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Interprofessional advanced access - a quality improvement protocol for expanding access to primary care services
Isabelle Gaboury1, Mylaine Breton2, Kathy Perreault3
1Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Canada. isabelle.gaboury@usherbrooke.ca.
BMC Health Services Research
|August 14, 2021
Summary
This study explores practice facilitation to improve Advanced Access (AA) in primary care teams. It aims to identify barriers and develop strategies for broader AA implementation and enhanced interprofessional collaboration.
Area of Science:
- Primary Care Research
- Health Services Research
- Quality Improvement Science
Background:
- Advanced Access (AA) model improves timely patient access in primary care.
- Widespread physician adoption of AA, but limited use by other professionals.
- Varied AA implementation levels necessitate support for continuous improvement.
Purpose of the Study:
- To document and measure practice facilitation's effects on AA implementation.
- To improve AA within interprofessional primary care teams.
- To identify barriers and develop strategies for broadening AA adoption.
Main Methods:
- Quality improvement project with five primary care teams over 18 months.
- Utilizing Plan-Do-Study-Act (PDSA) cycles for iterative improvement.
- Mixed-methods evaluation: interviews, patient surveys, and Electronic Medical Record (EMR) data.
Main Results:
- Practice facilitation aims to enhance stakeholder involvement and interprofessional collaboration.
- Study seeks to identify key barriers to quality improvement in primary care.
- Focus on developing strategies for successful AA implementation and expansion.
Conclusions:
- Practice facilitation can support interprofessional teams in improving Advanced Access.
- Study findings will inform strategies to overcome barriers to AA implementation.
- Results will aid in broadening the use of AA among diverse primary care professionals.
Keywords:
Advanced AccessInterprofessional collaborationOrganizational changePractice facilitationPrimary careQuality improvementMore Related Videos
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