Evidence map›Paper›PMID 24523964›Full record

ArticleInternational journal of family medicine2014

Primary healthcare solo practices: homogeneous or heterogeneous?

Raynald Pineault, Roxane Borgès Da Silva, Sylvie Provost, Marie-Dominique Beaulieu, Antoine Boivin, Audrey Couture, Alexandre Prud'homme

Abstract read
In one paragraph

Article in International journal of family medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
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  4. Article
  5. Article
  6. Why Is Bigger Not Always Better in Primary Health Care Practices? The Role of Mediating Organizational Factors.Inquiry : a journal of medical care organization, provision and financing · 2016
    Article
  7. 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

7 authors.

Raynald PineaultDirection de Santé Publique de l'Agence de la Santé et des Services Sociaux de Montréal, 1301 rue Sherbrooke Est, Montréal, QC, Canada H2L 1M3 ; Institut National de Santé Publique du Québec, 945 Avenue Wolfe, Québec, QC, Canada G1V 5B3 ; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, 3480 rue Saint-Urbain, Hôtel-Dieu (Pavillon Masson), Montréal, QC, Canada H2W 1T8.ORCID 0000-0003-0115-7993
Roxane Borgès Da SilvaDirection de Santé Publique de l'Agence de la Santé et des Services Sociaux de Montréal, 1301 rue Sherbrooke Est, Montréal, QC, Canada H2L 1M3 ; Institut National de Santé Publique du Québec, 945 Avenue Wolfe, Québec, QC, Canada G1V 5B3 ; Faculté des Sciences Infirmières, Université de Montréal (Pavillon Marguerite d'Youville), CP 6128, Succursale Centre-ville, Montréal, QC, Canada H3C 3J7.ORCID 0000-0003-3614-8149
Sylvie ProvostDirection de Santé Publique de l'Agence de la Santé et des Services Sociaux de Montréal, 1301 rue Sherbrooke Est, Montréal, QC, Canada H2L 1M3 ; Institut National de Santé Publique du Québec, 945 Avenue Wolfe, Québec, QC, Canada G1V 5B3 ; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, 3480 rue Saint-Urbain, Hôtel-Dieu (Pavillon Masson), Montréal, QC, Canada H2W 1T8.ORCID 0000-0003-3133-0080
Marie-Dominique BeaulieuDépartement de Médecine Familiale, Université de Montréal (Pavillon Roger-Gaudry), 290 Boulevard Édouard-Montpetit, Bureau S-711, Montréal, QC, Canada H3T 1J4.
Antoine BoivinCentre de Recherche du CSSS Champlain-Charles-Le Moyne, 150 Place Charles-Lemoyne, Bureau 200, Longueuil, Montréal, QC, Canada K4K 0A8.
Audrey CoutureDirection de Santé Publique de l'Agence de la Santé et des Services Sociaux de Montréal, 1301 rue Sherbrooke Est, Montréal, QC, Canada H2L 1M3 ; Institut National de Santé Publique du Québec, 945 Avenue Wolfe, Québec, QC, Canada G1V 5B3.ORCID 0000-0001-5878-4248
Alexandre Prud'hommeDirection de Santé Publique de l'Agence de la Santé et des Services Sociaux de Montréal, 1301 rue Sherbrooke Est, Montréal, QC, Canada H2L 1M3 ; Institut National de Santé Publique du Québec, 945 Avenue Wolfe, Québec, QC, Canada G1V 5B3.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction. Solo practices have generally been viewed as forming a homogeneous group. However, they may differ on many characteristics. The objective of this paper is to identify different forms of solo practice and to determine the extent to which they are associated with patient experience of care. Methods. Two surveys were carried out in two regions of Quebec in 2010: a telephone survey of 9180 respondents from the general population and a postal survey of 606 primary healthcare (PHC) practices. Data from the two surveys were linked through the respondent's usual source of care. A taxonomy of solo practices was constructed (n = 213), using cluster analysis techniques. Bivariate and multilevel analyses were used to determine the relationship of the taxonomy with patient experience of care. Results. Four models were derived from the taxonomy. Practices in the "resourceful networked" model contrast with those of the "resourceless isolated" model to the extent that the experience of care reported by their patients is more favorable. Conclusion. Solo practice is not a homogeneous group. The four models identified have different organizational features and their patients' experience of care also differs. Some models seem to offer a better organizational potential in the context of current reforms.

Identifiers

PMID24523964
PMCPMC3913485

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.