Continuous Quality Improvement Cohorts on Advanced Access
NCT ID: NCT05715151
Last Updated: 2023-02-06
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
48 participants
INTERVENTIONAL
2022-09-21
2025-06-01
Brief Summary
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Detailed Description
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OBJECTIVE: Assess the effectiveness of CQI cohorts on AA outcomes.
QI INTERVENTION PROGRAM: PHC teams will participate in an externally facilitated CQI program focusing on AA. The proposed program consists of cycle of three key activities; 1) Interprofessional reflective sessions and need prioritization, 2) Group mentoring and PDSA Cycles and 3) Cohort cross-learning exchange opportunities.
METHODS: This study will be based on the cluster-controlled trial of a CQI program of PHC teams on AA. 48 PHC teams from Quebec will participate to the externally facilitated CQI cohort intervention. Volunteer clinics from the intervention regions will receive the CQI intervention for 18 months. Intervention clinics will be matched to PHC clinics located in other regions to compose the control group. The match will be based on the clinic level (1 to 10, based on the number of patients registered and services offered. Clinics in the control group will receive an audit on a selection of AA indicators and will be offered the intervention 12 to 18 months following their recruitment. Data collection and analysis will include quantitative data based on a comprehensive assessment of both AA processes and outcomes. These will be measured through a self-reflective survey for PHC team members, EMR data and patients related outcomes questionnaire on access. Qualitative data based on semi-structured interviews with key stakeholders, observations of the CQI activities and analysis of plans of action of documents plan of action will take place.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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CQI intervention
The proposed CQI cohort consists of three activities carried out iteratively until the improvement objectives are achieved.
CQI intervention
Activity 1: Reflective sessions and problem prioritisation. Activity 2: PDSA cycles. Activity 3: Group mentoring.
Audit and feedback
Clinics in the control group will receive feedback on six key AA indicators, patients reported experience about access and selected AA processes.
Audit and Feedback
Audit and Feedback on six key AA indicators, patients reported experience about access and selected AA processes.
Interventions
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CQI intervention
Activity 1: Reflective sessions and problem prioritisation. Activity 2: PDSA cycles. Activity 3: Group mentoring.
Audit and Feedback
Audit and Feedback on six key AA indicators, patients reported experience about access and selected AA processes.
Eligibility Criteria
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Inclusion Criteria
* At least 50 % of all team members should accept to take part in the study.
Exclusion Criteria
* Physician-nurse only model
18 Years
ALL
Yes
Sponsors
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Isabelle Gaboury
UNKNOWN
Mike Green
UNKNOWN
Tara Kiran
UNKNOWN
Janusz Kaczorowski
UNKNOWN
Maude Laberge
UNKNOWN
Université de Sherbrooke
OTHER
Responsible Party
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Mylaine Breton
Associate Professor, Department of Community Health Sciences
Principal Investigators
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Mylaine Breton, PhD
Role: PRINCIPAL_INVESTIGATOR
Université de Sherbrooke
Locations
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CISSS de la Gaspésie
Gaspé, Quebec, Canada
CISSS de l'Outaouais
Gatineau, Quebec, Canada
CISSS de Lanaudière
Joliette, Quebec, Canada
CISSS de Laval
Laval, Quebec, Canada
CISSS de Chaudière-Appalaches
Lévis, Quebec, Canada
CIUSSS de Montérégie-Centre
Longueuil, Quebec, Canada
CIUSSS de l'Est-de-l'Île-de-Montréal
Montreal, Quebec, Canada
CIUSSS de l'Ouest-de-l'Île-de-Montréal
Montreal, Quebec, Canada
CIUSSS du Centre-Ouest-de-l'Île-de-Montréal
Montreal, Quebec, Canada
CIUSSS du Centre-Sud-de-l'Île-de-Montréal
Montreal, Quebec, Canada
CIUSSS du Nord-de-l'Île-de-Montréal
Montreal, Quebec, Canada
CISSS de l'Abitibi-Témiscamingue
Rouyn-Noranda, Quebec, Canada
CISSS de la Montérégie-Ouest
Saint-Hubert, Quebec, Canada
CISSS de la Montérégie-Est
Saint-Hyacinthe, Quebec, Canada
CISSS des Laurentides
Saint-Jérôme, Quebec, Canada
CIUSSS de l'Estrie-CHUS
Sherbrooke, Quebec, Canada
CIUSSS de la Mauricie et Centre-du-Québec
Trois-Rivières, Quebec, Canada
CIUSSS de la Capitale-Nationale
Québec, , Canada
Countries
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Central Contacts
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Facility Contacts
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Role: primary
Role: primary
Chantal Legris
Role: primary
Role: primary
Role: primary
References
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Breton M, Gaboury I, Martin E, Green ME, Kiran T, Laberge M, Kaczorowski J, Ivers N, Deville-Stoetzel N, Bordeleau F, Beaulieu C, Descoteaux S. Impact of externally facilitated continuous quality improvement cohorts on Advanced Access to support primary healthcare teams: protocol for a quasi-randomized cluster trial. BMC Prim Care. 2023 Apr 11;24(1):97. doi: 10.1186/s12875-023-02048-y.
Other Identifiers
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MP-04-2022-696
Identifier Type: -
Identifier Source: org_study_id
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