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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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Primary Care Perspectives on Access to Specialty Care in Rural Communities: A Mixed-Method Study [Health care disparities]

Annals of Family Medicine

Rural health system leaders described 5 methods to provide rural specialty access: community-based, visiting, referrals to larger towns, telehealth, and management by primary care with specialist support. Telehealth services are underutilized; incentives for traveling specialists could increase access.