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Implementing advanced access to primary care in an academic family medicine network: Participatory action research.
Hudon, Catherine; Luc, Mireille; Beaulieu, Marie-Claude; Breton, Mylaine; Boulianne, Isabelle; Champagne, Louise; Conway, Sandra; Côté, Nick; Deshaies, Jean-François; Fillion, Marylène; Villemure, Philippe.
Afiliación
  • Hudon C; Professor and Research Director in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke in Quebec. catherine.hudon@usherbrooke.ca.
  • Luc M; Coordinator at the time of the study and is now Deputy Director of the University of Sherbrooke Practice-based Research Network.
  • Beaulieu MC; Professor and Deputy Director of the Family Medicine Residency Program in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke.
  • Breton M; Professor in the Department of Community Health Sciences at the University of Sherbrooke.
  • Boulianne I; Quality improvement expert and a manager in the Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean.
  • Champagne L; Professor and Deputy Director of the Family Medicine Residency Program in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke, and Director of the Hôpital Charles-Le Moyne academic setting in Quebec.
  • Conway S; Partner patient in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke.
  • Côté N; Family medicine resident in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke.
  • Deshaies JF; Professor in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke.
  • Fillion M; Organizational change expert in the Department of Human Resources at the University of Sherbrooke.
  • Villemure P; Director of the Alma academic setting in Quebec and Professor in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke.
Can Fam Physician ; 65(9): 641-647, 2019 09.
Article en En | MEDLINE | ID: mdl-31515315
OBJECTIVE: To support the implementation of the advanced access model in a network of family medicine academic settings, and to identify solutions to teaching advanced access to family medicine residents. DESIGN: Participatory action research study using descriptive methods. SETTING: A network of 11 academic family medicine settings, mostly located in the province of Quebec. PARTICIPANTS: Eighteen academic-setting directors and deputy directors and 125 clinical preceptors. METHODS: The study was carried out from August 2015 through January 2017. Settings were represented by a "community of practice" of academic-setting directors and deputy directors. Data were collected via questionnaires, online surveys, and 4, 60-minute focus groups. Data were analyzed using descriptive statistics or thematic analysis. Findings were validated with the community of practice. MAIN FINDINGS: Nearly all of the academic family medicine settings implemented advanced access for their clinical preceptors (90.9%). Four main solutions to teaching advanced access were identified: establishing an optimal panel of patients; ensuring continuity of care during absences and away rotations; optimizing team collaboration; and creating a positive experience of immersion in advanced access. CONCLUSION: An academic-setting community of practice contributed to sharing solutions that were instrumental in broadly implementing the advanced access model and that also paved the way for the integration of advanced access for future family physicians, further supporting timely access to primary care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina Familiar y Comunitaria / Accesibilidad a los Servicios de Salud / Internado y Residencia Tipo de estudio: Clinical_trials / Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Can Fam Physician Año: 2019 Tipo del documento: Article Pais de publicación: Canadá
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina Familiar y Comunitaria / Accesibilidad a los Servicios de Salud / Internado y Residencia Tipo de estudio: Clinical_trials / Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Can Fam Physician Año: 2019 Tipo del documento: Article Pais de publicación: Canadá