Evidence map›Paper›PMID 37326497›Full record

ArticleHealthcare management forum2023

Ten years later: A portrait of the implementation of the advanced access model in Quebec.

Mylaine Breton, Isabelle Gaboury, Christine Beaulieu, Nadia Deville-Stoetzel, Elisabeth Martin

Abstract read
In one paragraph

Article in Healthcare management forum, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

5 authors.

Mylaine BretonUniversité de Sherbrooke, Longueuil, Quebec, Canada.ORCID 0000-0001-5713-9618
Isabelle GabouryUniversité de Sherbrooke, Longueuil, Quebec, Canada.
Christine BeaulieuUniversité de Sherbrooke, Longueuil, Quebec, Canada.
Nadia Deville-StoetzelUniversité de Sherbrooke, Longueuil, Quebec, Canada.
Elisabeth MartinUniversité de Sherbrooke, Longueuil, Quebec, Canada.ORCID 0009-0003-3376-5499

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since 2012, implementation of the advanced access model in primary care has been highly recommended across Canada to improve timely access. We present a portrait of the implementation of the advanced access model 10 years after its large-scale implementation across the province of Quebec. In total, 127 clinics participated in the study, with 999 family physicians and 107 nurse practitioners responding to the survey. Results show that opening schedules for appointments over a period of 2 to 4 weeks has largely been implemented. However, reserving consultation time for urgent or semi-urgent conditions was implemented by less than half and planning supply and demand for 20% or more of the upcoming year by fewer than one fifth of respondents. More strategies need to be put in place to react to imbalances when they occur. We demonstrate that strategies based on individual practice change are more often implemented than those requiring changes at the clinic.

Indexed as

Appointments and SchedulesHealth Services AccessibilityCanadaHumansQuebecSurveys and Questionnaires

Identifiers

PMID37326497
PMCPMC10446410

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.