ArticleInternational journal of family medicine2017
What Are the Factors Influencing Implementation of Advanced Access in Family Medicine Units? A Cross-Case Comparison of Four Early Adopters in Quebec.
Article in International journal of family medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Use of Electronic Medical Record Data to Create a Dashboard on Access to Primary Care.Healthcare policy = Politiques de sante · 2023Pooled it
- Frozen in time: Breaking free from past family practice models.Canadian family physician Medecin de famille canadien · 2026Article
- Reflective Tool on Advanced Access to Support Primary Healthcare Teams: Development and Validation of an Online Questionnaire.Journal of evaluation in clinical practice · 2025Article
- Article
- Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics.Healthcare policy = Politiques de sante · 2023Article
- Article
- Interprofessional advanced access - a quality improvement protocol for expanding access to primary care services.BMC health services research · 2021Article
- After COVID-19: Improving the Patient's Outpatient Appointment Experience.Journal of patient experience · 2021Article
- Changing nursing practice within primary health care innovations: the case of advanced access model.BMC nursing · 2020Article
- Evaluation of the implementation and associated effects of advanced access in university family medicine groups: a study protocol.BMC family practice · 2020Article
- Explaining variation of implementation outcomes of centralized waiting lists for unattached patients.Journal of health organization and management · 2019Article
- The challenges of implementing advanced access for residents in family medicine in Quebec. Do promising strategies exist?Medical education online · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAdvanced access is an organizational model that has shown promise in improving timely access to primary care. In Quebec, it has recently been introduced in several family medicine units (FMUs) with a teaching mission. The objectives of this paper are to analyze the principles of advanced access implemented in FMUs and to identify which factors influenced their implementation.
methodsA multiple case study of four purposefully selected FMUs was conducted. Data included document analysis and 40 semistructured interviews with health professionals and staff. Cross-case comparison and thematic analysis were performed.
resultsThree out of four FMUs implemented the key principles of advanced access at various levels. One scheduling pattern was observed: 90% of open appointment slots over three- to four-week periods and 10% of prebooked appointments. Structural and organizational factors facilitated the implementation: training of staff to support change, collective leadership, and openness to change. Conversely, family physicians practicing in multiple clinical settings, lack of team resources, turnover of clerical staff, rotation of medical residents, and management capacity were reported as major barriers to implementing the model.
conclusionOur results call for multilevel implementation strategies to improve the design of the advanced access model in academic teaching settings.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.