Evidence map›Paper›PMID 23585623›Full record

ArticleCanadian family physician Medecin de famille canadien2013

Patients' perceptions on losing access to FPs: qualitative study.

Tom Freeman, Judith Belle Brown, Graham Reid, Moira Stewart, Amardeep Thind, Evelyn Vingilis

Abstract 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. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
  2. Impact of changes in primary care attachment: a scoping review.Family medicine and community health · 2025
    Article
  3. Article
  4. The phenomenological approach in dentistry - a narrative review.International journal of qualitative studies on health and well-being · 2024
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Immigrant status and having a regular medical doctor among Canadian adults.Canadian journal of public health = Revue canadienne de sante publique · 2016
    Article
  13. Where is family medicine heading?Canadian family physician Medecin de famille canadien · 2016
    Article
  14. Frustration: a challenge in chronic conditions.Nursing and midwifery studies · 2013
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tom FreemanCentre for Studies in Family Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, 245-100 Collip Circle, London, ON N6G 4X8. tfreeman@uwo.ca
Judith Belle Brown
Graham Reid
Moira Stewart
Amardeep Thind
Evelyn Vingilis

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

objectiveTo examine the health care-related experiences of individuals who have lost their FPs.

designA qualitative design using phenomenology.

settingSouthwestern Ontario.

participantsEighteen participants (9 women and 9 men, with a mean age of 48.9 years) from urban or rural areas who had lost their FPs.

methodsSemistructured interviews were conducted, which were audiotaped and transcribed verbatim. An iterative approach using immersion and crystallization was employed for analysis. MAIN

findingsParticipants reported having lost their FPs because of reasons specific to their physicians (eg, illness, retirement, career change) or system issues (eg, poor remuneration for FPs, cutbacks in health care leading to physician emigration). Participants described feelings of loss, abandonment, frustration, and anger related to losing their physicians. They expressed concerns about the difficulty of getting prescription medications, lack of continuity of care related to medical records, and preventive care. They faced considerable hurdles in accessing primary health care, turning to walk-in clinics and emergency departments despite concerns about quality and fragmentation of care. Some of those with chronic medical conditions prevailed upon specialists to help meet primary health care needs.

conclusionLosing access to FPs evoked a variety of strong feelings among these participants. They engaged in a number of strategies to meet their primary care needs but not without reservations. In a health care system appropriately built on primary health care, the lack of access to FPs is regarded as the loss of a basic right to care.

Indexed as

AttitudeFamily PracticeHealth Services AccessibilityPhysician-Patient RelationsAdultAgedAmbulatory CareEmergency Service, HospitalFemaleHealth Services Needs and DemandHumansInformation Seeking BehaviorInterviews as TopicMaleMiddle AgedOntario

Identifiers

PMID23585623
PMCPMC3625102

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.