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Table 5 Evidence of effects in Ontario

From: Improving access to primary health care: a cross-case comparison based on an a priori program theory

Box Impact Evidence Source
10 Consumer ability to perceive need Not measured.  
11 Ability to seek Significant improvement on score on ‘Ability to seek’ (Scale; 1 = Not easy at all to 4 = Very easy) increased from 2.7 to 3.0 p = 0.000. Patient survey
12 Consumer gets to social/ community service appropriate to need 52% patients had accessed at least one resource. 55% patients had either accessed the resource, had an upcoming appointment with a health or community service, or were on a waiting list. In total, 57 resources were accessed by study participants, with an average of 1.7 per patient. Patient survey
14 Ability to Pay Patients reported the intervention assisted them to access services they could afford. Qualitative interview
22 GPs/FPs have knowledge and skills 61% of primary care providers reported that the intervention enabled them to refer more to community resources. Provider survey
24 GP/PC Clinic has policies, processes, procedures enabling/ supporting access Implemented as part of the study and sustained:
Promotional material to help patients be aware of need
Referral form embedded in electronic medical record to refer vulnerable patients for navigation.
Observed
31 Appropriate referrals 61% of primary care providers reported that the intervention enabled them to refer more to community resources. Provider survey