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INDICATOR NAME
Name
Same day or next day appointment (Timely access to primary care when sick)
Alternate Name
Percentages of people aged 16 and older who reported they were able to see their primary care provider, or another provider in their office, in either less than 2 days, 2-3 days, 4-7 days or 8 or more days, when they were sick or had a health concern.
 
INDICATOR DESCRIPTION
Description

This indicator measures the percentage of people in Ontario aged 16 and older who reported that  in the last 12 months when they were sick or were concerned that they had a health problem they were able to see their primary care provider (i.e. a family doctor, a general practitioner or GP, or nurse practitioner)  or someone else in their office  the same day or the next day (in less than 2 days)

The results can be reported for 2-3 days;  4-7 days and 8 or more days.

Indicator Status
Active
HQO Reporting tool/product
Public reporting
Dimension
Timely
Type
Process
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
Numerator divided by the denominator times 100
Numerator including inclusion/exclusion

Weighted number of respondents who answered to the following question and provided the number of days that they waited to see their primary care provider :

How many days did it take from when you first tried to see your [fill fd_type] to when you actually saw them or someone else in their office?

- Saw doctor same day

- Saw doctor next day

- 2 to 19 (enter number of days)

- Twenty or more days

- Don’t know

- Refused

Denominator including inclusion/exclusion

Weighted number of respondents who  reported having a primary care provider and answered "yes" to the following questions:

Not counting yearly check-ups or monitoring of an ongoing health issue, in the last 12 months did you want to see your [name type of provider] because you were sick or were concerned that you had a health problem?

- Yes

- No

- Don’t know

- Refused

AND

Respondents who answered "yes saw own doctor", "yes saw someone else in office", or "saw both [fill fd_type] and someone else (and others)" to the following question:

Did you actually see your [fill fd_type] or someone else in their office?

- Yes saw own doctor

- Yes saw someone else in office

- Saw both [fill fd_type] and someone else (others)

- No

- Don’t know

- Refused

Exclusion

Respondents who answered "don't know" or "refused" are excluded from analyses

Adjustment (risk, age/sex standardization)- detailed

None


Data Source
Health Care Experience Survey (HCES)
Data provided to HQO by
Ministry of Health and Long-Term Care (MOHLTC)
Reported Levels of comparability /stratifications (defined)
Age, Education, Immigration, Income, International comparison, Language, Province, Region, Rurality, Sex
 
RESULT UPDATES
Indicator Results
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
Only people aged 16 years and older can complete the survey People living in institutions, in households without telephones, and those with invalid/missing household addresses in the Registered Persons Database (RPDB) are excluded. Respondents who were unable to speak English or French or were not healthy enough (physically or mentally) to complete the interview were not surveyed.
Comments Detailed
The results are weighted to account for the design characteristics of the survey and post-stratified by age and sex to reflect the Ontario population. In addition the geographic region and community weighting is applied. References ‘fill fd_type’ in the question can mean a family doctor, GP, nurse practitioner, or anyone else the respondent said they get their primary care from. International and provincial comparisons are reported in Measuring Up report. Data source for international and provincial comparisons is Commonwealth Fund International Health Policy Survey of Adults, that has a similar question: The survey question in CMWF IHP is: “Last time you were sick or needed medical attention, how quickly could you get an appointment to see a doctor or a nurse? The CMWF survey population is adults aged 18 and older. A similar indicator is included in the primary care QIP as well. The data source for it is local data collection. The question advised in the QIP guidance document is: The last time you were sick or were concerned you had a health problem, how many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually SAW him/her or someone else in their office? The education stratification analysis is done among those aged 25 and older. Urban/rural status is defined using Statistics Canada's Statistical Area Classification. Household income analysis does not consider the household composition.
Footnotes
i Szafran O., Bell N.R. Use of Walk-in Clinics by Rural and Urban Patients. Canadian Family Physician.2000;46(1):114-19 ii Healthydebate. Born K & Laupacis A. September 28, 2011. Access at http://healthydebate.ca/2011/09/topic/community-long-term-care/accessing-primary-care iii [Excellent Care for All. http://www.health.gov.on.ca/en/pro/programs/ecfa/action/primary/pri_access.aspx]
 
TAGS
Sector
Primary Care
Type
Process
Topic
Patient Reported Measures
Dimension
Timely
Source
Health Care Experience Survey (HCES)
 
PUBLISH
Publish Datetime
20/12/2019 14:05:00