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Access to primary health care: perspectives of primary care physicians and community stakeholders.
- Source :
-
BMC primary care [BMC Prim Care] 2024 May 06; Vol. 25 (1), pp. 152. Date of Electronic Publication: 2024 May 06. - Publication Year :
- 2024
-
Abstract
- Background: Action on the social determinants of health is important to strengthen primary health care and promote access among underserved populations. We report on findings from stakeholder consultations undertaken at one of the Canadian sites of the Innovative Models Promoting Access-to-Care Transformation (IMPACT) program, as part of the development of a best practice intervention to improve access to primary health care. The overarching objective of this qualitative study was to understand the processes, barriers, and facilitators to connect patients to health enabling community resources (HERs) to inform a patient navigation model situated in primary care.<br />Methods: Focus groups and interviews were conducted with primary care physicians, and community health and social service providers to understand their experiences in supporting patients in reaching HERs. Current gaps in access to primary health care and the potential of patient navigation were also explored. We applied Levesque et al., (2013) access framework to code the data and four themes emerged: (1) Approachability and Ability to Perceive, (2) Acceptability and Ability to Seek, (3) Availability and Accommodation, and Ability to Reach, and (4) Appropriateness.<br />Results: Determinants of access included patient and provider awareness of HERs, the nature of the patient-provider relationship, funding of HERs, integration of primary and community care services, and continuity of information. Participants' perspectives about the potential scope and role of a patient navigator provided valuable insight for the development of the Access to Resources in the Community (ARC) navigation model and how it could be embedded in a primary care setting.<br />Conclusion: Additional consultation with key stakeholders in the health region is needed to gain a broader understanding of the challenges in caring for primary care patients with social barriers and how to support them in accessing community-based primary health care to inform the design of the ARC intervention.<br /> (© 2024. The Author(s).)
- Subjects :
- Humans
Canada
Male
Female
Stakeholder Participation
Patient Navigation organization & administration
Community Health Services organization & administration
Attitude of Health Personnel
Health Services Accessibility organization & administration
Primary Health Care organization & administration
Focus Groups
Physicians, Primary Care psychology
Qualitative Research
Subjects
Details
- Language :
- English
- ISSN :
- 2731-4553
- Volume :
- 25
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC primary care
- Publication Type :
- Academic Journal
- Accession number :
- 38711025
- Full Text :
- https://doi.org/10.1186/s12875-024-02312-9