Better Integrated Care

 

Please think about the care you have received from your healthcare providers over the last 6 months. Please note: “Healthcare providers” refers to all the different doctors or nurse practitioners you see, at our clinic as well as at other places, to manage your health concerns.

 

1. Have you received healthcare services outside your primary care practice in the last 6 months?

o Yes

o No

If yes, please indicate what services you received:

o Medical specialist

o Emergency department

o Hospital for overnight stay

o Other health care professional such as a dietician, psychologist, or physiotherapist Please indicate which type__________

 

2. In the past 6 months, were there times when the healthcare provider you were seeing did not know your most recent medical history?

o Never or rarely

o Sometimes

o Often or very often

o Does not apply to me

 

3. In the past 6 months,ere there times when the healthcare provider you were seeing did not have access to your recent tests or exam results?

o Never or rarely

o Sometimes

o Often or very often

o Does not apply to me

 

4. How much has the whole healthcare team ( specialist, social service providers, and primary care providers) provided smooth transitions from one service to another?

o Not at all or a little

o Moderately

o A lot

o Does not apply to me

Accessible Care

 

Please think about the care you get from your usual family doctor or nurse practitioner (nurse) at our clinic over the last 6 months.

 

1. Based on your experience over the past 6 months were there times when you had difficulty getting the healthcare or advice you needed?

a. No

b. Yes, once

c. Yes, several times

 

If yes, what type of difficulties did you experience? Check all that apply

o Difficulty contacting a specialist physician or someone in their office

o Waited too long to get an appointment with a medical specialist

§ If yes, which specialty________-

o How many months did it take from the time of your referral to when you saw the medical specialist?

§ Less than 1 month. 1-2 months, between 2-4 months 4-6 months greater than 6 months

o Transportation problems to get to the medical specialist office

o Cost issues to see the medical specialist

o Medical specialist not available in my preferred language

o Did not know where to go at the medical specialist’s office (i.e., information problems

 

2. Based on your experience over the past 2 months, how easy is it for you to get health advice at our clinic over the phone, by email or through a video consultation?

a. Not at all easy

b. Not very easy

c. Moderately easy

d. Easy

e. Very easy

f. Does not apply to me

 

 

3. Based on your experience over the past 2 months, how easy is it for you to get health care in person at our clinic when you need it

 

a. During weekdays?

o Not very easy

o Moderately easy

o Easy

o Very easy

o Does not apply to me

 

 

b. On evenings, weekends, or holidays?

o Not very easy

o Moderately easy

o Easy

o Very easy

o Does not apply to me