A Comparative Analysis of Centralized Waiting Lists for Unattached and Complex Patients Implemented in Six Canadian Provinces

Projet lauréat du concours de recherche rapide (automne 2015) du Réseau ISSPLI (IRSC).

Responsables : Mylaine Breton (Université de Sherbrooke), Michael Green (Queen’s University),  Jalila Jbilou (Université de Moncton), Sara Kreindler (University of Manitoba), Jason Sutherland (University of British Columbia)

Many Canadians do not have a regular family doctor. A lot of these people are sick, poor, immigrant or alone and would really benefit from having a family doctor. Not having a family doctor makes it harder to get the care they need and, so, they go to the emergency more often and are less healthy. Six provinces have put in place a system to help these people find a family doctor. Essentially, those who do not have a family doctor can register on a provincial waiting list and, eventually, be matched with a doctor. However, each of these systems works differently and each province knows very little about how other provinces are helping people find a family doctor. This research project wants 1) to understand each province’s system by talking to those in charge of these systems, 2) to find the best ways of doing things by talking to experts and looking at articles on the subject and 3) to share this information with those involved in managing each province’s system. Managers, doctors and researchers from each province will meet to compare what they are doing in their province to what other provinces are doing and to the best ways of doing things according to experts to see where they could improve. The idea is that each province will find strategies to help more people find a family doctor, especially those who would benefit most from it.

Résultats :

Affiche présentée à la Journée scientifique Réseau-1 en juin 2017 :

• Helping patients find a primary care provider across Canada

Affiche scientifique présentée lors de la Journée annuelle 2019 du Réseau-1 :

Learning From Centralized Waiting Lists for Patients Whithout a Primary Care Provider Across Seven Provinces : A Logic Analysis, SPOR PICHIN Quick-Strike Study

Publications :

• A comparative analysis of centralized waiting lists for patients without a primary care provider implemented in six Canadian provinces: study protocol (Breton, M. et al. BMJ Health Services Research, janvier 2017, 17: 60).
• Centralized Waiting Lists for Unattached Patients in Primary Care: Learning from an Intervention Implemented in Seven Canadian Provinces » (Breton, M., Wong, S., Smithman, M.-A., et al. Healthcare Policy, mai 2018, 13 [4]: 65-85).
• « Les plus vulnérables doivent s’armer de patience pour un médecin de famille » (Le Devoir, 18 mai 2018).

Capsule web (octobre 2017) :