ArticleHealthcare policy = Politiques de sante2014
Full-service family practice in British Columbia: policy interventions and trends in practice, 1991-2010.
Article in Healthcare policy = Politiques de sante, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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
26 citing papers in PubMed.
- Comprehensiveness in Primary Care: A Scoping Review.The Milbank quarterly · 2025Article
- Characteristics of walk-in clinic physicians and patients in Ontario: Cross-sectional study.Canadian family physician Medecin de famille canadien · 2024Article
- Advice to future family physicians: findings from qualitative interviews with family medicine residents and early-career family physicians.BMC medical education · 2024Article
- Building High-Performing Primary Care Systems: After a Decade of Policy Change, Is Canada "Walking the Talk?"The Milbank quarterly · 2023Review
- Comparing Practice Intentions and Patterns of Family Physicians in Canada.Family medicine · 2023Article
- Article
- Changes in comprehensiveness of services delivered by Canadian family physicians: Analysis of population-based linked data in 4 provinces.Canadian family physician Medecin de famille canadien · 2023Article
- Are early career family physicians prepared for practice in Canada? A qualitative study.BMC medical education · 2023Article
- The impact of care of the elderly certificates of added competence on family physician practice: results from a pan-Canadian multiple case study.BMC geriatrics · 2022Article
- Characterizing people with frequent emergency department visits and substance use: a retrospective cohort study of linked administrative data in Ontario, Alberta, and B.C., Canada.BMC emergency medicine · 2022Article
- Finding Primary Care-Repurposing Physician Registration Data to Generate a Regionally Accurate List of Primary Care Clinics: Development and Validation of an Open-Source Algorithm.JMIR formative research · 2022Article
- Physician Financial Incentives to Reduce Unplanned Hospital Readmissions: an Interrupted Time Series Analysis.Journal of general internal medicine · 2021Observational
- Identifying subgroups and risk among frequent emergency department users in British Columbia.Journal of the American College of Emergency Physicians open · 2021Article
- Modern work patterns of "classic" versus millennial family doctors and their effect on workforce planning for community-based primary care: a cross-sectional survey.Human resources for health · 2020Article
- Development of comparable algorithms to measure primary care indicators using administrative health data across three Canadian provinces.International journal of population data science · 2020Article
- Population segments as a tool for health care performance reporting: an exploratory study in the Canadian province of British Columbia.BMC family practice · 2020Article
- Is attending birth dying out? Trends in obstetric care provision among primary care physicians in British Columbia.Canadian family physician Medecin de famille canadien · 2019Article
- Article
- Trends in Providing Out-of-Office, Urgent After-Hours, and On-Call Care in British Columbia.Annals of family medicine · 2019Article
- Exploring Context and the Factors Shaping Team-Based Primary Healthcare Policies in Three Canadian Provinces: A Comparative Analysis.Healthcare policy = Politiques de sante · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBritish Columbia's primary care reform (initiated in 2002) aims to promote "full-service family practice" through incentive payments and other practice support programs. Despite attention to policy, no longitudinal analysis has been conducted of the activities of BC primary care physicians.
methodsThis study employed linked administrative health data from 1991/92 through 2009/10 to describe dimensions of care from the definition of "full-service family practice" used in BC reform, grouped into four categories: access, continuity, coordination and comprehensiveness.
resultsAccess, continuity and coordination of care fell over the study period (p < 0.001). Some dimensions reflecting comprehensiveness of care declined (obstetrics and geriatric care), though the remainder did not change significantly. Overall declining trends were consistent across physician characteristics and remained significant when accounting for shifts to non- fee-for-service payment.
conclusionFindings suggest efforts are not achieving their intended aims. Rigorous evaluation of individual components of reform is needed.
Indexed as
Identifiers
24973482PMC4749884What 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.