ArticleAnnual review of public health2014
Metrics for assessing improvements in primary health care.
Article in Annual review of public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.
- A systematic review of international performance indicators and metrics relevant to UK general practice.BMJ open quality · 2025Pooled it
- Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Project.Medical care · 2017Trial
- How Medicaid Accountable Care Organizations Advance Maternal Health Care Quality: Drivers of Change and Challenges From the Perspective of ACO Leaders, Clinicians, and Care Coordinators.The Milbank quarterly · 2026Article
- Assessing quality gaps in hypertensive disorders of pregnancy care in China: an unannounced standardised patient study protocol.BMJ open · 2026Article
- International Generalist Physicians' Conceptions of Generalism: "The Way," "The Privilege," and "The Indescribable Whole".Annals of family medicine · 2026Article
- Family Physicians' Views of Who They Are Accountable To and Current Quality Metrics.JAMA network open · 2026Article
- Continuity of Primary Care in Community Health Centers.Annals of family medicine · 2026Article
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- Article
- Translation, adaptation, and validation of Person-Centered Primary Care Measures for patients in family doctor contract services within mainland China.BMC primary care · 2025Article
- Primary care functional features and their health impact on patients enrolled in the Shanghai family doctor service: a mixed-methods study.Journal of global health · 2025Article
- Using Patient-Reported Outcomes in Two Program Examples Measuring Health Status in Primary Care: An Observational Study.Health science reports · 2025Article
- Defining and Measuring the Goldilocks Zone in Healthcare: A Review of Metrics and Models.Health services insights · 2025Review
- Prescribing Trends and Associated Outcomes of Antiepileptic Drugs and Other Psychotropic Medications in US Nursing Homes: Proposal for a Mixed Methods Investigation.JMIR research protocols · 2024Article
- Associations between blood pressure control and clinical events suggestive of nutrition care documented in electronic health records of patients with hypertension.BMC medical informatics and decision making · 2023Article
- Article
- Prioritizing ethical patient care responsibilities: A call to restructure student training practices in federally qualified health centers.Exploratory research in clinical and social pharmacy · 2023Article
- The Role of Primary Care in Advancing Civic Engagement and Health Equity: A Conceptual Framework.The Milbank quarterly · 2023Article
- The Role of Primary Care in Improving Population Health.The Milbank quarterly · 2023Article
- Development and validation of a Japanese version of the person-centered primary care measure.BMC primary care · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 7 institutions in 1 country.
Funding
Abstract
Metrics focus attention on what is important. Balanced metrics of primary health care inform purpose and aspiration as well as performance. Purpose in primary health care is about improving the health of people and populations in their community contexts. It is informed by metrics that include long-term, meaning- and relationship-focused perspectives. Aspirational uses of metrics inspire evolving insights and iterative improvement, using a collaborative, developmental perspective. Performance metrics assess the complex interactions among primary care tenets of accessibility, a whole-person focus, integration and coordination of care, and ongoing relationships with individuals, families, and communities; primary health care principles of inclusion and equity, a focus on people's needs, multilevel integration of health, collaborative policy dialogue, and stakeholder participation; basic and goal-directed health care, prioritization, development, and multilevel health outcomes. Environments that support reflection, development, and collaborative action are necessary for metrics to advance health and minimize unintended consequences.
Indexed as
Identifiers
What OpenQuestion holds
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.