventions: Update of Medical Research Council guidance","volume":"374","author":"Kathryn","year":"2021","journal-title":"BMJ"},{"key":"S1463423625000210_ref33","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-017-0574-8"},{"key":"S1463423625000210_ref37","doi-asserted-by":"publisher","DOI":"10.1177\/2053434518770613"},{"key":"S1463423625000210_ref39","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170784"},{"key":"S1463423625000210_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/polsoc\/puac022"},{"key":"S1463423625000210_ref4","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2010.0026"},{"key":"S1463423625000210_ref35","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-11-128"},{"key":"S1463423625000210_ref44","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2007.01.015"},{"key":"S1463423625000210_ref41","unstructured":"WHO. (2018) Astana Declaration: from Alma-Ata towards universal health coverage and the sustainable development goals. Astana, Kazakhstan: Global Conference on Primary Health Care."},{"key":"S1463423625000210_ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-09917-3"},{"key":"S1463423625000210_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/2050312118822927"},{"key":"S1463423625000210_ref23","doi-asserted-by":"publisher","DOI":"10.1017\/S146342361800083X"},{"key":"S1463423625000210_ref9","doi-asserted-by":"publisher","DOI":"10.2752\/175630615X14212498964312"},{"key":"S1463423625000210_ref8","first-page":"131","article-title":"[Family and community nursing: overview of practice in Europe]","volume":"40","author":"Conti","year":"2021","journal-title":"Assistenza Infermieristica e Ricerca"},{"key":"S1463423625000210_ref40","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-47344-9"},{"key":"S1463423625000210_ref27","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0177026"},{"key":"S1463423625000210_ref20","first-page":"e33241","article-title":"The impact of COVID-19 on primary care: A scoping review","volume":"15","author":"Khalil-Khan","year":"2023","journal-title":"Cureus"},{"key":"S1463423625000210_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlpt.2024.100896"},{"key":"S1463423625000210_ref28","doi-asserted-by":"publisher","DOI":"10.1177\/1468017310381310"},{"key":"S1463423625000210_ref6","volume":"1","author":"Charmaz","year":"2006","journal-title":"Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis"},{"key":"S1463423625000210_ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08194-w"},{"key":"S1463423625000210_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/1524839908320360"},{"key":"S1463423625000210_ref25","doi-asserted-by":"publisher","DOI":"10.1177\/160940690600500103"},{"key":"S1463423625000210_ref15","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2419"},{"key":"S1463423625000210_ref29","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.5589"},{"key":"S1463423625000210_ref31","doi-asserted-by":"publisher","DOI":"10.1080\/13561820.2017.1400150"},{"key":"S1463423625000210_ref32","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-066270"},{"key":"S1463423625000210_ref42","unstructured":"WHO. (2024) Primary Care. https:\/\/www.who.int\/teams\/integrated-health-services\/clinical-services-and-systems\/primary-care"},{"key":"S1463423625000210_ref36","doi-asserted-by":"publisher","DOI":"10.1186\/s13037-022-00319-8"},{"key":"S1463423625000210_ref43","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2022.100316"},{"key":"S1463423625000210_ref1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.3068"},{"key":"S1463423625000210_ref38","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"S1463423625000210_ref34","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-83962-y"},{"key":"S1463423625000210_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2021.100034"},{"key":"S1463423625000210_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-2889-0"},{"key":"S1463423625000210_ref22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.2011.01032.x"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423625000210","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T07:13:01Z","timestamp":1740726781000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423625000210\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":45,"alternative-id":["S1463423625000210"],"URL":"https:\/\/doi.org\/10.1017\/s1463423625000210","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e25"}}