Innovations organisationnelles pour améliorer l'accessibilité aux services de première ligne


Mylaine Breton

CISSS de la Montérégie-Centre


Domaine : service de santé

Programme chercheurs-boursiers - Junior 2

Concours 2017-2018

Accessibility to healthcare services is one the main issues of today's healthcare systems. Having access to healthcare services is considered as much of a priority by clinicians and decision makers as it is by the population. Numerous innovations have been implemented in Canada to address the need to improve healthcare services. Analyzing them will allow for a better understanding of the characteristics of the most effective innovations and the contexts in which they achieve the best results, with the end goal of improving the healthcare system.

My program of research specifically focuses on innovations put in place to improve access to primary care services. The main question at the core of my program of research consists of identifying the characteristics of promising organisational innovations and gaining a better understanding of the individual, organisational and contextual factors that facilitate or hinder their implementation and their sustainability.

My program of research is built on four studies that are ongoing or currently being developed and that analyze three current organisational innovations that are complementary and that contribute to improving access. The two first studies look at centralized waiting lists for patients without family physicians, the third study focuses on access to integrated health networks for the elderly and its linkages to primary care and the fourth looks at the implementation of advanced access in family medicine units in Quebec.

My program of research is based on applied research and is developed in close partnership with organisations affected by the organisation of healthcare services.