Implementation of a new clinical and organisational practice to improve access to primary care services : a protocol for an effectiveness-implementation hybrid study

Auteur(s): Côté, NancyChouinard, RébeccaFreeman, AndrewGagnon, Marie-Pierre; Breton, Mylaine; Duhoux, Arnaud; Ghandour, El KebirLaberge, MaudeMartin, ElisabethFortin, Jean-Paul; Bourgeault, Ivy
Résumé: Introduction In Canada, as in most Organisation for Economic Co-operation and Development countries, healthcare systems face significant challenges in ensuring better access to primary care. A regional healthcare organisation in Quebec (Canada) serving a population of approximately 755 459 citizens has implemented a standardised access approach to primary care services for this population. The objective of this new clinical and organisational practice is to ensure that users benefit from the same referral process, regardless of the entry point, in order to be directed to the right services. This new practice integrates a shared decision-making process between the user and the professional, and a collaborative process between different health professionals within and between services. The objective of our research is to identify and characterise the conditions of implementation of this practice. Methods This effectiveness-implementation hybrid investigation will use an embedded single-case study, defined in this case as the process of implementing a clinical and organisational practice within a healthcare organisation. Further to an evaluation conducted during a preliminary phase of the project, this study consists of evaluating the implementation of this new practice in four medical clinics (family medicine groups). A qualitative analysis of the data and a quantitative preimplementation and postimplementation analysis based on performance indicators will be conducted. This study is ultimately situated within a participatory organisational approach that involves various stakeholders and users at each step of the implementation and evaluation process.
Type de document: Article de recherche
Date de publication: 19 avril 2022
Date de la mise en libre accès: 21 juin 2022
Version du document: VoR
Licence Creative Commons:
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Ce document a été publié dans: BMJ open
BMJ Publishing Ltd.
Autre version disponible: 10.1136/bmjopen-2021-059792
Collection :Articles publiés dans des revues avec comité de lecture

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