Evidence map›Paper›PMID 36103237›Full record

Observational studyHealthcare policy = Politiques de sante2022

Are Family Medicine Clinics Improving Access to Care through Organizational Changes Driven by Healthcare Reform?

Isabel Rodrigues, Marie Authier

Abstract readObservational Study
In one paragraph

Observational study in Healthcare policy = Politiques de sante, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Provincial Health Systems: Are They Imploding?Healthcare policy = Politiques de sante · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Isabel RodriguesAssociate Clinical Professor, Faculty of Medicine, Department of Family Medicine and Emergency Medicine University of Montreal, Montreal, QC.
Marie AuthierAssistant Clinical Professor, Faculty of Medicine, Department of Family Medicine and Emergency Medicine, University of Montreal, Montreal, QC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis observational descriptive study reports organizational changes after the last reform in 18 family medicine units (FMUs) affiliated with the University of Montreal in Québec.

methodTwo self-administered surveys on access to care were administered to FMU directors between December 2016 and January 2017, and in August 2018.

resultsBetween surveys, the number of registered patients increased substantially. All clinics recruited new patients, and most offered walk-in services (89%) and moved toward an advanced access scheduling model (83%). For licensed practical nurses, there was a median increase from 0 to 3 and for nurse clinicians, from 2 to 3, that helped the development of collaborative teamwork.

conclusionDespite the added teaching mission, the response of the FMU network has been dynamic, has adapted to the major changes and has continued to actively improve access to care for their communities. Challenges still remain regarding work on key priorities for improving access management.

Indexed as

Family PracticeHealth Care ReformHealth Services AccessibilityHumansOrganizational InnovationSurveys and Questionnaires

Identifiers

PMID36103237
PMCPMC9467270

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.