Are Family Medicine Clinics Improving Access to Care through Organizational Changes Driven by Healthcare Reform?

Q2 Medicine

Healthcare Policy Pub Date : 2022-08-01 DOI:10.12927/hcpol.2022.26905

Isabel Rodrigues, Marie Authier

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引用次数: 1

Abstract

Purpose: This observational descriptive study reports organizational changes after the last reform in 18 family medicine units (FMUs) affiliated with the University of Montreal in Québec.

Method: Two self-administered surveys on access to care were administered to FMU directors between December 2016 and January 2017, and in August 2018.

Results: Between surveys, the number of registered patients increased substantially. All clinics recruited new patients, and most offered walk-in services (89%) and moved toward an advanced access scheduling model (83%). For licensed practical nurses, there was a median increase from 0 to 3 and for nurse clinicians, from 2 to 3, that helped the development of collaborative teamwork.

Conclusion: Despite the added teaching mission, the response of the FMU network has been dynamic, has adapted to the major changes and has continued to actively improve access to care for their communities. Challenges still remain regarding work on key priorities for improving access management.

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家庭医学诊所是否通过医疗改革推动的组织变革改善了医疗服务的可及性?

目的:本观察性描述性研究报告了魁北克蒙特利尔大学附属18个家庭医学单位(FMUs)上次改革后的组织变化。方法:分别于2016年12月至2017年1月和2018年8月对FMU主任进行两次自我调查。结果:在两次调查之间，登记患者数量大幅增加。所有的诊所都招募了新患者，大多数提供上门服务(89%)，并转向了高级访问调度模式(83%)。对于有执照的实习护士，中位数从0增加到3，对于临床护士，从2增加到3，这有助于合作团队的发展。结论:尽管增加了教学任务，但FMU网络的反应是动态的，已经适应了重大变化，并继续积极改善其社区的护理机会。在改善准入管理的关键优先事项方面的工作仍然存在挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Healthcare Policy Medicine-Health Policy

CiteScore

3.20

自引率

0.00%

发文量