Improving access to primary healthcare through quality improvement cohorts
Impact of Externally Facilitated Continuous Quality Improvement Cohorts on Advanced Access to Support Primary Healthcare Teams
This study is trying to see if coaching healthcare teams can help clinics in Canada provide faster and better access to primary care for patients.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 48 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Université de Sherbrooke Academic / other |
| Locations | 18 sites (Gaspé, Quebec and 17 other locations) |
| Trial ID | NCT05715151 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to evaluate the effectiveness of Continuous Quality Improvement (CQI) cohorts in enhancing the implementation of the Advanced Access (AA) model in primary healthcare clinics across Canada. The study involves coaching eight primary healthcare teams through several Plan-Do-Study-Act (PDSA) cycles to improve timely access to care. By assessing the outcomes of these cohorts, the research seeks to develop a scalable program that can be adopted by provincial organizations and professional associations to support quality improvement in clinics. The focus is on interprofessional care teams, ensuring a collaborative approach to healthcare delivery.
Who should consider this trial
Good fit: Ideal candidates for this study are clinics that provide interprofessional care and have a majority of team members willing to participate.
Not a fit: Patients in solo practice or those receiving care from a physician-nurse only model may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could significantly improve timely access to primary healthcare services for patients.
How similar studies have performed: Other studies have shown success with similar quality improvement approaches in healthcare settings, indicating potential for positive outcomes.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion criteria: * Clinics must offer interprofessional care. * At least 50 % of all team members should accept to take part in the study. Exclusion criteria: * Solo Practice Physicians * Physician-nurse only model
Where this trial is running
Gaspé, Quebec and 17 other locations
- CISSS de la Gaspésie — Gaspé, Quebec, Canada (Recruiting)
- CISSS de l'Outaouais — Gatineau, Quebec, Canada (Recruiting)
- CISSS de Lanaudière — Joliette, Quebec, Canada (Recruiting)
- CISSS de Laval — Laval, Quebec, Canada (Recruiting)
- CIUSSS de Montérégie-Centre — Longueuil, Quebec, Canada (Recruiting)
- CISSS de Chaudière-Appalaches — Lévis, Quebec, Canada (Recruiting)
- CIUSSS de l'Est-de-l'Île-de-Montréal — Montréal, Quebec, Canada (Recruiting)
- CIUSSS de l'Ouest-de-l'Île-de-Montréal — Montréal, Quebec, Canada (Recruiting)
- CIUSSS du Centre-Ouest-de-l'Île-de-Montréal — Montréal, Quebec, Canada (Recruiting)
- CIUSSS du Centre-Sud-de-l'Île-de-Montréal — Montréal, Quebec, Canada (Recruiting)
- CIUSSS du Nord-de-l'Île-de-Montréal — Montréal, Quebec, Canada (Recruiting)
- CISSS de l'Abitibi-Témiscamingue — Rouyn-Noranda, Quebec, Canada (Recruiting)
- CISSS de la Montérégie-Ouest — Saint-Hubert, Quebec, Canada (Recruiting)
- CISSS de la Montérégie-Est — Saint-Hyacinthe, Quebec, Canada (Recruiting)
- CISSS des Laurentides — Saint-Jérôme, Quebec, Canada (Recruiting)
- CIUSSS de l'Estrie-CHUS — Sherbrooke, Quebec, Canada (Recruiting)
- CIUSSS de la Mauricie et Centre-du-Québec — Trois-Rivières, Quebec, Canada (Recruiting)
- CIUSSS de la Capitale-Nationale — Québec, Canada (Recruiting)
Study contacts
- Principal investigator: Mylaine Breton, PhD — Université de Sherbrooke
- Study coordinator: Elisabeth Martin, Ph.D(c)
- Email: elisabeth.martin@usherbrooke.ca
- Phone: 5147799926
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.