RT Journal Article
SR Electronic
T1 Revising the advanced access model pillars: a multimethod study
JF CMAJ Open
JO CMAJ
FD Canadian Medical Association
SP E799
OP E806
DO 10.9778/cmajo.20210314
VO 10
IS 3
A1 Mylaine Breton
A1 Isabelle Gaboury
A1 Christine Beaulieu
A1 Maxime Sasseville
A1 Catherine Hudon
A1 Sabina Abou Malham
A1 Lara Maillet
A1 Arnaud Duhoux
A1 Isabel Rodrigues
A1 Jeannie Haggerty
YR 2022
UL http://www.cmajopen.ca/content/10/3/E799.abstract
AB Background: The advanced access model was developed 20 years ago and has been implemented in several countries. We aimed to revise and operationalize the pillars and subpillars of the advanced access model based on its contemporary practice by professionals in primary health care.Methods: This multimethod sequential study was informed by a literature review and an expert panel of provincial and local decision-makers, primary health care clinic members (family physicians, nurses and administrative staff), patients and researchers from the province of Quebec. Throughout the consultation process, participants were asked to develop a common vision of the pillars and subpillars that make up the advanced access model and to react to suggested definitions or content.Results: The revised advanced access model is defined by 5 pillars, of which 2 were updated from the original model (“Appointment system” and “Interprofessional practice”), 1 was merged with a revised pillar (“Develop contingency plans” with “Planning of needs and supply”) and 1 underwent major transformations (“Backlog reduction” to “Continuous adjustment”). A new pillar concerning communication emerged from the consultation process. Subsequent steps for operationalizing definitions of subpillars confirmed the nature of the revised advanced access pillars and stabilized their content.Interpretation: The overall consultation process resulted in a revised contemporary advanced access model, with strong consensus among participating experts. The revised model will be used to develop a reflective tool for primary health care professionals to evaluate their advanced access practice.