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Enhancing Advanced Access in Primary Healthcare: Key Change Strategies from a Quality Improvement Initiative [Health care services, delivery, and financing]

Annals of Family Medicine

In Quebec, efforts to implement AA in Family Medicine Groups (FMGs) yielded partial success, necessitating comprehensive change strategies to ensure a tangible impact of the model. Context: Timely access is crucial for high-quality primary healthcare delivery, yet remains a pervasive challenge globally, including in Canada.

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Profiling patterns of patient experiences of access to care and continuity at team-based primary healthcare clinics [Health care services, delivery, and financing]

Annals of Family Medicine

Conclusions: Our results showed potential areas for improvement, such as facilitating appointment booking for recently arrived immigrants and patients with low education, integrating interprofessional collaboration practices for patients with chronic conditions and improving care coordination for patients with mental health needs.

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Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis [Health care services, delivery, and financing]

Annals of Family Medicine

Two patient-reported experiences were assessed: 1) difficulty having an appointment with regular family physician or nurse practitioners, and 2) unmet healthcare needs. A self-reported survey based on the advanced access model for professionals and administrative staff. Outcomes measures.

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Towards a Fundamental Unit of Continuity of Care [Health care services, delivery, and financing]

Annals of Family Medicine

Clinician types included family medicine (FM), internal medicine (IM), pediatric medicine (PED), general practice (GP), obstetrics/gynecology (OB), nurse practitioner (NP), and physician assistant (PA). Patients are increasingly challenged to find appointments and achieve real continuity with their PCPs.

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You Know DPC is working when…

Noreta Family Medicine

Many of our patients have shared how they often felt rushed at their previous primary care doctor’s office, leaving appointments with lingering concerns. For instance, when a patient recently texted us with complaints of shoulder pain after a fall, Dr. Boylan arranged an appointment and ordered an X-ray — all within just a few hours. “