ReviewCMAJ open
Revising the advanced access model pillars: a multimethod study.
Review in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 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
- Recommendations of an Independent Expert Committee for the Development of Quebec's First Government Policy on Primary Care.Healthcare management forum · 2026Article
- Timeliness, continuity or travel time: results of a choice-based analysis exploring public preferences for access to primary care in Canada.BMC primary care · 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
- Advanced Access in Primary Healthcare and Its Effects on Emergency Department Utilization: A Rapid Review.Healthcare (Basel, Switzerland) · 2025Review
- Translation and cross-cultural adaptation into Brazilian Portuguese of the ORAAprof instrument for Advanced Access.Revista brasileira de enfermagem · 2025Article
- Perception of the compatibility of Quebec residency program characteristics with the advanced access model: a cross-sectional study.BMC primary care · 2024Article
- Article
- Ten years later: A portrait of the implementation of the advanced access model in Quebec.Healthcare management forum · 2023Article
- Perceived Access and Appropriateness: Comparison of Teaching and Resident Family Physicians' Patients.Family medicine · 2023Article
- Impact of externally facilitated continuous quality improvement cohorts on Advanced Access to support primary healthcare teams: protocol for a quasi-randomized cluster trial.BMC primary care · 2023Article
- Small Changes in Patient Arrival and Consultation Times Have Large Effects on Patients' Waiting Times: Simulation Analyses for Primary Care.International journal of environmental research and public health · 2023Article
- An innovative model of psychological service delivery in primary healthcare: the Single-Session Intervention.BMC primary care · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe advanced access model was developed 20 years ago and has been implemented in several countries. We aimed to revise and operationalize the pillars and subpillars of the advanced access model based on its contemporary practice by professionals in primary health care.
methodsThis multimethod sequential study was informed by a literature review and an expert panel of provincial and local decision-makers, primary health care clinic members (family physicians, nurses and administrative staff), patients and researchers from the province of Quebec. Throughout the consultation process, participants were asked to develop a common vision of the pillars and subpillars that make up the advanced access model and to react to suggested definitions or content.
resultsThe revised advanced access model is defined by 5 pillars, of which 2 were updated from the original model ("Appointment system" and "Interprofessional practice"), 1 was merged with a revised pillar ("Develop contingency plans" with "Planning of needs and supply") and 1 underwent major transformations ("Backlog reduction" to "Continuous adjustment"). A new pillar concerning communication emerged from the consultation process. Subsequent steps for operationalizing definitions of subpillars confirmed the nature of the revised advanced access pillars and stabilized their content.
interpretationThe overall consultation process resulted in a revised contemporary advanced access model, with strong consensus among participating experts. The revised model will be used to develop a reflective tool for primary health care professionals to evaluate their advanced access practice.
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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.