Related Experiment Video
Updated: Nov 2, 2025
07:31
Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.3K
Designing centralized waiting lists for attachment to a primary care provider: Considerations from a logic analysis
Mylaine Breton1, Mélanie Ann Smithman2, Sara A Kreindler3
1Department of Community Health Sciences, Université de Sherbrooke, Canadian Research Chair in Clinical Governance on Primary Health Care, Longueuil, QC, Canada.
Evaluation and Program Planning
|June 15, 2021
Summary
Centralized waiting lists (CWLs) help attach patients to primary care providers. This study reveals key mechanisms for designing effective CWLs, focusing on patient registration, prioritization, and assignment for better primary care access.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Health Policy and Management
Background:
- Access to a regular primary care provider is crucial for quality healthcare.
- In Canada, 15% of patients lack a regular provider, necessitating solutions like centralized waiting lists (CWLs).
- Existing research on CWLs primarily addresses specialized care, leaving a gap in understanding their application in primary care.
Purpose of the Study:
- To investigate and understand the design mechanisms for effective centralized waiting lists (CWLs) tailored for unattached patients seeking primary care.
- To adapt and refine programme theory for CWLs based on empirical evidence from primary care settings.
Main Methods:
- A qualitative case study was conducted across seven Canadian provinces.
- Logic analysis compared empirical data from the case study with programme theory derived from a realist review of CWLs.
- Data analysis utilized context-intervention-mechanism-outcome (CIMO) configurations.
Main Results:
- Identified critical mechanisms within three core components of CWL design: patient registration, patient prioritization, and provider assignment.
- Revised CWL programme theory to incorporate primary care specifics: patient-led registration, broad prioritization criteria, and emphasis on long-term attachment acceptability.
Conclusions:
- The study offers novel insights into the mechanisms that underpin successful CWLs for attaching patients to primary care.
- Understanding these specific mechanisms is vital for optimizing CWL design and improving access to primary care providers.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
675
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
675
01:26Methods Of Healthcare Delivery System
3.7K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.7K
01:26Methods of Documentation II: POMR
1.2K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.2K
01:21Planning Nursing Care I
5.2K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.2K
01:11Secondary Healthcare System
1.8K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.8K
01:26Methods of Documentation IV: Focus Charting
1.4K
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
1.4K