Evidence map›Paper›PMID 23968619›Full record

ArticleHealthcare policy = Politiques de sante2012

Variations in patients' assessment of chronic illness care across organizational models of primary health care: a multilevel cohort analysis.

Jean-Frédéric Lévesque, Debbie Ehrmann Feldman, Valérie Lemieux, André Tourigny, Jean-Pierre Lavoie, Pierre Tousignant

Abstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
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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.

Jean-Frédéric LévesqueScientific Director, Institut National de Santé Publique du Québec, Centre de Recherche du Centre Hospitalier de l'Université de Montréal, QC. jean-frederic.levesque@inspq.qc.ca
Debbie Ehrmann Feldman
Valérie Lemieux
André Tourigny
Jean-Pierre Lavoie
Pierre Tousignant

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

purposeTo measure patients' assessment of chronic illness care and its variation across primary healthcare (PHC) models.

methodsWe recruited 776 patients with diabetes, heart failure, arthritis or chronic obstructive pulmonary disease from 33 PHC clinics. Face-to-face interviews, followed by a telephone interview at 12 months, were conducted using the Patient Assessment of Chronic Illness Care (PACIC). Multilevel regression was used in the analysis.

resultsThe mean PACIC score was low at 2.5 on a scale of 1 to 5. PACIC scores were highest among patients affiliated with family medicine groups (mean, 2.78) and lowest for contact models (mean, 2.35). Patients with arthritis and older persons generally reported a lower assessment of chronic care.

conclusionFamily medicine groups represent an integrated model of PHC associated with higher levels of achievement in chronic care. Variations across PHC organizations suggest that some models are more appropriate for improving management of chronic illness.

Indexed as

Patient SatisfactionAgedArthritisChronic DiseaseCohort StudiesCommunity Health CentersDelivery of Health Care, IntegratedDiabetes MellitusFamily PracticeFemaleGroup PracticeHeart FailureHumansInterviews as TopicMalePrimary Health Care

Identifiers

PMID23968619
PMCPMC3517876

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.