ArticleBMC primary care2024
Access to primary health care: perspectives of primary care physicians and community stakeholders.
Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Racial and Social Disparities in Primary Healthcare Access and Wait Times in Canada: A Cross-Sectional Study.Journal of racial and ethnic health disparities · 2026Article
- Article
- Measuring what matters- patient and clinician priorities for clinical decision support interactions: a modified Delphi study.BMC medical informatics and decision making · 2026Article
- Community Health Centres as a model of care: contextualizing for Europe - a Delphi study.Primary health care research & development · 2026Article
- The Breast Cancer Awareness and Risk Education for Asian Americans (Breast CARE): a community-based patient education program for breast cancer screening and prevention.BMC primary care · 2026Article
- Implementing the screening for poverty and related social determinants and intervening to improve knowledge of and links to resources (SPARK) in primary care clinics across Canada.Family practice · 2026Article
- Geospatial analysis of primary healthcare accessibility and qualitative assessment of affordability in rural communities of Twifo Ati-Morkwaa District, Ghana.BMC primary care · 2026Article
- How do health professionals face barriers? A quantitative approach to the adoption of evidence-based practices in mental health care.Global mental health (Cambridge, England) · 2026Article
- Characterizing primary care patient referrals and attendance patterns for virtual lifestyle medicine shared medical appointments.Preventive medicine reports · 2025Article
- Exploring the role of the JEEViKA swasthya mitra helpdesk in improving healthcare access: a qualitative study in tertiary healthcare facilities in Bihar, India.BMC health services research · 2025Article
- The Intersection of Policy and Health Equity in Primary Health Care: A Policy Scan of 3 Canadian Provinces.Journal of primary care & community healthArticle
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAction on the social determinants of health is important to strengthen primary health care and promote access among underserved populations. We report on findings from stakeholder consultations undertaken at one of the Canadian sites of the Innovative Models Promoting Access-to-Care Transformation (IMPACT) program, as part of the development of a best practice intervention to improve access to primary health care. The overarching objective of this qualitative study was to understand the processes, barriers, and facilitators to connect patients to health enabling community resources (HERs) to inform a patient navigation model situated in primary care.
methodsFocus groups and interviews were conducted with primary care physicians, and community health and social service providers to understand their experiences in supporting patients in reaching HERs. Current gaps in access to primary health care and the potential of patient navigation were also explored. We applied Levesque et al., (2013) access framework to code the data and four themes emerged: (1) Approachability and Ability to Perceive, (2) Acceptability and Ability to Seek, (3) Availability and Accommodation, and Ability to Reach, and (4) Appropriateness.
resultsDeterminants of access included patient and provider awareness of HERs, the nature of the patient-provider relationship, funding of HERs, integration of primary and community care services, and continuity of information. Participants' perspectives about the potential scope and role of a patient navigator provided valuable insight for the development of the Access to Resources in the Community (ARC) navigation model and how it could be embedded in a primary care setting.
conclusionAdditional consultation with key stakeholders in the health region is needed to gain a broader understanding of the challenges in caring for primary care patients with social barriers and how to support them in accessing community-based primary health care to inform the design of the ARC intervention.
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