RT Journal Article SR Electronic T1 [Access to health care: perceptions of patients with multiple chronic conditions]. JF Canadian Family Physician JO Can Fam Physician FD The College of Family Physicians of Canada SP 1502 OP 1503 VO 51 IS 11 A1 Martin Fortin A1 Danielle Maltais A1 Catherine Hudon A1 Lise Lapointe A1 Antoine Lutumba Ntetu YR 2005 UL http://www.cfp.ca/content/51/11/1502.abstract AB OBJECTIVE To explore access to health care for patients presenting with multiple chronic conditions and to identify barriers and factors conducive to access. DESIGN Qualitative study with focus groups. SETTING Family practice unit in Chicoutimi (Saguenay), Que. PARTICIPANTS Twenty-five male and female adult patients with at least four chronic conditions but no cognitive disorders or decompensating conditions. METHODS For this pilot study, only three focus group discussions were held. MAIN FINDINGS The main barriers to accessing follow-up appointments included long waits on the telephone, automated telephone-answering systems, and needing to attend at specific times to obtain appointments. The main barriers to specialized care were long waiting times and the need to get prescriptions and referrals from family physicians. Factors reported conducive to access included systematic callbacks and the personal involvement of family physicians. Good communication between family physicians and specialists was also perceived to be an important factor in access. CONCLUSION Systematic callbacks, family physicians' personal efforts to obtain follow-up visits, and better physician-specialist communication were all suggested as ways to improve access to care for patients with multiple chronic conditions.