ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2013
Characteristics of primary care practices associated with high quality of care.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of international performance indicators and metrics relevant to UK general practice.BMJ open quality · 2025Pooled it
- Factors facilitating the implementation of a clinical decision support system in primary care practices: a fuzzy set qualitative comparative analysis.BMC health services research · 2023Trial
- The FORGE AHEAD clinical readiness consultation tool: a validated tool to assess clinical readiness for chronic disease care mobilization in Canada's First Nations.BMC health services research · 2017Trial
- Practice context affects efforts to improve diabetes care for primary care patients: a pragmatic cluster randomized trial.Journal of general internal medicine · 2015Trial
- General practice and ethnicity: an experimental study of doctoring.BMC family practice · 2014Trial
- Feedback GAP: pragmatic, cluster-randomized trial of goal setting and action plans to increase the effectiveness of audit and feedback interventions in primary care.Implementation science : IS · 2013Trial
- The landscape of research in quality in primary care: A bibliometric analysis of articles between 2000 and 2025.Journal of family medicine and primary care · 2026Article
- Team climate, job satisfaction, burnout and practice performance: results of a national survey of staff in general practices in England.BMC primary care · 2025Article
- Patient preferences for key organizational features of primary cardiovascular care in Quebec: a discrete choice experiment.BMC primary care · 2025Article
- The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review.BMC primary care · 2025Article
- Strategies that facilitate the delivery of exceptionally good patient care in general practice: a qualitative study with patients and primary care professionals.BMC primary care · 2024Article
- Current Trends in Chronic Non-Communicable Disease Management: A Bibliometric Analysis of the Past Two Decades.Journal of multidisciplinary healthcare · 2024Article
- Development, successes, and potential pitfalls of multidisciplinary chronic disease management clinics in a family health team: a qualitative study.BMC primary care · 2023Article
- Description of organizational and clinician characteristics of primary dementia care in Canada: a multi-method study.BMC primary care · 2022Article
- Comparing the Attainment of the Patient's Medical Home Model across Regions in Three Canadian Provinces: A Cross-Sectional Study.Healthcare policy = Politiques de sante · 2021Article
- The Delivery of Patient Care in Ontario's Family Health Teams during the First Wave of the COVID-19 Pandemic.Healthcare policy = Politiques de sante · 2021Article
- Organizational attributes of interprofessional primary care for adults with intellectual and developmental disabilities in ontario, Canada: a multiple case study.BMC family practice · 2021Article
- Determinants of Medical Practice Variation Among Primary Care Physicians: Protocol for a Three Phase Study.JMIR research protocols · 2020Article
- The Role of Social Workers in Interprofessional Primary Healthcare Teams.Healthcare policy = Politiques de sante · 2020Article
- Evaluating the implementation of collaborative teams in community family practice using the Primary Care Assessment Tool.Canadian family physician Medecin de famille canadien · 2019Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundNo primary practice care model has been shown to be superior in achieving high-quality primary care. We aimed to identify the organizational characteristics of primary care practices that provide high-quality primary care.
methodsWe performed a cross-sectional observational study involving a stratified random sample of 37 primary care practices from 3 regions of Quebec. We recruited 1457 patients who had 1 of 2 chronic care conditions or 1 of 6 episodic care conditions. The main outcome was the overall technical quality score. We measured organizational characteristics by use of a validated questionnaire and the Team Climate Inventory. Statistical analyses were based on multilevel regression modelling.
resultsThe following characteristics were strongly associated with overall technical quality of care score: physician remuneration method (27.0; 95% confidence interval [CI] 19.0-35.0), extent of sharing of administrative resources (7.6; 95% CI 0.8-14.4), presence of allied health professionals (15.3; 95% CI 5.4-25.2) and/or specialist physicians (19.6; 95% CI 8.3-30.9), the presence of mechanisms for maintaining or evaluating competence (7.7; 95% CI 3.0-12.4) and average organizational access to the practice (4.9; 95% CI 2.6-7.2). The number of physicians (1.2; 95% CI 0.6-1.8) and the average Team Climate Inventory score (1.3; 95% CI 0.1-2.5) were modestly associated with high-quality care.
interpretationWe identified a common set of organizational characteristics associated with high-quality primary care. Many of these characteristics are amenable to change through practice-level organizational changes.
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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.