Attaching Patients in Primary Care Through Centralized Waiting Lists: Seven Canadian Provinces Compared

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dc.contributor.authorBreton, Mylaine
dc.contributor.authorSmithman, Mélanie Ann
dc.contributor.authorVandesrasier, Audrey
dc.contributor.authorKreindler, Sara A.
dc.contributor.authorSasseville, Martin
dc.contributor.authorSutherland, Jason
dc.contributor.authorGreen, Michael
dc.contributor.authorJbilou, Jalila
dc.contributor.authorShaw, Jay
dc.contributor.authorGard Marshall, Emily
dc.contributor.authorCrooks, Valorie A.
dc.contributor.authorBrousselle, Astrid
dc.contributor.authorContandriopoulos, Damien
dc.contributor.authorWong, Sabrina T.
dc.date.accessioned2021-02-24T00:55:23Z
dc.date.available2021-02-24T00:55:23Z
dc.date.copyright2019en_US
dc.date.issued2019
dc.description.abstractCanada has the lowest rate of attachment to primary care providers among OECD countries, which makes access and continuity of care problematic. To address this important issue, seven Canadian provinces have implemented centralized waiting lists (CWLs) for unattached patients in primary care. Introduced at different times, no two provinces' CWLs are exactly alike. The main goal of these CWLs is to reduce the number of unattached patients. In some provinces, CWLs also serve to monitor primary care activity or prioritize vulnerable patients. Societal pressure and broader primary care reform influenced the implementation of the CWLs in each province. Monitoring, in terms of data collected and purpose, differs between provinces. The interprovincial comparison enables identification of strengths, weaknesses, opportunities and threats during implementation and at each step of the CWLs: registration, patient assessment and attachment. Common issues with CWLs across provinces include the importance of monitoring to facilitate implementation, the need for specific measures to ensure access for vulnerable and complex patients, and the shortage of primary care providers.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.identifier.citationBreton, M., Smithman, M. A., Vandesrasier, A., Kreindler, S., Sasseville, M., Brousselle, A., … Wong, S. T. (2019). Attaching Patients in Primary Care Through Centralized Waiting Lists: Seven Canadian Provinces Compared. Health Reform Observer, 7(1), 1-20. https://doi.org/10.13162/hro-ors.v7i1.3773.en_US
dc.identifier.urihttps://doi.org/10.13162/hro-ors.v7i1.3773
dc.identifier.urihttp://hdl.handle.net/1828/12715
dc.language.isoenen_US
dc.publisherHealth Reform Observeren_US
dc.subjectcomparative study
dc.subjectprimary health care
dc.subjectprimary care provider
dc.subjecthealth services accessibility
dc.subjectunattached patients
dc.subjectwaiting lists
dc.subjectregistries
dc.subjectphysicians
dc.subject.departmentSchool of Public Administration
dc.subject.departmentSchool of Nursing
dc.titleAttaching Patients in Primary Care Through Centralized Waiting Lists: Seven Canadian Provinces Compareden_US
dc.typeArticleen_US

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