{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T23:27:17Z","timestamp":1784244437159,"version":"3.55.0"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"DOI":"10.1186\/s12913-025-13679-5","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T10:58:24Z","timestamp":1763549904000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Integrating an occupational therapist into a primary health care team: a mixed-method evaluation of a home-based service delivery"],"prefix":"10.1186","volume":"25","author":[{"given":"S\u00edlvia","family":"Roura-Rovira","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Grau-S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Vida\u00f1a-Moya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Herranz-Ulldemolins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noem\u00ed","family":"Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00falia","family":"Cava-Carbonell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Herranz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaume","family":"Benavent-Areu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Gonz\u00e1lez-de Paz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"13679_CR1","unstructured":"OT-EU Occupational Therapy Europe. What is OT? https:\/\/www.oteurope.eu\/what-is-ot\/. Accessed 30 Jun 2025."},{"key":"13679_CR2","doi-asserted-by":"publisher","unstructured":"American Occupational Therapy Association. Occupational therapy scope of practice. Am J Occup Therapy. 2021;75(Supplement3):7513410020. https:\/\/doi.org\/10.5014\/ajot.2021.75S3005.","DOI":"10.5014\/ajot.2021.75S3005"},{"key":"13679_CR3","doi-asserted-by":"publisher","unstructured":"Boop C, Cahill SM, Davis C, Dorsey J, Gibbs V, Herr B et al. Occupational therapy practice framework: domain and process, fourth edition. Am J Occup Ther. 2020;74 Supplement_2:1\u201387. https:\/\/doi.org\/10.5014\/AJOT.2020.74S2001","DOI":"10.5014\/AJOT.2020.74S2001"},{"key":"13679_CR4","unstructured":"SNOMED International, SNOMED-CT International. 2025. https:\/\/www.snomed.org\/what-is-snomed-ct. Accessed 8 Sep 2025."},{"key":"13679_CR5","unstructured":"Gitlin LN, Corcoran M,Chee YK and and American Occupational Therapy Association. Occupational therapy and dementia care: the home environmental skill-building program for individuals and families. Bethesda: American Occupational Therapy Association.2005."},{"key":"13679_CR6","doi-asserted-by":"publisher","unstructured":"Donnelly C, Leclair L, Hand C, Wener P, Letts L. Occupational therapy services in primary care: a scoping review. Prim Health Care Res Dev. 2023;24. https:\/\/doi.org\/10.1017\/S1463423622000123.","DOI":"10.1017\/S1463423622000123"},{"key":"13679_CR7","doi-asserted-by":"publisher","first-page":"e27","DOI":"10.1017\/S1463423618000452","volume":"20","author":"M Bolt","year":"2019","unstructured":"Bolt M, Ikking T, Baaijen R, Saenger S. Occupational therapy and primary care. Prim Health Care Res Dev. 2019;20:e27. https:\/\/doi.org\/10.1017\/S1463423618000452.","journal-title":"Prim Health Care Res Dev"},{"key":"13679_CR8","unstructured":"Dedeu T, Bolivar B, Gen\u00e9 J, Pareja C, Violan C. In: Kringos DS, Boerma WGW, Saltman RB, editors. Building primary care in a changing europe: case studies. Copenhagen: European Observatory on Health Systems and Policies; 2015.https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK459029\/. Accessed 30 Oct 2025."},{"key":"13679_CR9","unstructured":"Vicen\u00e7 Navarro L\u00f3pez y Amando Mart\u00edn-Zurro. La Atenci\u00f3n Primaria de Salud en Espa\u00f1a y sus comunidades aut\u00f3nomas \u201cPrimary Health Care in Spain and its autonomous communities.\u201d Proyecto de investigaci\u00f3n Barcelona: SEMFYC ediciones. 2009:260."