ArticleBMJ (Clinical research ed.)2003
Primary care in the United States: primary care gatekeeping and referrals: effective filter or failed experiment?
Article in BMJ (Clinical research ed.), 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
80 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Diagnostic accuracy of signs and symptoms in acute coronary syndrome and acute myocardial infarction.Scandinavian journal of primary health care · 2025Pooled it
- Evidence on bringing specialised care to the primary level-effects on the Quadruple Aim and cost-effectiveness: a systematic review.BMC health services research · 2024Pooled it
- Disclosure of complementary medicine use to medical providers: a systematic review and meta-analysis.Scientific reports · 2019Pooled it
- Children with disorders of gut-brain interaction in primary care versus hospital care: A comparison of characteristics.Journal of pediatric gastroenterology and nutrition · 2025Trial
- An unintended complementarity: how the outpatient pooling policy increases inpatient services in China.Health policy and planning · 2026Article
- Public Perception of Health Care Before, During, and After COVID-19: Longitudinal Analysis of Online Reviews.Journal of medical Internet research · 2026Observational
- Urban residents' choice preferences for hospitals at different tiers and influencing factors: a study based on latent class analysis and Andersen's model of health service utilization.BMC primary care · 2026Article
- Article
- Electronics-free soft robotic minitablet for on-demand gastric molecular sensing and diagnostics in vivo.Science advances · 2026Article
- Impact of the Family Doctor Contracting System on unmet healthcare needs in Shandong Province, China.Health policy and planning · 2026Article
- The impact of Croatia's 2013 Primary Care Payment Reform: an exploratory case study of a rural family practitioner group practice.Croatian medical journal · 2025Article
- The most common diagnoses in primary care, and changes over time, in the total population of Stockholm, Sweden.BMC primary care · 2025Article
- Healthcare resource allocation and patient choice: evidence from rural China.International journal for equity in health · 2025Article
- The incidence and prevalence of Dupuytren's disease in primary care: results from a text mining approach on registration data.Scandinavian journal of primary health care · 2025Article
- Behavioral Determinants of Hospital Selection in Urological Care: Evidence From China's Hierarchical Healthcare System.Risk management and healthcare policy · 2025Article
- Relationship between patient-perceived quality of primary care and self-reported hospital utilisation in China: A cross-sectional study.The European journal of general practice · 2024Article
- Gatekeeping or Provider Choice for Sustainable Health Systems? A Literature Review on Their Impact on Efficiency, Access, and Quality of Services.Journal of market access & health policy · 2024Review
- Addressing Hospital Overwhelm During the COVID-19 Pandemic by Using a Primary Health Care-Based Integrated Health System: Modeling Study.JMIR medical informatics · 2024Article
- Association Between Suboptimal Health Status and Health-Related Productivity Loss in Primary Healthcare Workers in China: a Cross-Sectional Survey.Risk management and healthcare policy · 2024Article
- Nurse Practitioner Students' Knowledge Assessment and Perceived Preparedness to Triage Ophthalmology Complaints in a Primary Care Setting: An Educational Intervention.Journal of academic ophthalmology (2017) · 2023Article
20 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
PubMed holds no abstract for this paper.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.