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Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics

OBJECTIVE: This study aims to explore differences in access to care as experienced by patients registered in team-based primary healthcare clinics according to their social vulnerability profile. METHOD: A total of 1,562 patients from four team-based primary healthcare clinics completed an e-survey...

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Autores principales: Deville-Stoetzel, Nadia, Gaboury, Isabelle, Haggerty, Jeannie, Breton, Mylaine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Longwoods Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370394/
https://www.ncbi.nlm.nih.gov/pubmed/37486815
http://dx.doi.org/10.12927/hcpol.2023.27091
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author Deville-Stoetzel, Nadia
Gaboury, Isabelle
Haggerty, Jeannie
Breton, Mylaine
author_facet Deville-Stoetzel, Nadia
Gaboury, Isabelle
Haggerty, Jeannie
Breton, Mylaine
author_sort Deville-Stoetzel, Nadia
collection PubMed
description OBJECTIVE: This study aims to explore differences in access to care as experienced by patients registered in team-based primary healthcare clinics according to their social vulnerability profile. METHOD: A total of 1,562 patients from four team-based primary healthcare clinics completed an e-survey conducted between June and November 2021. The social vulnerability index was used to compare the experiences. RESULTS: Patients with low vulnerability consulted at emergency rooms three times more often because their family physician was not available (p = 0.006) than patients with no vulnerability. Lack of continuity was reported two times more often by patients with low vulnerability related to team members not knowing their recent medical history (p = 0.006) and by patients with high vulnerability related to no one being in charge of their file (p = 0.023). Both vulnerable groups reported receiving contradictory information more often than patients with no vulnerability. CONCLUSION: Patients with high vulnerability experienced more access difficulties related to continuity, interprofessional collaboration and communication with providers.
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spelling pubmed-103703942023-07-27 Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics Deville-Stoetzel, Nadia Gaboury, Isabelle Haggerty, Jeannie Breton, Mylaine Healthc Policy Research Paper OBJECTIVE: This study aims to explore differences in access to care as experienced by patients registered in team-based primary healthcare clinics according to their social vulnerability profile. METHOD: A total of 1,562 patients from four team-based primary healthcare clinics completed an e-survey conducted between June and November 2021. The social vulnerability index was used to compare the experiences. RESULTS: Patients with low vulnerability consulted at emergency rooms three times more often because their family physician was not available (p = 0.006) than patients with no vulnerability. Lack of continuity was reported two times more often by patients with low vulnerability related to team members not knowing their recent medical history (p = 0.006) and by patients with high vulnerability related to no one being in charge of their file (p = 0.023). Both vulnerable groups reported receiving contradictory information more often than patients with no vulnerability. CONCLUSION: Patients with high vulnerability experienced more access difficulties related to continuity, interprofessional collaboration and communication with providers. Longwoods Publishing 2023-05 /pmc/articles/PMC10370394/ /pubmed/37486815 http://dx.doi.org/10.12927/hcpol.2023.27091 Text en Copyright © 2023 Longwoods Publishing https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 License, which permits rights to copy and redistribute the work for non-commercial purposes only, provided the original work is given proper attribution.
spellingShingle Research Paper
Deville-Stoetzel, Nadia
Gaboury, Isabelle
Haggerty, Jeannie
Breton, Mylaine
Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics
title Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics
title_full Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics
title_fullStr Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics
title_full_unstemmed Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics
title_short Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics
title_sort patients living with social vulnerabilities experience reduced access at team-based primary healthcare clinics
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370394/
https://www.ncbi.nlm.nih.gov/pubmed/37486815
http://dx.doi.org/10.12927/hcpol.2023.27091
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