ArticleBMC family practice2012
Emerging organisational models of primary healthcare and unmet needs for care: insights from a population-based survey in Quebec province.
Article in BMC family practice, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04093245 (Supporting the Creation of a LEARNing INteGrated Health System to Mobilize Context-adapted Knowledge With a Wiki Platform to Improve the Transitions of Frail Seniors From From Hospitals and Emergency Departments to the cOMmunity), which is not on this map. Cited by 37 papers, 2 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.
Supporting the Creation of a LEARNing INteGrated Health System to Mobilize Context-adapted Knowledge With a Wiki Platform to Improve the Transitions of Frail Seniors From From Hospitals and Emergency Departments to the cOMmunity: Phase II
Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Barriers to utilization of primary healthcare services: a systematic review of experiences in ten selected countries.International journal of public health · 2026Pooled it
- Social determinants of unmet need for primary care: a systematic review.Systematic reviews · 2024Pooled it
- Impact of the Family Doctor Contracting System on unmet healthcare needs in Shandong Province, China.Health policy and planning · 2026Article
- Factors associated with unmet healthcare needs in patients using Primary Care Access Points for unattached patients in Quebec (Canada).PloS one · 2026Article
- Unmet need for healthcare services among unemployed people - findings from a national survey in Finland.BMC health services research · 2025Article
- Profiles of Emergency Department Users with Psychiatric Disorders Related to Barriers to Outpatient Care.International journal of environmental research and public health · 2024Article
- Predictors of unmet needs among people with diabetes mellitus type 2 in Gampaha district of Sri Lanka.PLOS global public health · 2024Article
- Predictors of Unmet Healthcare Needs during Economic and Health Crisis in Greece.International journal of environmental research and public health · 2023Article
- Realist review of community coalitions and outreach interventions to increase access to primary care for vulnerable populations: a realist review.Archives of public health = Archives belges de sante publique · 2023Article
- Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics.Healthcare policy = Politiques de sante · 2023Article
- Impact of Unmet Social Needs, Scarcity, and Future Discounting on Adherence to Treatment in Children With Asthma: Protocol for a Prospective Cohort Study.JMIR research protocols · 2023Article
- Identifying the Group Vulnerable to Unmet Medical Needs Due to Food Security: According to Children in the Household.Healthcare (Basel, Switzerland) · 2023Article
- Accessibility in People with Disabilities in Primary Healthcare Centers: A Dimension of the Quality of Care.International journal of environmental research and public health · 2022Article
- Inequity and benefit incidence analysis in healthcare use among Syrian refugees in Egypt.Conflict and health · 2021Article
- Forgone care in patients with type 2 diabetes: a cross-sectional study.BMC public health · 2021Article
- Activating Partnership Assets to Produce Synergy in Primary Health Care: A Mixed Methods Study.Healthcare (Basel, Switzerland) · 2021Article
- Does universal health insurance coverage reduce unmet healthcare needs in China? Evidence from the National Health Service Survey.International journal for equity in health · 2021Article
- On redesigning public health in Québec: lessons learned from the pandemic.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Indicators of an Integrated Home Care Model Shaped by the Needs of Patients Discharged from the Emergency Department.International journal of integrated care · 2020Article
- The Unmet Healthcare Needs: Evidence from Serbia.Iranian journal of public health · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundReform of primary healthcare (PHC) organisations is underway in Canada. The capacity of various types of PHC organizations to respond to populations' needs remains to be assessed. The main objective of this study was to evaluate the association of PHC affiliation with unmet needs for care.
methodsPopulation-based survey of 9205 randomly selected adults in two regions of Quebec, Canada. Outcomes Self-reported unmet needs for care and identification of the usual source of PHC.
resultsAmong eligible adults, 18% reported unmet needs for care in the last six months. Reasons reported for unmet needs were: waiting times (59% of cases); unavailability of usual doctor (42%); impossibility to obtain an appointment (36%); doctors not accepting new patients (31%). Regression models showed that unmet needs were decreasing with age and was lower among males, the least educated, and unemployed or retired. Controlling for other factors, unmet needs were higher among the poor and those with worse health status. Having a family doctor was associated with fewer unmet needs. People reporting a usual source of care in the last two-years were more likely to report unmet need for care. There were no differences in unmet needs for care across types of PHC organisations when controlling for affiliation with a family physician.
conclusionReform models of primary healthcare consistent with the medical home concept did not differ from other types of organisations in our study. Further research looking at primary healthcare reform models at other levels of implementation should be done.
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