Academic Journal
Evaluation of the implementation of single points of access for unattached patients in primary care and their effects: a study protocol
| العنوان: | Evaluation of the implementation of single points of access for unattached patients in primary care and their effects: a study protocol |
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| المؤلفون: | Breton, Mylaine, Lamoureux-Lamarche, Catherine, Deslauriers, Véronique, Laberge, Maude, Arsenault, Josée, Gaboury, Isabelle, Beauséjour, Marie, Pomey, Marie-Pascale, Motulsky, Aude, Talbot, Annie, St-Yves, Annie, Smithman, Mélanie Ann, Deville-Stoetzel, Nadia, Sauvé, Carine, Abou Malham, Sabina |
| بيانات النشر: | BMJ Publishing Group Ltd |
| سنة النشر: | 2023 |
| المجموعة: | HighWire Press (Stanford University) |
| مصطلحات موضوعية: | Health services research |
| الوصف: | Introduction Attachment to a primary care provider is an important component of primary care as it facilitates access. In Qu e ´ bec, Canada, attachment to a family physician is a concern. To address unattached patients’ barriers to accessing primary care, the Ministry of Health and Social Services mandated Qu e ´ bec’s 18 administrative regions to implement single points of access for unattached patients ( Guichets d’acc e ` s premi e ` re ligne (GAPs)) that aim to better orient patients towards the most appropriate services to meet their needs. The objectives of this study are to (1) analyse the implementation of GAPs, (2) measure the effects of GAPs on performance indicators and (3) assess unattached patients’ experiences of navigation, access and service utilisation. Methods and analysis A longitudinal mixed-methods case study design will be conducted. Objective 1. Implementation will be analysed through semistructured interviews with key stakeholders, observations of key meetings and document analysis. Objective 2. GAP effects on indicators will be measured using performance dashboards produced using clinical and administrative data. Objective 3. Unattached patients’ experiences will be assessed using a self-administered electronic questionnaire. Findings for each case will be interpreted and presented using a joint display, a visual tool for integrating qualitative and quantitative data. Intercase analyses will be conducted highlighting the similarities and differences across cases. Ethics and dissemination This study is funded by the Canadian Institutes of Health Research (# 475314) and the Fonds de Soutien a ` l’innovation en sant e ´ et en services sociaux (# 5-2-01) and was approved by the CISSS de la Mont e ´ r e ´ gie-Centre Ethics Committee (MP-04-2023-716). |
| نوع الوثيقة: | text |
| وصف الملف: | text/html |
| اللغة: | English |
| Relation: | http://bmjopen.bmj.com/cgi/content/short/13/3/e070956; http://dx.doi.org/10.1136/bmjopen-2022-070956 |
| DOI: | 10.1136/bmjopen-2022-070956 |
| الاتاحة: | http://bmjopen.bmj.com/cgi/content/short/13/3/e070956 https://doi.org/10.1136/bmjopen-2022-070956 |
| Rights: | Copyright (C) 2023, British Medical Journal Publishing Group |
| رقم الانضمام: | edsbas.105938F7 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/bmjopen-2022-070956 |
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