Breton Mylaine, Lamoureux-Lamarche Catherine, Deslauriers Véronique, Berbiche Djamal, Laberge Maude, Smithman Mélanie Ann, Talbot Annie, Gaboury Isabelle, Pomey Marie-Pascale, Beauséjour Marie
Université de Sherbrooke, Longueuil, Québec, Canada.
Université Laval, Québec City, Québec, Canada.
Healthc Manage Forum. 2025 May;38(3):178-185. doi: 10.1177/08404704241301773. Epub 2024 Nov 24.
Canada is experiencing an unprecedented primary care crisis, with 6.5 million Canadians reporting lacking a family physician, including 31% of the Quebec population. To address this problem, the province of Quebec implemented primary care access points (in French, they are , or GAPs) to help unattached patients navigate and access primary care services while awaiting attachment. We aimed to examine the determinants associated with unattached patients receiving a medical appointment compared to another service through the GAP. Cross-sectional data (n = 13,291) from two GAPs were collected (June 2022 to March 2023). Multivariable logistic regression was carried out. Being younger, calling for an acute health problem, medication renewal or to have administrative documentation filled, having a physical or mental health problem, and using GAP A (compared to GAP B) were associated with an increased likelihood of receiving a medical appointment. This study is the first to document the characteristics of patients using the GAP and their needs.
加拿大正经历一场前所未有的初级医疗危机，650万加拿大人表示没有家庭医生，其中魁北克省人口的31% 亦是如此。为解决这一问题，魁北克省设立了初级医疗接入点（法语为，或GAPs），以帮助未签约患者在等待签约期间找到并获得初级医疗服务。我们旨在研究与未签约患者通过GAP获得医疗预约而非其他服务相关的决定因素。收集了来自两个GAP的横断面数据（n = 13291）（2022年6月至2023年3月）。进行了多变量逻辑回归分析。年龄较小、因急性健康问题就诊、进行药物续订或填写行政文件、有身体或心理健康问题以及使用A GAP（与B GAP相比）与获得医疗预约的可能性增加相关。本研究首次记录了使用GAP的患者的特征及其需求。
