ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2012
Enrolment in primary care networks: impact on outcomes and processes of care for patients with diabetes.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 48 papers, 8 of them syntheses that pooled it.
What it found
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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.
Assessing Outcomes of Enhanced Chronic Disease Care Through Patient Education and a Value-based Formulary Study
Enhancing Community Health Through Patient Navigation, Advocacy and Social Support
Who cites it
48 citing papers in PubMed, 8 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- Interprofessional collaboration in primary care: what effect on patient health? A systematic literature review.BMC primary care · 2023Pooled it
- Interventions to Prevent Potentially Avoidable Hospitalizations: A Mixed Methods Systematic Review.Frontiers in public health · 2022Pooled it
- Pooled it
- The bigger, the better? A systematic review on the impact of mergers on primary care organizations.European journal of public health · 2021Pooled it
- Pooled it
- Pooled it
- The impact of primary care reform on health system performance in Canada: a systematic review.BMC health services research · 2016Pooled it
- Association between drug insurance cost sharing strategies and outcomes in patients with chronic diseases: a systematic review.PloS one · 2014Pooled it
- Trial
- Challenges in interdisciplinary weight management in primary care: lessons learned from the 5As Team study.Clinical obesity · 2016Trial
- Tobacco use disorder treatment in primary care: implementing a clinical system pathway in Alberta.Canadian family physician Medecin de famille canadien · 2014Trial
- Implementation and evaluation of the 5As framework of obesity management in primary care: design of the 5As Team (5AsT) randomized control trial.Implementation science : IS · 2014Trial
- Health sector transformation in Saudi Arabia-The modern healthcare model: A qualitative study among healthcare leaders.Journal of Taibah University Medical Sciences · 2025Article
- Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey.BMC health services research · 2024Article
- Frontrunning, Free-Riding and Over-Aspiring: A Case Study Exploring How Configurations of Involvement, Social Comparison and Organizational Goal Attainment Affect Perceived Network Goal Attainment.International journal of health policy and management · 2024Article
- Article
- Training in Team-Based Practices: A Descriptive Analysis of Family Medicine Postgraduate Site Distribution across Canada.Healthcare policy = Politiques de sante · 2023Article
- Alignment of patient-centredness definitions with real-life patient and clinician experiences: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Evaluating Effects of Virtual Diabetes Group Visits in Community Health Centers During the COVID-19 Pandemic.Journal of patient experience · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPrimary care networks are a newer model of primary care that focuses on improved access to care and the use of multidisciplinary teams for patients with chronic disease. We sought to determine the association between enrolment in primary care networks and the care and outcomes of patients with diabetes.
methodsWe used administrative health care data to study the care and outcomes of patients with incident and prevalent diabetes separately. For patients with prevalent diabetes, we compared those whose care was managed by physicians who were or were not in a primary care network using propensity score matching. For patients with incident diabetes, we studied a cohort before and after primary care networks were established. Each cohort was further divided based on whether or not patients were cared for by physicians enrolled in a network. Our primary outcome was admissions to hospital or visits to emergency departments for ambulatory care sensitive conditions specific to diabetes.
resultsCompared with patients whose prevalent diabetes is managed outside of primary care networks, patients in primary care networks had a lower rate of diabetes-specific ambulatory care sensitive conditions (adjusted incidence rate ratio 0.81, 95% confidence interval [CI] 0.75 to 0.87), were more likely to see an ophthalmologist or optometrist (risk ratio 1.19, 95% CI 1.17 to 1.21) and had better glycemic control (adjusted mean difference -0.067, 95% CI -0.081 to -0.052).
interpretationPatients whose diabetes was managed in primary care networks received better care and had better clinical outcomes than patients whose condition was not managed in a network, although the differences were very small.
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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.