ArticleBMC family practice2018
Primary health care organizational characteristics associated with better accessibility: data from the QUALICO-PC survey in Quebec.
Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Factors associated with patients' experience of accessibility to general practice: results from a national survey in Norway.BMC health services research · 2024Article
- Impact of primary care physicians working part-time on patient care: A scoping review.The European journal of general practice · 2023Article
- High performing primary health care organizations from patient perspective: a qualitative study in China.Global health research and policy · 2023Article
- Article
- Successes, weaknesses, and recommendations to strengthen primary health care: a scoping review.Archives of public health = Archives belges de sante publique · 2023Article
- Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics.Healthcare policy = Politiques de sante · 2023Article
- Are Family Medicine Clinics Improving Access to Care through Organizational Changes Driven by Healthcare Reform?Healthcare policy = Politiques de sante · 2022Observational
- General Practitioner Time Availability Per Inhabitant Per Year: A New Indicator to Measure Access to Primary Care.Frontiers in health services · 2022Article
- Changing nursing practice within primary health care innovations: the case of advanced access model.BMC nursing · 2020Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFirst-contact accessibility remains an important problem in Canada, with this indicator staying the worst of all Organization for Economic Co-operation and Development countries. In the province of Quebec, a number of primary healthcare (PHC) organizations have adopted measures to improve access (e.g. advance access scheduling, expanded nursing role, electronic medical record, financial incentives). The impact of those changes is unknown. The goal of this study is to assess which PHC organizations' characteristics are associated with improved first-contact accessibility.
methodsWe conducted a secondary data analysis of the Quebec survey, conducted as part of the QUALICO-PC study on primary care performance. QUALICO-PC is a cross-sectional study to assess quality, costs and equity in PHC across 35 countries and jurisdictions. Organizational characteristics were measured from the family practitioners' questionnaire. First-contact accessibility was measured from the patient questionnaire filled by patients who received care in the participating PHC organizations. Multi-level logistic regression was used to assess the association of organizational characteristics as predictors of patient-reported accessibility.
resultsA total of 218 family practitioners participated in the study with 1798 of their patients. PHC organizations characteristics associated with increased first-contact accessibility included the possibility to have a same-day appointment or to walk in the clinic without an appointment, higher number of physicians per clinic and higher number of hours worked by the family physician. Electronic medical record and expanded nursing role were not associated with increased accessibility.
conclusionsSame-day access and higher family physician working hours are associated with improved patient-reported accessibility. Other PHC organizations characteristics targeted by recent reforms were not associated with improved accessibility.
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