},{"key":"13679_CR10","unstructured":"Gobierno de Espa\u00f1a. Ley 44\/2003, de 21 de noviembre, de ordenaci\u00f3n de las profesiones sanitarias. Art 2. Spain: 2003. https:\/\/www.boe.es\/eli\/es\/l\/2003\/11\/21\/44\/con"},{"key":"13679_CR11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhqr.2025.101155","author":"N Plaza-Briones","year":"2025","unstructured":"Plaza-Briones N, Carrete-G\u00f3mez M, Secanell-Capdevila L, L\u00f3pez-Segura JA, Grau-S\u00e1nchez J, Vida\u00f1a-Moya L. Home-based occupational therapy and primary care nursing program. J Healthc Qual Res. 2025. https:\/\/doi.org\/10.1016\/j.jhqr.2025.101155.","journal-title":"J Healthc Qual Res"},{"key":"13679_CR12","unstructured":"Ministerio de Sanidad. Primary and Community Care Action Plan 2025\u20132027. Madrid; 2024.https:\/\/www.sanidad.gob.es\/areas\/atencionPrimaria\/docs\/PLAN_DE_ACCION_DE_ATENCION_PRIMARIA_Y_COMUNITARIA_2025-2027.pdf. Accessed 30 Oct 2025."},{"key":"13679_CR13","unstructured":"Primary health care transformation in. Spain: current challenges and opportunities: primary health care policy paper series. Copenhagen: 2023.https:\/\/www.who.int\/europe\/publications\/i\/item\/WHO-EURO-2023-8071-47839-70649. Accessed 30 Oct 2025."},{"key":"13679_CR14","doi-asserted-by":"publisher","unstructured":"Fetters MD, Curry LA, Creswell JW. Achieving integration in mixed methods designs - Principles and practices. Health Serv Res. 2013;48(6 PART2). https:\/\/doi.org\/10.1111\/1475-6773.12117","DOI":"10.1111\/1475-6773.12117"},{"key":"13679_CR15","volume-title":"Research design: Qualitative, quantitative and mixed methods approaches","author":"JW Creswell","year":"2022","unstructured":"Creswell JW, David J. C. Research design: Qualitative, quantitative and mixed methods approaches. 6 ed. Thousand Oaks, California: SAGE; 2022.","edition":"6"},{"key":"13679_CR16","unstructured":"Consorci d\u2019Atenci\u00f3 Primaria Barcelona Esquerra, Memoria. 2023. 2023. https:\/\/capsbe.cat\/media\/upload\/arxius\/CAPSBE2023\/. Accessed 30 Jun 2025."},{"key":"13679_CR17","unstructured":"Consorci d\u2019Atenci\u00f3 Primaria de Salut Barcelona Esquerra (CAPSBE). https:\/\/capsbe.cat\/. Accessed 22 Oct 2025."},{"key":"13679_CR18","first-page":"61","volume":"14","author":"F Mahoney","year":"1965","unstructured":"Mahoney F, Barthel DW. Functional evaluation: the Barthel index. Md State Med J. 1965;14:61\u20135.","journal-title":"Md State Med J"},{"key":"13679_CR19","doi-asserted-by":"publisher","unstructured":"Braun V, Clarke V. Thematic analysis: a practical guide. QMiP Bull. 2022;1. https:\/\/doi.org\/10.53841\/bpsqmip.2022.1.33.46.","DOI":"10.53841\/bpsqmip.2022.1.33.46"},{"key":"13679_CR20","unstructured":"Departament de Salud. Generalitat de Catalunya. Primary care clinical station (ECAP). https:\/\/salutweb.gencat.cat\/ca\/ambits-actuacio\/linies\/tic\/solucions-siscat\/cataleg\/estacions-cliniques\/estacio-clinica-atencio-primaria-ecap\/. Accessed 8 Sep 2025."},{"key":"13679_CR21","unstructured":"Institut Catal\u00e0 de la Salut. Generalitat de Catalunya. Standardized care plans. https:\/\/ics.gencat.cat\/ca\/Professionals\/coneixement-assistencial\/cures-infermeres\/cures-atencio-primaria\/plans-de-cures-estandarditzats\/. Accessed 8 Sep 2025."},{"key":"13679_CR22","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1093\/geront\/9.3_Part_1.179","volume":"3","author":"M Lawton","year":"1969","unstructured":"Lawton M, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;3:179\u201386.","journal-title":"Gerontologist"},{"key":"13679_CR23","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1111\/J.1532-5415.1975.TB00927.X","volume":"23","author":"E Pfeiffer","year":"1975","unstructured":"Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975;23:433\u201341. https:\/\/doi.org\/10.1111\/J.1532-5415.1975.TB00927.X.","journal-title":"J Am Geriatr Soc"},{"key":"13679_CR24","first-page":"175","volume":"33","author":"M Alarc\u00f3n","year":"1998","unstructured":"Alarc\u00f3n M, Gonz\u00e1lez-Montalvo J. La Escala sociofamiliar de Gij\u00f3n, instrumento \u00fatil En El hospital general. Rev Esp Geriatr Gerontol. 