Dahrouge Simone, Gauthier Alain P, Durand Francois, Lemonde Manon, Saluja Kiran, Kendall Claire, Premji Kamila, Presseau Justin, Chomienne Marie-Hélène, Toal-Sullivan Darene Anne, Timony Patrick, Perna Andrea, Prud'homme Denis
Bruyère Research Institute, Ottawa, ON, Canada.
Department of Family Medicine, University of Ottawa, Ottawa, ON, Canada.
Int J Integr Care. 2022 Nov 22;22(4):13. doi: 10.5334/ijic.6500. eCollection 2022 Oct-Dec.
We established a patient centric navigation model embedded in primary care (PC) to support access to the broad range of health and social resources; the Access to Resources in the Community (ARC) model.
We evaluated the feasibility of ARC using the rapid cycle evaluations of the intervention processes, patient and PC provider surveys, and navigator log data. PC providers enrolled were asked to refer patients in whom they identified a health and/or social need to the ARC navigator.
Participants: 26 family physicians in four practices, and 82 of the 131 patients they referred. ARC was easily integrated in PC practices and was especially valued in the non-interprofessional practices. Patient overall satisfaction was very high (89%). Sixty patients completed the post-intervention surveys, and 33 reported accessing one or more service(s).
The ARC Model is an innovative approach to reach and support a broad range of patients access needed resources. The Model is feasible and acceptable to PC providers and patients, and has demonstrated potential for improving patients' access to health and social resources. This study has informed a pragmatic randomized controlled trial to evaluate the ARC navigation to an existing web and telephone navigation service (Ontario 211).
我们建立了一个嵌入初级保健（PC）的以患者为中心的导航模型，以支持患者获取广泛的健康和社会资源；即社区资源获取（ARC）模型。
我们通过对干预过程进行快速循环评估、对患者和初级保健提供者进行调查以及导航员日志数据，来评估ARC模型的可行性。参与研究的初级保健提供者被要求将他们确定有健康和/或社会需求的患者转介给ARC导航员。
参与者：来自四个诊所的26名家庭医生，以及他们转介的131名患者中的82名。ARC模型很容易融入初级保健实践，在非跨专业实践中尤其受到重视。患者总体满意度非常高（89%）。60名患者完成了干预后调查，其中33名报告使用了一项或多项服务。
ARC模型是一种创新方法，可帮助众多患者获取所需资源并为其提供支持。该模型对初级保健提供者和患者来说是可行且可接受的，并且已显示出改善患者获取健康和社会资源的潜力。本研究为一项务实的随机对照试验提供了信息，以评估ARC导航与现有的网络和电话导航服务（安大略省211）相比的效果。
