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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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Patient Journey Mapping: How Attached and Unattached Community Members Access Primary Care [Health care services, delivery, and financing]

Annals of Family Medicine

Dataset: Qualitative data derived from one-on-one interviews (n=12) and focus groups (n=4) (attached individuals: n=16; unattached individuals: n=19). Framework analysis was employed to examine the patient experience in-depth. Population Studied: Both attached and unattached community members within the FLA-OHT region.

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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

This study aims to examine individual, organizational, and contextual factors associated with patients’ experience of access to their multidisciplinary primary healthcare clinic. Study Design and Analysis.

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Facilitating Well-Being in Primary Healthcare During COVID-19: A Rapid Systematic Review [Health care services, delivery, and financing]

Annals of Family Medicine

Objectives: i) Identify individual, organization, and/or systemic facilitators of PHC provider well-being relevant to the COVID-19 pandemic context, ii) Collect and summarize well-being facilitators amendable to actioning by PHC providers, leaders, administrators, and policymakers during and following the COVID-19 pandemic.

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Changes in patterns and referrals of Nova Scotians seeking mental health care through 2-1-1 Referral Service [Health care services, delivery, and financing]

Annals of Family Medicine

Context 2-1-1 is a designated phone help line in Canada and the US that provides referrals for individuals to local government and community-based services for a wide variety of needs, including social, health care, and mental health services. 2-1-1 Nova Scotia has operated since 2013 as a nonprofit that offers 24/7 assistance.

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Practice organization characteristics are more impactful than intentions in practice scope of early-career family physicians [Health care services, delivery, and financing]

Annals of Family Medicine

Study Design and Analysis: A longitudinal cohort was surveyed through the American Board of Family Medicine (ABFM). Setting: US family physicians in continuity outpatient practice. Individual items within the scaled score were also examined. The average practicing SOP score was 16.0.

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" Healthcare organizations administrative policies are just too rigid. ": why nurses leave primary and emergency care [Health care services, delivery, and financing]

Annals of Family Medicine

The individual, interpersonal, occupational, organizational and national considerations underpinning their decision to quit were analysed. Emergency nurses cited individual, interpersonal, and organizational reasons for leaving their jobs. N=35 nurses were interviewed; n=6 primary care, n=7 emergency care and n=22 from other areas.