1998;33:175\u20139.","journal-title":"Rev Esp Geriatr Gerontol"},{"key":"13679_CR25","unstructured":"R Core Team. R: A Language and Environment for Statistical Computing. 2022."},{"key":"13679_CR26","doi-asserted-by":"publisher","unstructured":"Donnelly C, Brenchley C, Crawford C, Letts L. The integration of occupational therapy into primary care: a multiple case study design. BMC Fam Pract. 2013;14. https:\/\/doi.org\/10.1186\/1471-2296-14-60.","DOI":"10.1186\/1471-2296-14-60"},{"key":"13679_CR27","doi-asserted-by":"publisher","DOI":"10.5014\/AJOT.2020.74S3001","author":"J Doll","year":"2020","unstructured":"Doll J, Earland TV, Dorsey J. Role of occupational therapy in primary care. Am J Occup Ther. 2020. https:\/\/doi.org\/10.5014\/AJOT.2020.74S3001. 74 Supplement_3.","journal-title":"Am J Occup Ther"},{"key":"13679_CR28","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1037\/AMP0000244","volume":"73","author":"K Fiscella","year":"2018","unstructured":"Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Am Psychol. 2018;73:451\u201367. https:\/\/doi.org\/10.1037\/AMP0000244.","journal-title":"Am Psychol"},{"key":"13679_CR29","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1097\/HMR.0000000000000009","volume":"40","author":"SM Provost","year":"2015","unstructured":"Provost SM, Lanham HJ, Leykum LK, McDaniel RR, Pugh J. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40:2\u201312. https:\/\/doi.org\/10.1097\/HMR.0000000000000009.","journal-title":"Health Care Manage Rev"},{"key":"13679_CR30","unstructured":"Canadian Interprofessional Health Collaborative. CIHC Competency Framework for Advancing Collaboration. 2024. https:\/\/cihc-cpis.com\/wp-content\/uploads\/2024\/06\/CIHC-Competency-Framework.pdf. Accessed 9 Sep 2025."},{"key":"13679_CR31","doi-asserted-by":"publisher","first-page":"506","DOI":"10.5014\/AJOT.2012.665001","volume":"66","author":"S Muir","year":"2012","unstructured":"Muir S. Occupational therapy in primary health care: we should be there. Am J Occup Ther. 2012;66:506\u201310. https:\/\/doi.org\/10.5014\/AJOT.2012.665001.","journal-title":"Am J Occup Ther"},{"key":"13679_CR32","doi-asserted-by":"publisher","unstructured":"Elliott S, Leland NE. Occupational therapy fall prevention interventions for community-dwelling older adults: a systematic review. Am J Occup Ther. 2018;72. https:\/\/doi.org\/10.5014\/AJOT.2018.030494.","DOI":"10.5014\/AJOT.2018.030494"},{"key":"13679_CR33","doi-asserted-by":"publisher","unstructured":"Dahl-Popolizio S, Rogers O, Muir SL, Carroll J, Manson L. Interprofessional primary care: the value of occupational therapy. Open J Occup Ther. 2017;5. https:\/\/doi.org\/10.15453\/2168-6408.1363.","DOI":"10.15453\/2168-6408.1363"},{"key":"13679_CR34","doi-asserted-by":"publisher","unstructured":"O\u2019Donnell D, Davies C, Devaney C, Radomska A, O\u2019Shea M, O\u2019Donoghue G, et al. How can interprofessional collaboration be fostered and sustained in team-based care integration for older people in community settings? A realist evidence synthesis. Syst Rev. 2025;14. https:\/\/doi.org\/10.1186\/S13643-025-02862-8.","DOI":"10.1186\/S13643-025-02862-8"},{"key":"13679_CR35","doi-asserted-by":"publisher","unstructured":"Ballmer T, Frey S, Petrig A, Gantschnig BE. Quality indicators for occupational therapy: a scoping review. BMC Health Serv Res. 2024;24. https:\/\/doi.org\/10.1186\/S12913-024-11548-1.","DOI":"10.1186\/S12913-024-11548-1"},{"key":"13679_CR36","unstructured":"Idescat. Territorial and demographic indicators. Estructura per edats, envelliment i depend\u00e8ncia. Catalunya. https:\/\/www.idescat.cat\/pub\/?id=inddt&n=915=en. Accessed 30 Jun 2025."