Publications by authors named "Faye D MacKay"

2 Publications

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The modified medical office assistant role in rural diabetes care.

Can J Rural Med 2014 ;19(2):49-56

Department of Family Practice, University of British Columbia, Vancouver, BC.

Introduction: Diabetes care in Canada is usually provided in family practice offices, which may not have nurses to provide planned, proactive care as recommended by guidelines. The use of medical office assistants (MOAs) to do key tasks in diabetes care may improve the effectiveness of care and reduce costs. We sought to determine whether an expanded MOA role in a rural practice was beneficial to patients and the practice.

Methods: We systematically evaluated the provision of diabetes care as measured by key indicators, patient and provider satisfaction, and use of health care services.

Results: Involvement by MOAs improved adherence to selected aspects of guideline-based care, and patient and provider satisfaction was high. The actual outcomes of the surrogate markers measured in care and downstream use of acute care services appeared to be unchanged during this study.

Conclusion: Use of MOAs to help provide team-based diabetes care in family practice resulted in improved performance of key indicators for diabetes care.
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December 2014

Well Woman's Group Medical Appointment: For screening and preventive care.

Faye D Mackay

Can Fam Physician 2011 Apr;57(4):e125-7

Department of Family Medicine, University of British Columbia, Vancouver, Canada.

Problem Addressed: Maintaining a screening program, such as regular Papanicolaou testing, can be a challenge for primary care practices on account of long wait times and patient factors.

Objective Of Program: To effectively and efficiently improve access to appointments and to provide screening and patient education in a socially supported setting.

Program Description: A group medical appointment called the Well Woman's Group Medical Appointment has been developed that focuses on Pap smear preventive screening tests. Women are invited by their family physicians, and group appointments are booked for 2 hours on a day when the whole office can be used. Each woman is given a "Pap bag" (containing a labeled slide in its protective case, a spatula, a cytobrush, and patient labels) and sent to a waiting room stocked with healthy snacks, tea, coffee, and pens. While each woman is getting tested, the others have a chance to ask questions. Each woman's height, weight, blood pressure, date of last period, and body mass index are recorded. At the end of the session, the women fill out an evaluation form. Afterward there is a short debriefing session, all information is transferred to each patient's electronic medical record, and the slides are sent to the laboratory for testing.

Conclusion: This program is a viable way to improve office processes and an efficient way to complete women's screening tests, meet goals to improve women's health care, and shorten waiting lists. The increased role of the medical office assistant improves outcomes, and group appointments can be applied to a number of health care measures.
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April 2011