Evidence map›Paper›PMID 23585609›Full record

ArticleCanadian family physician Medecin de famille canadien2013

Patient poverty and workload in primary care: study of prescription drug benefit recipients in community health centres.

Laura Muldoon, Jennifer Rayner, Simone Dahrouge

Erratum issuedAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Unmet need for chronic mental ill health: A population-based record linkage study.International journal of population data science · 2019
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  8. Article
  9. Rapid repeat pregnancy among women with intellectual and developmental disabilities: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018
    Article
  10. Article
  11. Article
  12. Working with the medically underserved.Canadian family physician Medecin de famille canadien · 2013
    Article
  13. Review
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

3 authors.

Laura MuldoonC.T. Lamont Primary Health Care Research Centre, the Bruyère Research Institute, Ottawa, ON K1R 6S3. lmuldoon@swchc.on.ca
Jennifer Rayner
Simone Dahrouge

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine if patient poverty is associated with increased workload for primary care providers (PCPs).

designLinkage of administrative data identifying patient poverty and comorbidity with survey data about the organizational structure of community health centres (CHCs).

settingOntario's 73 CHCs.

participantsA total of 64 CHC sites (N=63 included in the analysis).

main outcome measuresPatient poverty was determined in 2 different ways: based on receipt of Ontario Drug Benefits (identifying recipients of welfare, provincial disability support, and low-income seniors' benefits) or residence in low-income neighbourhoods. Patient comorbidities were determined through administrative diagnostic data from the CHCs and the Institute for Clinical Evaluative Sciences. Primary care workload was determined by examining PCP panel size (the number of patients cared for by a full-time-equivalent PCP during a 2-year interval).

resultsThe CHCs with higher proportions of poor patients had smaller panel sizes. The smaller panel sizes were entirely explained by the medical comorbidity profile of the poor patients.

conclusionPoor patients generate a higher workload for PCPs in CHCs; however, this is principally because they are sicker than higher-income patients are. Further information is required about the spectrum of services used by poor patients in CHCs.

Indexed as

ComorbidityPoverty AreasAdolescentAdultAgedCommunity Health CentersDatabases, FactualFemaleHumansLinear ModelsMaleMiddle AgedOntarioPrimary Health CareWorkforceWorkload

Identifiers

PMID23585609
PMCPMC3625088

What OpenQuestion holds

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Registered trials

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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.