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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

Context: Understanding patients’ experience accessing primary health care (PHC) is necessary in order to move toward better service organization and more equitable PHC access. A total of 122,397 patients and 999 family physicians, 107 nurse practitioners and 411 administrative staff nested into 104 clinics answered the survey.

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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

Context: The COVID-19 pandemic increased critical levels of turnover of healthcare workers in interdisciplinary primary healthcare (PHC) teams, including family physicians, nurses, social workers, and others.

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Mapping Patient Access to Care and Quality of Care based on Distance from Family Physician [Health care services, delivery, and financing]

Annals of Family Medicine

Context: In Ontario, patients who move increasingly keep their family physician (FP) because no one in their new community is accepting new patients, creating long distances to seek primary care. Study Design: A cross-sectional analysis of patients and FPs in Ontario from April 1, 2021, to March 31, 2023.

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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

Context: Family physician (FP) scope of practice (SOP) has declined, with fewer physicians providing basic primary care services and fewer bridging the clinic-hospital divide. Study Design and Analysis: A longitudinal cohort was surveyed through the American Board of Family Medicine (ABFM).

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Gender, Racial and Immigration Pay Gaps in Canadian Family Medicine: Qualitative findings from a mixed-methods analysis [Health care services, delivery, and financing]

Annals of Family Medicine

These pay gaps are well documented outside of Canada, but little empirical work has been done to understand pay gaps in Canada, in family medicine, or using an intersectional lens. Objective: Understand how the identity features of Ontario family physicians (e.g. offering virtual visits on request).

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Patient experiences using primary care wait lists in Canada: A qualitative study [Health care services, delivery, and financing]

Annals of Family Medicine

Patients without a regular primary care provider (a family physician or nurse practitioner) are considered "unattached,". To address ongoing challenges with patient access and attachment to a primary care provider, several Canadian provinces introduced primary healthcare centralized wait lists (CWL). In 2019, 14.5%

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Impact of an Intensive Primary Care Service on Health Services Utilization in a High-Utilizer Patient Population [Health care services, delivery, and financing]

Annals of Family Medicine

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls. Patients in both groups averaged approximately 12 ED visits, 5.7

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