TABLE 2.

Overview of interventions in two Canadian IMPACT local partnerships (adapted from References 30, 31, 32)

Partnership title	Primary Care Connection	Community Health Resources
Target population and access problem	Unattached patients in high deprivation neighborhoods have trouble connecting effectively to newly assigned family physicians from centralized wait list.	Primary care patients with complex health and social needs not receiving available community services (eg, smoking cessation, falls prevention, etc) that would optimize their illness management.
Type of vulnerability	Low income, unemployment, low social support.	Socially complex patients, including one of Canada' linguistic minorities.
Intervention	Volunteer guides discuss the health and social needs of patients before their first appointment with a family physician.	Lay, bilingual navigators integrated into primary care practices support patients to reach community resources.
Tasks	Develop the intervention, in collaboration with regional health organizations that manage a centralized waiting list for family physicians; obtain consent from primary care practices to contact assigned patients; recruit patients; develop relevant materials; recruit and train lay volunteer navigators; lay volunteer navigators reach out by telephone to patients in materially or socially deprived neighborhoods prior to the first visit to a newly assigned family physician; evaluate the intervention.	Develop the intervention; recruit primary care practices and patients; prepare relevant materials; assist practices in making adaptations in the electronic medical record system to allow referral to navigation services; orient providers regarding the availability and potential benefits of community resources; recruit and train a lay navigator in patient‐centered communication and system navigation; lay navigator works with patients to prioritize needs, identify potential barriers to access, and facilitate access to services; evaluate the intervention.
Intended consequence	Successful affiliation to a family physician.	Increased referrals to community health resources and improved access to these services.

Abbreviation: PHC ‐ primary health care.