From: Improving access to primary health care: a cross-case comparison based on an a priori program theory
NSW | Alberta | Ontario | Quebec | |
---|---|---|---|---|
Intervention | ||||
Contact with patients | Initial health check appointment with PN Patient-initiated contact with website 6-week follow-up with nurse | 1 day “pop-up” event – duration of contact determined by patient need and engagement. | Patient meets navigator – once or more frequently with or without phone follow-up | Single phone call (some received a follow-up call) |
Contact with practice/ organisations | Clinical audits to identify clients One visit pre and two visits during intervention | None as part of the intervention | Displaying information about community services and navigator | None as part of the intervention |
Contact with providers | Self-guided training video pre intervention Feedback on clinical. audit | One-off or repeated participation in up to 7 pop-ups | Information about community services Referral practice change | None as part of the intervention |
Patient-level data | ||||
Baseline survey | Prior to health check | None | Prior to meeting navigator | Before or just after first phone call |
Baseline qualitative interview with a subsample | N.A. | N.A. | N.A. | Before or just after first phone call |
Post intervention survey | 6 months after intervention started | On the day, at end of engagement with pop-up | 3 months after intervention ended | 3 months after first call |
Post intervention qualitative interview with a subsample | 6 months after intervention started | 3–6 months after the intervention | 1–3 months after post survey | 3 months after first call |
Provider-level data | ||||
Baseline survey | Following practice consent to participate | N.A. | Following practice consent to participate | Following practice consent to participate |
Post intervention survey | 9 months after intervention started | 3–6 months after participation in each pop-up | 1 month prior to end of intervention | 9–16 months after pre-intervention survey (6 to 9 months after intervention start) |
Post intervention qualitative interview with a subsample | 9 months after intervention started with a subset of GPs and PNs | After each pop-up | 1–3 months after post-survey | N.A. |
Practice/ organization-level data | ||||
Baseline survey | Following practice consent to participate | N.A. | Survey following practice consent to participate | Survey following practice consent to participate |
Post intervention survey | 9 months after intervention started | N.A. | 1 month prior to end of intervention | 9–16 months after pre-intervention survey (6–9 months after intervention start) |