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Open AccessAccess to primary health care: perspectives of primary care physicians and community stakeholders
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 o...
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Open AccessRealist review of community coalitions and outreach interventions to increase access to primary care for vulnerable populations: a realist review
There are meaningful gaps in equitable access to Primary Health Care (PHC), especially for vulnerable populations after widespread reforms in Western countries. The Innovative Models Promoting Access-to-Care T...
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Open AccessIs equity considered in systematic reviews of interventions for mitigating social isolation and loneliness in older adults?
Social isolation and loneliness affect one in four older adults in many regions around the world. Social isolation and loneliness are shown to be associated with declines in physical and mental health. Interse...
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Open AccessImproving access to primary health care: a cross-case comparison based on an a priori program theory
Inequitable access to primary health care (PHC) remains a problem for most western countries. Failure to scale up effective interventions has been due, in part, to a failure to share the logic and essential el...
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Open AccessInequities in the delivery of mental health care: a grounded theory study of the policy context of primary care
Strengthening capacity for mental health in primary care improves health outcomes by providing timely access to coordinated and integrated mental health care. The successful integration of mental health in pri...
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Open AccessPatients’ engagement in primary care research: a case study in a Canadian context
Patient engagement in primary care research is an increasingly common requirement, as it helps make research more relevant to patients and therefore more valuable. However, there is limited evidence about the ...
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Open AccessDoes healthcare inequity reflect variations in peoples’ abilities to access healthcare? Results from a multi-jurisdictional interventional study in two high-income countries
Primary healthcare services must respond to the healthcare-seeking needs of persons with a wide range of personal and social characteristics. In this study, examined whether socially vulnerable persons exhibit...
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Open AccessHigh-performing physicians are more likely to participate in a research study: findings from a quality improvement study
Participants in voluntary research present a different demographic profile than those who choose not to participate, affecting the generalizability of many studies. Efforts to evaluate these differences have f...
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Open AccessThe impact of the adoption of a patient rostering model on primary care access and continuity of care in urban family practices in Ontario, Canada
Greater continuity and access to primary care results in improved patient health, satisfaction, and reduced healthcare costs. Although patient rostering is considered to be a cornerstone of a high performing p...
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Open AccessEquity of primary care service delivery for low income “sicker” adults across 10 OECD countries
Despite significant investments to support primary care internationally, income-based inequities in access to quality health care are present in many high-income countries. This study aims to determine whether...
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Open AccessCancer screening inequities in a time of primary care reform: a population-based longitudinal study in Ontario, Canada
Primary care has been reformed in recent years in Ontario, Canada, with a move away from traditional fee-for-service to enhanced fee-for-service and capitation-based models. It is unclear how new models have a...
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Open AccessBuilding capacity for medical education research in family medicine: the Program for Innovation in Medical Education (PIME)
Despite the apparent benefits to teaching, many faculty members are reluctant to participate in medical education research (MER) for a variety of reasons. In addition to the further demand on their time, physi...
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Open AccessA real-world stepped wedge cluster randomized trial of practice facilitation to improve cardiovascular care
Practice facilitation has been associated with meaningful improvements in disease prevention and quality of patient care. Using practice facilitation, the Improved Delivery of Cardiovascular Care (IDOCC) proje...
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Open AccessErratum: What is the impact of primary care model type on specialist referral rates? A cross-sectional study
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Open AccessWhat is the impact of primary care model type on specialist referral rates? A cross-sectional study
Several new primary care models have been implemented in Ontario, Canada over the past two decades. These practice models differ in team structure, physician remuneration, and group size. Few studies have exam...
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Open AccessDelivery of primary health care to persons who are socio-economically disadvantaged: does the organizational delivery model matter?
As health systems evolve, it is essential to evaluate their impact on the delivery of health services to socially disadvantaged populations. We evaluated the delivery of primary health services for different s...
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Open AccessPractice size, financial sharing and quality of care
Although we are observing a general move towards larger primary care practices, surprisingly little is known about the influence of key components of practice organization on primary care. We aimed to determin...
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Open AccessPredictors of relational continuity in primary care: patient, provider and practice factors
Continuity is a fundamental tenet of primary care, and highly valued by patients; it may also improve patient outcomes and lower cost of health care. It is thus important to investigate factors that predict hi...
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Open AccessAccess to primary health care for immigrants: results of a patient survey conducted in 137 primary care practices in Ontario, Canada
Immigrants make up one fifth of the Canadian population and this number continues to grow. Adequate access to primary health care is important for this population but it is not clear if this is being achieved....
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Open AccessQuality of cardiovascular disease care in Ontario, Canada: missed opportunities for prevention - a cross sectional study
Primary care plays a key role in the prevention and management of cardiovascular disease (CVD). We examined primary care practice adherence to recommended care guidelines associated with the prevention and man...
