Centralized Waiting Lists for Unattached Patients in Primary Care: Learning from an Intervention Implemented in Seven Canadian Provinces - Research Paper
"This article was referenced during the Centralized Waitlist- Patient Attachment Mechanisms webinar. It describes different models of centralized waitlists for unattached patients implemented in seven Canadian provinces and identifies common issues in the implementation of these centralized waitlists."
Mylaine Breton, Sabrina T. Wong, Mélanie Ann Smithman, Sara Kreindler, Jalila Jbilou, Emily Gard Marshall, Jason Sutherland, Astrid Brousselle, Jay Shaw, Valorie A. Crooks, Damien Contandriopoulos, Martin Sasseville and Michael Green
Breton, M., Wong, S. T., Smithman, M. A., Kreindler, S., Jbilou, J., Marshall, E. G., ... Green, M. (2018). Centralized Waiting Lists for Unattached Patients in Primary Care: Learning from an Intervention Implemented in Seven Canadian Provinces. Healthcare Policy, 13(4). Retrieved from https://www.researchgate.net/publication/326378660_Centralized_Waiting_Lists_for_Unattached_Patients_in_Primary_Care_Learning_from_an_Intervention_Implemented_in_Seven_Canadian_Provinces
Description
This article was referenced during the Centralized Waitlist- Patient Attachment Mechanisms webinar. It describes different models of centralized waitlists for unattached patients implemented in seven Canadian provinces and identifies common issues in the implementation of these centralized waitlists.
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"This document examines the financial impact of the work environment of a Nurse Practitioner (NP) on Vancouver Coastal Health’s (VCH) budget. It evaluates the cost effectiveness of having the NP work from a General Practitioners (GP) clinic compared to the community healthcare clinic in the hospital. NPs are working in many different primary care areas, as a specialist or as generalist in a primary care setting. Compared to physicians, patient satisfaction and quality of care have been equal or higher than care provided by physicians. NPs are effective in the reduction of patient unattachment and reduction of emergency department (ED) visits. Although NPs take often more consultation time and sometimes conduct more preventative actions, their work can be comparable or even more effective compared to other providers.
This study hypothesized that the NP’s direct patient time and accessibility increases in the GP clinic, leading to a reduction of ED cost. ED and hospitalization cost of NP patients one year prior to attachment is compared with one year after attachment. Cost effectiveness is calculated by deducting incremental work environment cost by avoided ED and hospitalization cost."
This document examines the financial impact of the work environment of a Nurse Practitioner (NP) on Vancouver Coastal Health’s (VCH) budget. It evaluates the cost effectiveness of having the NP work from a General Practitioners (GP) clinic compared to the community healthcare clinic in the hospital. NPs are working in many different primary care areas, as a specialist or as generalist in a primary care setting. Compared to physicians, patient satisfaction and quality of care have been equal or higher than care provided by physicians. NPs are effective in the reduction of patient unattachment and reduction of emergency department (ED) visits. Although NPs take often more consultation time and sometimes conduct more preventative actions, their work can be comparable or even more effective compared to other providers.
This study hypothesized that the NP’s direct patient time and accessibility increases in the GP clinic, leading to a reduction of ED cost. ED and hospitalization cost of NP patients one year prior to attachment is compared with one year after attachment. Cost effectiveness is calculated by deducting incremental work environment cost by avoided ED and hospitalization cost.
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3) Transitioning to the new Societies Act: How and When?
4) Dealing with Donors: How Much is Too Much?
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