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Table 1 Definition of AA measures

From: Impact of externally facilitated continuous quality improvement cohorts on Advanced Access to support primary healthcare teams: protocol for a quasi-randomized cluster trial

Measure

Definition

Outcome

 3rd next available appointment (weekly)

Number of days before the 3rd next available appointment open for general consultation

 Relational continuity (monthly)

Total number of medical consultations with a patient’s attached family physician (or specialised nurse) out of the total number of consultations with any family physician (or specialised nurse) from the clinic. Evaluates relational continuity between the provider and their registered patients

Process

 48-h capacity (weekly)

Proportion of appointments available in the next 48 h. Provides an overview of the provider’s ability to respond to urgent care demands

 Use of walk-in clinics (monthly)

Proportion of consultations with registered patients offered through walk-in visits out of the total number of consultations with their attached professional

 Professional diversity of care (monthly)

Proportion of consultations with a physician, resident or specialised nurse out of the total number of consultations with any provider at the clinic. Evaluates the level of involvement of different types of providers (social workers, nurses, pharmacists, etc.) with registered patients

 14-day capacity (weekly)

Proportion of appointments available in the next 14 days. Provides an overview of the provider’s ability to respond to routine care and follow-up demands

Balancing

 Discontinued care for patients with chronic disease (monthly)

Proportion of registered patients with at least one chronic condition who have not consulted the clinic within the last 12 months