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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Longwoods Publishing
2023
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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. |
format | Online Article Text |
id | pubmed-10370394 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Longwoods Publishing |
record_format | MEDLINE/PubMed |
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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