ArticleThe Milbank quarterly2011
Primary health care in Canada: systems in motion.
Article in The Milbank quarterly, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 246 papers, 11 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
246 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Insufficient evidence on the effectiveness of family physician program in Iran: a systematic review of existing literature.BMC public health · 2026Pooled it
- Impact of team-based primary care on health care utilization among patients with mental and substance use disorders: a systematic review of English-language articles.Family practice · 2025Pooled it
- Indigenous people's experiences of primary health care in Canada: a qualitative systematic review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Pooled it
- Health outcomes, health services utilization, and costs consequences of medicare uninsurance among migrants in Canada: a systematic review.BMC health services research · 2023Pooled it
- Willingness to maintain contracts with family doctors among Chinese residents: results from one national cross-sectional study and a meta-analysis of 25 studies.Frontiers in public health · 2023Pooled it
- Physician associate/assistant contributions to cancer diagnosis in primary care: a rapid systematic review.BMC health services research · 2021Pooled it
- Shared decision-making for people living with dementia in extended care settings: a systematic review.BMJ open · 2018Pooled it
- Nursing role in well-child care: Systematic review of the literature.Canadian family physician Medecin de famille canadien · 2018Pooled it
- The impact of new forms of large-scale general practice provider collaborations on England's NHS: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Pooled it
- Pooled it
- The impact of primary care reform on health system performance in Canada: a systematic review.BMC health services research · 2016Pooled it
- Evaluating the impact of an integrated computer-based decision support with person-centered analytics for the management of asthma in primary care: a randomized controlled trial.Journal of the American Medical Informatics Association : JAMIA · 2015Trial
- Advancing team-based care in private practices: a case study of a public-private hybrid model.BMC health services research · 2026Article
- Article
- Public preferences for primary healthcare services in Hong Kong: a discrete choice experiment.BMC primary care · 2026Article
- A Portrait of Registered Nurses in Primary Care in Canada: A Cross-Sectional Survey.Western journal of nursing research · 2026Article
- Enhancing comprehensive in primary care: results of a cross-sectional survey of primary care social workers in Ontario, Canada.BMC primary care · 2026Article
- 'Fend for yourself': Nurses' experiences transitioning to Family Care Team practice settings in Newfoundland and Labrador.PloS one · 2026Article
- To stay or leave: an integrative review of factors, personas, and recommendations for retaining family physicians in Canada.BMC primary care · 2025Review
- 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
186 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
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextDuring the 1980s and 1990s, innovations in the organization, funding, and delivery of primary health care in Canada were at the periphery of the system rather than at its core. In the early 2000s, a new policy environment emerged.
methodsThis policy analysis examines primary health care reform efforts in Canada during the last decade, drawing on descriptive information from published and gray literature and from a series of semistructured interviews with informed observers of primary health care in Canada.
findingsPrimary health care in Canada has entered a period of potentially transformative change. Key initiatives include support for interprofessional primary health care teams, group practices and networks, patient enrollment with a primary care provider, financial incentives and blended-payment schemes, development of primary health care governance mechanisms, expansion of the primary health care provider pool, implementation of electronic medical records, and quality improvement training and support.
conclusionsCanada's experience suggests that primary health care transformation can be achieved voluntarily in a pluralistic system of private health care delivery, given strong government and professional leadership working in concert.
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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.