Lauralie Richard|John Furler|Konstancja Densley|Jeannie Haggerty|Grant Russell|Jean Frédéric Levesque|Jane Gunn
Equity of access to primary healthcare for vulnerable populations: the IMPACT international online survey of innovations
University of Melbourne|University of Melbourne|University of Melbourne|Monash University|University of Melbourne
improving access primary healthcare phc vulnerable populations important achieving health equity yet remains challenging evidence effective interventions rather limited fragmented need identify innovative ways improve access phc vulnerable populations clarify elements health systems organisations services supplyside dimensions access abilities patients populations demandside dimensions access need strengthened achieve transformative change work reported conducted part impact innovative models promoting accesstocare transformation 5year canadianaustralian research program aiming identify implement trial best practice interventions improve access phc vulnerable populations undertook environmental scan broad screening approach identify breadth current innovations fieldwe distributed brief online survey international audience phc researchers practitioners policy makers stakeholders using combined email social media approach respondents invited describe program service approach model care considered innovative helping vulnerable populations get access phc used descriptive statistics characterise innovations conducted qualitative framework analysis examine text describing innovationseven hundred fortyfour responses recorded 6week period 240 unique examples innovations originating 14 countries described majority canada australia interventions targeted diversity population groups government funded delivered community health general practice outreach clinic setting interventions mainly focused health sector directed organisational andor system level determinants access supplyside innovations developed enhance patients populations abilities access services demandside rarely initiatives target supply demandside determinants accessa wide range innovations improving access phc identified access framework useful uncovering disparity supply demandside dimensions pinpointing areas could benefit attention close equity gap vulnerable populations accessing phc services correspond needs