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INDICATOR NAME
Name
Same-day or next-day appointment with a Primary Care Provider
Alternate Name
Percentage of people aged 16 and older who reported they saw 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 and felt that they urgently needed care.
 
INDICATOR DESCRIPTION
Description
This indicator shows the percentage of people aged 16 or older who reported they saw their family doctor, or another primary care provider in their office, on the same or next day when they were sick and felt that they urgently needed care during the previous 12 months, in Ontario. People lacking timely access to their primary care provider may end up visiting a walk-in clinic or hospital emergency department instead, which can affect continuity of patient care and contribute to long waits in crowded emergency departments. A higher percentage is better.
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

The numerator is derived from certain responses to several survey questions for both respondents who reported they have a primary care provider and respondents who reported they do not have a primary care provider. This includes responding "had an appointment the same day" and "had an appointment the next day" to questions 1 and 2 below.

For respondents who reported having a primary care provider:

Weighted number of respondents who reported they have a primary care provider, they wanted to see their [fill fd_type] because they were sick and felt that they urgently needed care, have actually received care from their [fill fd_type] or another provider in the practice, and answered the following question  as “had an appointment the same day” or “had an appointment the next day”:

How many days did it take from when you first tried to make an appointment with your [fill fd_type] to when you actually had an appointment with them or someone else in their office?

- Had an appointment the same day

- Had an appointment the next day

- 2 to 19 (enter number of days)

- Twenty or more days

- Don’t know

- Refused

AND

For respondents who reported they did not have a primary care provider:

Weighted number of respondents who reported they did not have a primary care provider, they wanted to see a doctor because they were sick and felt that they urgently needed care, have actually received care from a doctor or nurse, and answered the following question as “had an appointment the same day” or “had an appointment the next day”:

How many days did it take from when you first tried to make an appointment with a doctor or nurse to when you actually had an appointment with them?

- Had an appointment the same day

- Had an appointment the next day

- 2 to 19 (enter number of days)

- Twenty or more days

- Don’t know

- Refused

Denominator including inclusion/exclusion

The denominator includes both respondents who reported they have a primary care provider and respondents who reported they do not have a primary care provider. Within each of those two groups, the denominator includes respondents with certain responses to two follow-up survey questions.

For respondents who reported having a primary care provider:

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

1) In the last 12 months did you want to see your [fill fd_type] because you were sick and felt that you urgently needed care?

- Yes

- No

- Don’t know

- Refused

AND

Weighted number of respondents who answered "yes, received care from own doctor", "yes, received care from someone else in practice", or "received care from both provider and someone else" to the following question:

 2) Did you actually receive care from your [fill fd_type] or another provider in the practice? This includes care in person, by telephone, video, email or text message.

- Yes, received care from own doctor

- Yes, received care from someone else in practice

- Received care from both provider and someone else

- No

- Don’t know

- Refused

For respondents who reported they do not have a primary care provider:

Weighted number of respondents who reported they do not have a primary care provider and answered "yes" to the following question:

1) In the last 12 months did you want to see a doctor because you were sick and felt that you urgently needed care?

- Yes

- No

- Don’t know

- Refused

AND

Weighted number of respondents who answered "yes” to the following question:

2) Did you actually receive care from a doctor or nurse? This includes care provided in person, by telephone, video, email or text message.

- Yes

- No

- Don’t know

- Refused

 Exclusions:

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
Reported Levels of comparability /stratifications (defined)
Age, Education, Immigration, Income, 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. The Health Care Experience Survey (HCES) on which the indicator data are based has been affected by reduced surveying in 2023. The 2023 data are unreliable for some indicator results, so those are not reported. Please note that results for 2023 are based on data collected from April to December 2023 rather than during the entire calendar year.
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 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. 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 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
21/10/2024 13:06:00