},{"key":"13679_CR37","unstructured":"Ag\u00e8ncia per a la Qualitat del Sistema Universitari de Catalunya. Information on university studies in Catalonia. 2025. https:\/\/shorturl.at\/0RV58. Accessed 10 Sep 2025."},{"key":"13679_CR38","doi-asserted-by":"publisher","unstructured":"Richards K, Mills N, Hitch D. Role of occupational therapy in person-centred dementia care: exploring family member and clinician perceptions. Australas J Ageing. 2024;43. https:\/\/doi.org\/10.1111\/AJAG.13269.","DOI":"10.1111\/AJAG.13269"},{"key":"13679_CR39","doi-asserted-by":"publisher","unstructured":"Provencher V, Clemson L, Wales K, Cameron ID, Gitlin LN, Grenier A, et al. Supporting at-risk older adults transitioning from hospital to home: Who benefits from an evidence-based patient-centered discharge planning intervention? Post-hoc analysis from a randomized trial. BMC Geriatr. 2020;20. https:\/\/doi.org\/10.1186\/S12877-020-1494-3.","DOI":"10.1186\/S12877-020-1494-3"},{"key":"13679_CR40","doi-asserted-by":"publisher","first-page":"289","DOI":"10.2340\/16501977-1942","volume":"47","author":"KJ Lockwood","year":"2015","unstructured":"Lockwood KJ, Taylor NF, Harding KE. Pre-discharge home assessment visits in assisting patients\u2019 return to community living: A systematic review and meta-analysis. J Rehabil Med. 2015;47:289\u201399. https:\/\/doi.org\/10.2340\/16501977-1942.","journal-title":"J Rehabil Med"},{"key":"13679_CR41","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1080\/11038128.2020.1856181","volume":"29","author":"M Rodr\u00edguez-Bail\u00f3n","year":"2022","unstructured":"Rodr\u00edguez-Bail\u00f3n M, L\u00f3pez-Gonz\u00e1lez L, Merch\u00e1n-Baeza JA. Client-centred practice in occupational therapy after stroke: A systematic review. Scand J Occup Ther. 2022;29:89\u2013103. https:\/\/doi.org\/10.1080\/11038128.2020.1856181.","journal-title":"Scand J Occup Ther"},{"key":"13679_CR42","doi-asserted-by":"publisher","unstructured":"Tistad M, Flink M, Ytterberg C, Eriksson G, Guidetti S, Tham K, et al. Resource use of healthcare services 1 year after stroke: a secondary analysis of a cluster-randomised controlled trial of a client-centred activities of daily living intervention. BMJ Open. 2018;8. https:\/\/doi.org\/10.1136\/BMJOPEN-2018-022222.","DOI":"10.1136\/BMJOPEN-2018-022222"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-13679-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-025-13679-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-13679-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T10:58:28Z","timestamp":1763549908000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-025-13679-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,19]]},"references-count":42,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["13679"],"URL":"https:\/\/doi.org\/10.1186\/s12913-025-13679-5","relation":{},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,19]]},"assertion":[{"value":"14 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study and all methods were conducted in accordance with the guidelines and regulations outlined in the Declaration of Helsinki. The Research Ethics Committee of the Hospital Clinic of Barcelona approved this study (Ref. HCB\/2024\/0428). Informed Consent was obtained from participants before any study activities in the first phase and was waived in the second, as approved by the Research Ethics Committee. Clinical trial number: not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}},{"value":"No public or patient participation was observed in the study design.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Patient and public involvement"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1490"}}