Article Figures & Tables
Figures
- Figure 1:
Flow diagram of study phases and recruitment. Note: AHS = Alberta Health Services, PCN = Primary Care Network.
Tables
Characteristic No. (%) of programs Alberta Health Services
n = 43Primary Care Networks
n = 15Age group of patients served Children only 16 (37) 0 Adults only (excluding seniors-only programs) 6 (14) 1 (7) Seniors only 1 (2) 0 All ages 20 (47) 14 (93) Targeted clinical conditions Cancer 8 (19) 0 Cardiovascular disease 2 (5) 0 Kidney disease 1 (2) 0 Chronic disease prevention or management 2 (5) 2 (13) Substance use disorders and mental health 10 (23) 2 (13) Developmental or neurologic concerns 7 (16) 0 Other 2 (5) 2 (13) No specific condition targeted 11 (26) 9 (60) Self-referral possible 16 (37) 6 (40) Inpatient program for hospitalized patients only 2 (5) 0 Follow-up provided 27 (63) 13 (87) Zones served North 5 (12) 4 (27) Edmonton 9 (21) 3 (20) Central 7 (16) 8 (53) Calgary 19 (44) 0 South 3 (7) 0 Province-wide 10 (23) 0 Domain Specific gaps and unmet needs Awareness Patients, physicians and staff members are unaware of programs and services, including those Offered in their zone, through Alberta Health Services
Offered outside of their zone, through Alberta Health Services
By organizations outside of Alberta Health Services
Owing to lack of patient awareness of programs, programs allowing for self-referral often have a high no-show rate Information on programs and services is difficult to find and predominantly transmitted through word of mouth Patients may be aware of programs but do not know how to access them Resources Many current patient navigation programs are at or over capacity Resources and services are lacking for the following groups: Children with complex needs who are transitioning to adult care
Adults (nonsenior population)
Adults with mental health and developmental needs
Patients being discharged from hospital or other acute care facilities
Those not meeting eligibility criteria of the programs (e.g., young adults with cancer that is not treated by chemotherapy or radiotherapy)
Geography Lack of transportation options within cities and from rural residences to programs located at urban sites; it is cost prohibitive for patients to pay out of pocket to travel from rural residences to larger centres Rural areas have fewer available services Patients and care providers from rural areas are unaware of programs and services that they can access at urban centres Integration Lack of communication and integration among programs within Alberta Health Services Lack of cohesive client care and communication across different government ministries Inability to share and access patient information across different programs
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