{"title":"魁北克无人陪伴的成年人通过初级医疗访问点接受医疗预约的相关决定因素:一项横断面研究。","authors":"Mylaine Breton, Catherine Lamoureux-Lamarche, Véronique Deslauriers, Djamal Berbiche, Maude Laberge, Mélanie Ann Smithman, Annie Talbot, Isabelle Gaboury, Marie-Pascale Pomey, Marie Beauséjour","doi":"10.1177/08404704241301773","DOIUrl":null,"url":null,"abstract":"<p><p>Canada is experiencing an unprecedented primary care crisis, with 6.5 million Canadians reporting lacking a family physician, including 31% of the Quebec population. To address this problem, the province of Quebec implemented Primary Care Access Points (GAPs) to help unattached patients navigate and access primary care services while awaiting attachment. We aimed to examine the determinants associated with unattached patients receiving a medical appointment compared to another service through the GAP. Cross-sectional data (n = 13,291) from two GAPs were collected (June 2022 to March 2023). Multivariable logistic regression was carried out. Being younger, calling for an acute health problem, medication renewal or to have administrative documentation filled, having a physical or mental health problem, and using GAP A (compared to GAP B) were associated with an increased likelihood of receiving a medical appointment. This study is the first to document the characteristics of patients using the GAP and their needs.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241301773"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Determinants associated with receiving a medical appointment through the Primary Care Access Points for unattached adults in Quebec: A cross-sectional study.\",\"authors\":\"Mylaine Breton, Catherine Lamoureux-Lamarche, Véronique Deslauriers, Djamal Berbiche, Maude Laberge, Mélanie Ann Smithman, Annie Talbot, Isabelle Gaboury, Marie-Pascale Pomey, Marie Beauséjour\",\"doi\":\"10.1177/08404704241301773\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Canada is experiencing an unprecedented primary care crisis, with 6.5 million Canadians reporting lacking a family physician, including 31% of the Quebec population. To address this problem, the province of Quebec implemented Primary Care Access Points (GAPs) to help unattached patients navigate and access primary care services while awaiting attachment. We aimed to examine the determinants associated with unattached patients receiving a medical appointment compared to another service through the GAP. Cross-sectional data (n = 13,291) from two GAPs were collected (June 2022 to March 2023). Multivariable logistic regression was carried out. Being younger, calling for an acute health problem, medication renewal or to have administrative documentation filled, having a physical or mental health problem, and using GAP A (compared to GAP B) were associated with an increased likelihood of receiving a medical appointment. This study is the first to document the characteristics of patients using the GAP and their needs.</p>\",\"PeriodicalId\":39854,\"journal\":{\"name\":\"Healthcare Management Forum\",\"volume\":\" \",\"pages\":\"8404704241301773\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Healthcare Management Forum\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/08404704241301773\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Healthcare Management Forum","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/08404704241301773","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
加拿大正在经历一场前所未有的初级医疗危机,有 650 万加拿大人表示没有家庭医生,其中包括 31% 的魁北克人口。为解决这一问题,魁北克省设立了初级医疗接入点(GAPs),帮助无挂号患者在等待挂号期间获得初级医疗服务。我们的目的是研究未就诊患者通过 GAP 接受医疗预约与接受其他服务的相关决定因素。我们收集了两次 GAP(2022 年 6 月至 2023 年 3 月)的横截面数据(n = 13,291)。进行了多变量逻辑回归。年轻、因急性健康问题、续药或填写行政文件、有身体或精神健康问题、使用 GAP A(与 GAP B 相比)与接受医疗预约的可能性增加有关。这项研究首次记录了使用 GAP 的患者的特征及其需求。
Determinants associated with receiving a medical appointment through the Primary Care Access Points for unattached adults in Quebec: A cross-sectional study.
Canada is experiencing an unprecedented primary care crisis, with 6.5 million Canadians reporting lacking a family physician, including 31% of the Quebec population. To address this problem, the province of Quebec implemented Primary Care Access Points (GAPs) to help unattached patients navigate and access primary care services while awaiting attachment. We aimed to examine the determinants associated with unattached patients receiving a medical appointment compared to another service through the GAP. Cross-sectional data (n = 13,291) from two GAPs were collected (June 2022 to March 2023). Multivariable logistic regression was carried out. Being younger, calling for an acute health problem, medication renewal or to have administrative documentation filled, having a physical or mental health problem, and using GAP A (compared to GAP B) were associated with an increased likelihood of receiving a medical appointment. This study is the first to document the characteristics of patients using the GAP and their needs.
期刊介绍:
Healthcare Management Forum is the official journal of the Canadian College of Health Service Executives. It is the only peer-reviewed journal that covers issues related to advances in health services management, theory and practice in a Canadian context. The quality of its contributors, the rigorous review process and the leading-edge topics make it truly unique!