Evaluation of the implementation of centralized waiting lists for patients without a family physician and their effects across the province of Quebec

dc.contributor.authorBreton, Mylaine
dc.contributor.authorBrousselle, Astrid
dc.contributor.authorBoivin, Antoine
dc.contributor.authorLoignon, Christine
dc.contributor.authorTouati, Nassera
dc.contributor.authorDubois, Carl-Ardy
dc.contributor.authorNour, Kareen
dc.contributor.authorBerbiche, Djamal
dc.contributor.authorRoberge, Danièle
dc.description.abstractBackground: Most national and provincial commissions on healthcare services in Canada over the past decade have recommended that primary care services be strengthened in order to guarantee each citizen access to a family physician. Despite these recommendations, finding a family physician continues to be problematic. The issue of enrolment with a family physician is worrying in Canada, where nearly 21% of the country’s population reported not having a family physician in the last Commonwealth Fund survey. To respond to this important need, centralized waiting lists have been implemented in four Canadian provinces to help ‘orphan,’ or unaffiliated, patients find a family physician. These organizational mechanisms are intended to better coordinate the demand for and supply of family physicians. The objectives of this study are: to assess the effects of centralized waiting lists for orphan patients (GACOs) implemented in the province of Quebec and to explain the variation among their effects by analyzing factors influencing implementation process. Methods: This study is based on two complementary and sequential research strategies. The first (objective 1) is a quantitative longitudinal design to assess the effects of all the GACOs (n = 93) in Quebec using clinicaladministrative data. The second (objective 2) involves using four case studies to explain variations in effects through in-depth analysis of the various factors contributing to the observed effects. The primary source of data will be key actors involved in the GACOs. We expect to conduct around 40 semi-structured interviews. Discussion: This will be the first study in Canada to evaluate the implementation of this innovation. It will provide an exhaustive picture of the effects of GACO implementation in Quebec and to assess their potential for generalization elsewhere in Canada. At the theoretical level, this study will produce new knowledge on the factors having the greatest influence on the implementation of primary care innovations in professional environments. Keywords: Primary healthcare, Access, Continuity, Implementation studyen_US
dc.description.sponsorshipThis study is funded by the Fonds de recherche du Québec - Santé (FRQ-S Grant #28974) and the Agence de la santé et des services sociaux de la Montérégie, for which MB is the principal investigator.en_US
dc.identifier.citationBreton, M., Brousselle, A., Boivin, A., Loignon, C., Touati, N., Dubois, C., … Roberge, D. (2014). Evaluation of the implementation of centralized waiting lists for patients without a family physician and their effects across the province of Quebec. Implementation Science, 9(117), 1-10. https://doi.org/10.1186/s13012-014-0117-9.en_US
dc.publisherImplementation Scienceen_US
dc.subjectPrimary healthcareen_US
dc.subjectImplementation studyen_US
dc.titleEvaluation of the implementation of centralized waiting lists for patients without a family physician and their effects across the province of Quebecen_US


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