Evidence map›Paper›PMID 11935717›Full record

ArticleCanadian family physician Medecin de famille canadien2002

Walk-in clinics in Ontario. An atmosphere of tension.

Judith Belle Brown, L Michelle Sangster Bouck, Truls Østbye, Janet M Barnsley, Maria Mathews, Gina Ogilvie

Abstract readComparative StudyEvaluation StudyMulticenter Study
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Walk-in centres in primary care: a review of the international literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Judith Belle BrownCentre for Studies in Family Medicine, Department of Family Medicine, University of Western Ontario, London. jbbrown@uwo.ca
L Michelle Sangster Bouck
Truls Østbye
Janet M Barnsley
Maria Mathews
Gina Ogilvie

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore family practice (FP), emergency department (ED), and walk-in clinic (WIC) physicians' perceptions and experiences regarding the effect of walk-in clinics on Ontario's health care system.

designQualitative method of focus groups.

settingHamilton, London, and Toronto, Ont.

participantsSixty-three physicians participated in nine focus groups, each with four to nine participants. Family physicians, ED physicians, and WIC physicians attended separate focus groups.

methodNine focus groups were conducted in three cities in Ontario. Physicians' opinions, perceptions, and experiences regarding the role and effect of WICs on Ontario's health care system were explored. Focus groups were audiotaped and comments transcribed verbatim. The qualitative data analysis program NUD*IST was used to organize the data during sequential thematic analysis. MAIN

findingsParticipants identified two key factors contributing to the evolution of WICs: patients' expectations for convenient health care and the perceived limited availability of family physicians. Participants thought these two related factors resulted in a gap in primary care services that WICs had filled. Throughout discussions, an atmosphere of tension permeated the focus groups. Tension seemed to arise from issues of duplication, competition, standards of practice and quality of care in WICs, the effect of environmental and personal factors on physicians' practice, and the practice philosophy adopted by WIC physicians.

conclusionBoth FP and ED participants acknowledged their contribution to the gap in primary care services. They appeared to attribute current problems in health care delivery to the perceived deficiencies of WICs. The outcome was a marked tension among participants.

Indexed as

Attitude of Health PersonnelQuality of Health CareAmbulatory Care FacilitiesContinuity of Patient CareEconomic CompetitionEmergency Service, HospitalFamily PracticeFemaleFocus GroupsHumansMaleOntarioPhysician-Patient Relations

Identifiers

PMID11935717
PMCPMC2213998

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.