Evidence map›Paper›PMID 31515315›Full record

ArticleCanadian family physician Medecin de famille canadien2019

Implementing advanced access to primary care in an academic family medicine network: Participatory action research.

Catherine Hudon, Mireille Luc, Marie-Claude Beaulieu, Mylaine Breton, Isabelle Boulianne, Louise Champagne, Sandra Conway, Nick Côté, Jean-François Deshaies, Marylène Fillion and 1 more

Erratum issuedAbstract readMulticenter Study
PubMed Full text at PMC
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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  8. Correction.Canadian family physician Medecin de famille canadien · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Catherine HudonProfessor and Research Director in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke in Quebec. catherine.hudon@usherbrooke.ca.
Mireille LucCoordinator at the time of the study and is now Deputy Director of the University of Sherbrooke Practice-based Research Network.
Marie-Claude BeaulieuProfessor and Deputy Director of the Family Medicine Residency Program in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke.
Mylaine BretonProfessor in the Department of Community Health Sciences at the University of Sherbrooke.
Isabelle BoulianneQuality improvement expert and a manager in the Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean.
Louise ChampagneProfessor and Deputy Director of the Family Medicine Residency Program in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke, and Director of the Hôpital Charles-Le Moyne academic setting in Quebec.
Sandra ConwayPartner patient in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke.
Nick CôtéFamily medicine resident in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke.
Jean-François DeshaiesProfessor in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke.
Marylène FillionOrganizational change expert in the Department of Human Resources at the University of Sherbrooke.
Philippe VillemureDirector of the Alma academic setting in Quebec and Professor in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo support the implementation of the advanced access model in a network of family medicine academic settings, and to identify solutions to teaching advanced access to family medicine residents.

designParticipatory action research study using descriptive methods.

settingA network of 11 academic family medicine settings, mostly located in the province of Quebec.

participantsEighteen academic-setting directors and deputy directors and 125 clinical preceptors.

methodsThe study was carried out from August 2015 through January 2017. Settings were represented by a "community of practice" of academic-setting directors and deputy directors. Data were collected via questionnaires, online surveys, and 4, 60-minute focus groups. Data were analyzed using descriptive statistics or thematic analysis. Findings were validated with the community of practice. MAIN

findingsNearly all of the academic family medicine settings implemented advanced access for their clinical preceptors (90.9%). Four main solutions to teaching advanced access were identified: establishing an optimal panel of patients; ensuring continuity of care during absences and away rotations; optimizing team collaboration; and creating a positive experience of immersion in advanced access.

conclusionAn academic-setting community of practice contributed to sharing solutions that were instrumental in broadly implementing the advanced access model and that also paved the way for the integration of advanced access for future family physicians, further supporting timely access to primary care.

Indexed as

Health Services AccessibilityContinuity of Patient CareFamily PracticeFocus GroupsHealth Services ResearchHumansInternship and ResidencyPreceptorshipQuality ImprovementQuebecSocial Networking

Identifiers

PMID31515315
PMCPMC6741795

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.