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Centralized Waiting Lists for Unattached Patients in Primary Care: Learning from an Intervention Implemented in Seven Canadian Provinces - Research Paper

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1159
Published Date
2018-07-10
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."
Personal Author
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
Published Date
2018-07-10
Topics
Attachment
Event
Centralized Waitlist- Patient Attachment Mechanisms Webinar
Resource Type
Article
Research Paper
File Type
Web page
Originating web page
https://www.researchgate.net/publication/326378660_Centralized_Waiting_Lists_for_Unattached_Patients_in_Primary_Care_Learning_from_an_Intervention_Implemented_in_Seven_Canadian_Provinces
Citation
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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Cost Analysis of a Nurse Practitioner in a GP Clinic

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource509
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Published Date
2015-12-22
Link to File
/media/divresources/AnalysisNPinGPClinicPowellRiver.pdf
Description
"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."
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Corporate Author
Powell River Division of Family Practice
Personal Author
Christien Kaaij
Published Date
2015-12-22
Topics
Nurse Practitioners
Team-Based Care
Finances
Resource Type
Report
File Type
Pdf
Link to File
/media/divresources/AnalysisNPinGPClinicPowellRiver.pdf
Description
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.
Less detail
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Published Date
2015-12-22
Link to File
/media/divresources/NPArticlePowellRiver.pdf
Description
"Article to raise awareness about Nurse Practitioner (NP) in Powell River. To support better care for patients, the Powell River Division and Vancouver Coastal Health piloted a new program to refer patients with chronic conditions to a nurse practitioner. Nurse practitioners can order and interpret diagnostic tests, make medical diagnoses, prescribe some medications, perform specific procedures, and refer to medical specialists."
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Corporate Author
Powell River Division of Family Practice
Personal Author
Christien Kaaij
Published Date
2015-12-22
Topics
Nurse Practitioners
Team-Based Care
Communications and Marketing
Resource Type
Article
File Type
Pdf
Link to File
/media/divresources/NPArticlePowellRiver.pdf
Description
Article to raise awareness about Nurse Practitioner (NP) in Powell River. To support better care for patients, the Powell River Division and Vancouver Coastal Health piloted a new program to refer patients with chronic conditions to a nurse practitioner. Nurse practitioners can order and interpret diagnostic tests, make medical diagnoses, prescribe some medications, perform specific procedures, and refer to medical specialists.
Less detail