Association between continuity and access in primary care: a retrospective cohort study

Cook, Lisa L.; Golonka, Richard; Cook, Charles M.; Walker, Robin; Faris, Peter; Spenceley, Shannon; Lewanczuk, Richard; Wedel, Robert; Love, Rebecca; Andres, Cheryl; Byers, Susan D.; Collins, Tim; Oddie, Scott D.

doi:10.9778/cmajo.20200014

Cited by 10 publications

(10 citation statements)

References 60 publications

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“…Continuity was deemed as important as accessibility by patients, depending on the urgency of their need. Although continuity is not an intuitive element of an access model, several scholars interested in advanced access 23,24 underline its importance in patient management as well as in limiting demand for appointments and contributing to better overall quality of care. 23 Indeed, a patient who meets with their usual professional, with whom a relationship of trust has developed over time, is less likely to make another confirmation appointment.…”

Section: Discussionmentioning

confidence: 99%

“…23 Indeed, a patient who meets with their usual professional, with whom a relationship of trust has developed over time, is less likely to make another confirmation appointment. 24 Thus, at the end of our consultation process, this concept was an integral aspect of referring patients to the appropriate professional. Patients emphasized the importance of relational continuity and said they would prefer to wait for an appointment with a known professional, especially those dealing with complex needs.…”

Section: Discussionmentioning

confidence: 99%

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Revising the advanced access model pillars: a multimethod study

Bréton

Gaboury

Beaulieu

et al. 2022

cmajo

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Revising the advanced access model pillars: a multimethod study

Bréton

Gaboury

Beaulieu

et al. 2022

cmajo

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“…This report identified 34 articles that reported on interventions conducted in Canada to improve access to primary care. Interventions were conducted in several provinces and territories in Canada including Alberta, 12 British Columbia, 30,22 New Brunswick, 15 Newfoundland and Labrador, 18 Northwest Territories, 22 Nova Scotia, 6,10,20 Ontario, 7,13,14,17,19,[23][24][25]32,35 Quebec, [3][4][5]8,11,16,27,29,33,34 and Saskatchewan. 26,28 Five studies 9,15,21,22,36 were conducted across multiple jurisdictions in Canada and 1 study 31 did not specify region within Canada.…”

Section: Overall Summarymentioning

confidence: 99%

Improving Access to Primary Care

Darvesh¹,

McGill²

2022

cjht

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A limited literature search was conducted to identify interventions to improve access to primary health care in Canada. Identified programs included components such as better scheduling, incentives for family doctors to work after-hours or provide more cancer screening, encouraging doctors to see the same patient throughout the course of their care, and involving other types of care providers or aides in accessing care.

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“…Despite these investments, the evidence of their impact is mixed or limited. In Alberta, primary care networks (PCNs) show variable results 5. One study suggests PCNs reduce emergency department visits,6 while another found PCNs were associated with declines in ongoing care, coordination of care, comprehensiveness, family-centredness, community orientation and cultural competence 7.…”

Section: Introductionmentioning

confidence: 99%

Impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: protocol for a rapid scoping review

et al. 2023

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IntroductionInterprofessional teams and funding and payment provider arrangements are key attributes of high-performing primary care. Several Canadian jurisdictions have introduced team-based models with different payment models. Despite these investments, the evidence of impact is mixed. This has raised questions about whether team-based primary care models are being implemented to facilitate team collaboration and effectiveness. Thus, we present a protocol for a rapid scoping review to systematically map, synthesise and summarise the existing literature on the impact of provider remuneration mechanisms and extrinsic and intrinsic incentives in team-based primary care. This review will answer three research questions: (1) What is the impact of provider remuneration models on team, patient, provider and system outcomes in primary care?; (2) What extrinsic and intrinsic incentives have been used in interprofessional primary care teams?; and (3) What is the impact of extrinsic and intrinsic team-based incentives on team, patient, provider and system outcomes?Methods and analysisWe will conduct a rapid scoping review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews guidelines. We will search electronic databases (Medline, Embase, CINAHL, PsycINFO, EconLit) and grey literature sources (Google Scholar, Google). This review will consider all empirical studies and full-text English-language articles published between 2000 and 2022. Reviewers will independently perform the literature search, data extraction and synthesis of included studies. The Mixed Methods Appraisal Tool will be used to appraise the quality of evidence. The literature will be synthesised, summarised and mapped to themes that answer the research question of this review.Ethics and disseminationEthics approval is not required. Findings from this study will be written for publication in an open-access peer-review journal and presented at national and international conferences. Knowledge users are part of the research team and will assist with disseminating findings to the public, clinicians, funders and professional associations.

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Association between continuity and access in primary care: a retrospective cohort study

Cited by 10 publications

References 60 publications

Revising the advanced access model pillars: a multimethod study

Revising the advanced access model pillars: a multimethod study

Improving Access to Primary Care

Impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: protocol for a rapid scoping review

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