AI Article Synopsis
- The objective of the study was to help implement an advanced access model in family medicine academic settings and find ways to teach this model to residents.
- The research was conducted in Quebec across 11 academic family medicine sites, involving various directors and clinical preceptors over a two-year period, using methods like surveys and focus groups for data collection.
- Key findings showed that most settings successfully implemented advanced access, and four main solutions identified for teaching this model included optimizing patient panels, ensuring care continuity, enhancing team collaboration, and providing immersive experiences in advanced access.
Article Abstract
Objective: To support the implementation of the advanced access model in a network of family medicine academic settings, and to identify solutions to teaching advanced access to family medicine residents.
Design: Participatory action research study using descriptive methods.
Setting: A network of 11 academic family medicine settings, mostly located in the province of Quebec.
Participants: Eighteen academic-setting directors and deputy directors and 125 clinical preceptors.
Methods: The study was carried out from August 2015 through January 2017. Settings were represented by a "community of practice" of academic-setting directors and deputy directors. Data were collected via questionnaires, online surveys, and 4, 60-minute focus groups. Data were analyzed using descriptive statistics or thematic analysis. Findings were validated with the community of practice.
Main Findings: Nearly all of the academic family medicine settings implemented advanced access for their clinical preceptors (90.9%). Four main solutions to teaching advanced access were identified: establishing an optimal panel of patients; ensuring continuity of care during absences and away rotations; optimizing team collaboration; and creating a positive experience of immersion in advanced access.
Conclusion: An academic-setting community of practice contributed to sharing solutions that were instrumental in broadly implementing the advanced access model and that also paved the way for the integration of advanced access for future family physicians, further supporting timely access to primary care.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6741795 | PMC |
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