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Implications of multiprofessional collaboration in primary care – benefits for all? A quantitative study of effects on resource utilization of a team-based primary care practice in Sweden

Glenngård, Anna H. LU and Haraldsson, Mattias LU (2025) In Health Policy 159. p.1-7
Abstract

We investigate differences in resource utilization between a multiprofessional team-based primary care practice and standard care for elderly patients with complex needs, from the perspective of different actors involved in healthcare delivery. The study is based on a mobile care team reform in a Swedish region, that spans across both organisational boundaries and different legislation. Our findings suggest that a shift towards a more proactive approach to outpatient care initially may lead to higher resource utilization and prevent hospital care and contribute to a more effective use of resources in the long run. The pattern observed is consistent the intentions behind the implementation of interventions aimed at shifting care closer... (More)

We investigate differences in resource utilization between a multiprofessional team-based primary care practice and standard care for elderly patients with complex needs, from the perspective of different actors involved in healthcare delivery. The study is based on a mobile care team reform in a Swedish region, that spans across both organisational boundaries and different legislation. Our findings suggest that a shift towards a more proactive approach to outpatient care initially may lead to higher resource utilization and prevent hospital care and contribute to a more effective use of resources in the long run. The pattern observed is consistent the intentions behind the implementation of interventions aimed at shifting care closer to patients. Therefore, when implementing such interventions, it is important for decision-makers to be prepared to accept increased resource use initially in order to potentially benefit in the future. Our study highlights the challenges of measuring and comparing resource utilization across different actors. When implementing healthcare reforms that span across organisational borders, it is crucial to systematically collect and compile comparable data. Reliable information on the costs and patient outcomes associated with new ways of providing care, is important from both a management and a policy perspective.

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author
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organization
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type
Contribution to journal
publication status
published
subject
keywords
Elderly patients, Home-based care, Multiprofessional collaboration, Primary care, Resource utilization
in
Health Policy
volume
159
article number
105382
pages
1 - 7
publisher
Elsevier
external identifiers
  • scopus:105008984356
  • pmid:40578055
ISSN
0168-8510
DOI
10.1016/j.healthpol.2025.105382
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2025
id
75cd8e5a-bb07-45df-ab17-883fd48dcd95
date added to LUP
2025-09-29 09:37:01
date last changed
2025-09-29 13:48:26
@article{75cd8e5a-bb07-45df-ab17-883fd48dcd95,
  abstract     = {{<p>We investigate differences in resource utilization between a multiprofessional team-based primary care practice and standard care for elderly patients with complex needs, from the perspective of different actors involved in healthcare delivery. The study is based on a mobile care team reform in a Swedish region, that spans across both organisational boundaries and different legislation. Our findings suggest that a shift towards a more proactive approach to outpatient care initially may lead to higher resource utilization and prevent hospital care and contribute to a more effective use of resources in the long run. The pattern observed is consistent the intentions behind the implementation of interventions aimed at shifting care closer to patients. Therefore, when implementing such interventions, it is important for decision-makers to be prepared to accept increased resource use initially in order to potentially benefit in the future. Our study highlights the challenges of measuring and comparing resource utilization across different actors. When implementing healthcare reforms that span across organisational borders, it is crucial to systematically collect and compile comparable data. Reliable information on the costs and patient outcomes associated with new ways of providing care, is important from both a management and a policy perspective.</p>}},
  author       = {{Glenngård, Anna H. and Haraldsson, Mattias}},
  issn         = {{0168-8510}},
  keywords     = {{Elderly patients; Home-based care; Multiprofessional collaboration; Primary care; Resource utilization}},
  language     = {{eng}},
  pages        = {{1--7}},
  publisher    = {{Elsevier}},
  series       = {{Health Policy}},
  title        = {{Implications of multiprofessional collaboration in primary care – benefits for all? A quantitative study of effects on resource utilization of a team-based primary care practice in Sweden}},
  url          = {{http://dx.doi.org/10.1016/j.healthpol.2025.105382}},
  doi          = {{10.1016/j.healthpol.2025.105382}},
  volume       = {{159}},
  year         = {{2025}},
}