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View article: Determinants associated with receiving a medical appointment through the primary care access points for unattached adults in Quebec: A cross-sectional study
Determinants associated with receiving a medical appointment through the primary care access points for unattached adults in Quebec: A cross-sectional study Open
Canada is experiencing an unprecedented primary care crisis, with 6.5 million Canadians reporting lacking a family physician, including 31% of the Quebec population. To address this problem, the province of Quebec implemented primary care …
View article: Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis
Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis Open
CONTEXT: Understanding patients’ experience accessing primary health care (PHC) is necessary in order to move toward better service organization and more equitable PHC access. OBJECTIVE. This study aims to examine individual, organizationa…
View article: Organizational innovations related to Primary Care Access Points (GAP) for unattached patients in Quebec: a multi-case qualitative study
Organizational innovations related to Primary Care Access Points (GAP) for unattached patients in Quebec: a multi-case qualitative study Open
Descriptions of these five innovations are key to inform other territories and provinces on ways to improve access for unattached patients while they are waiting to be attached. The introduction of the GAP and the organizational innovation…
View article: Factors associated with patients' experience of access to their multidisciplinary primary health care clinic: A multilevel analysis
Factors associated with patients' experience of access to their multidisciplinary primary health care clinic: A multilevel analysis Open
Background Understanding patients' experiences accessing primary health care (PHC) is necessary to improve service organisation. This study aims to examine individual, organisational, and contextual factors associated with patients' experi…
View article: Care-seeking experiences of unattached patients in the Canadian health care system
Care-seeking experiences of unattached patients in the Canadian health care system Open
Having a regular primary care provider is essential to having access to high-quality care and other health care services. Attachment also promotes health equity and confidence in the public health care system and has broader system-level, …
View article: A typology of social network interactions in sub-Saharan Africa: Evidence from a rural population in Senegal
A typology of social network interactions in sub-Saharan Africa: Evidence from a rural population in Senegal Open
Social isolation/marginalization in sub-Saharan Africa is under-researched, despite increasing evidence of weakening traditional community-based social support. This paper aims to develop a typology of social networks capable of accounting…
View article: Strategies used throughout the scaling-up process of eConsult – Multiple case study of four Canadian Provinces
Strategies used throughout the scaling-up process of eConsult – Multiple case study of four Canadian Provinces Open
Various strategies need to be used throughout the scaling-up process. The process remains challenging and lengthy because health systems lack clear processes to support innovation scaling-up.
View article: Use of Electronic Medical Record Data to Create a Dashboard on Access to Primary Care
Use of Electronic Medical Record Data to Create a Dashboard on Access to Primary Care Open
EMR data enabled the development of a real-time dashboard on access, giving PHC providers a reliable portrait of their own practice, its evolution over time and how it compares with those of their peers.
View article: Evaluation of the implementation of single points of access for unattached patients in primary care and their effects: a study protocol
Evaluation of the implementation of single points of access for unattached patients in primary care and their effects: a study protocol Open
Introduction Attachment to a primary care provider is an important component of primary care as it facilitates access. In Québec, Canada, attachment to a family physician is a concern. To address unattached patients’ barriers to accessing …
View article: CUP study: protocol for a comparative analysis of centralised waitlist effectiveness, policies and innovations for connecting unattached patients to primary care providers
CUP study: protocol for a comparative analysis of centralised waitlist effectiveness, policies and innovations for connecting unattached patients to primary care providers Open
Introduction Access to a primary care provider is a key component of high-functioning healthcare systems. In Canada, 15% of patients do not have a regular primary care provider and are classified as ‘unattached’. In an effort to link unatt…
View article: COVID-19 – An Opportunity to Improve Access to Primary Care Through Organizational Innovations?
COVID-19 – An Opportunity to Improve Access to Primary Care Through Organizational Innovations? Open
Background COVID-19 catalyzed a rapid and substantial reorganization of primary care, accelerating the spread of existing strategies and fostering a proliferation of innovations. Access to primary care is an essential component of a health…
View article: Telehealth Challenges During COVID-19 As Reported by Primary Healthcare Physicians in Quebec and Massachusetts
Telehealth Challenges During COVID-19 As Reported by Primary Healthcare Physicians in Quebec and Massachusetts Open
Background: The COVID-19 pandemic has driven primary healthcare (PHC) providers to use telehealth as an alternative to traditional face-to-face consultations. Providing telehealth that meets the needs of patients in a pandemic has presente…
View article: Feasibility of a tapering opioids prescription program for trauma patients at high risk of chronic consumption (TOPP-trauma): protocol for a pilot randomized controlled trial
Feasibility of a tapering opioids prescription program for trauma patients at high risk of chronic consumption (TOPP-trauma): protocol for a pilot randomized controlled trial Open
Background Opioid use disorder (OUD) and deaths related to the chronic use of opioids have increased significantly over the last two decades. Chronic consumption of opioids has been documented in many patients with traumatic injuries. Prel…