Evidence map›Paper›PMID 25410698›Full record

ArticleHealthcare policy = Politiques de sante2014

Inadequate performance measures affecting practices, organizations and outcomes of Ontario's family health teams.

Rachelle Ashcroft

Abstract read
In one paragraph

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Patient perspectives on quality of care for depression and anxiety in primary health care teams: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  6. Article
  7. Article
  8. Processes that influence the evolution of family health teams.Canadian family physician Medecin de famille canadien · 2018
    Article
  9. 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

1 author.

Rachelle AshcroftAssistant Professor, School of Social Work, Renison University College, University of Waterloo, Waterloo, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmphasis on quantity as the main performance measure may be posing challenges for Family Health Team (FHT) practices and organizational structures. This study asked: What healthcare practices and organizational structures are encouraged by the FHT model?

methodsAn exploratory qualitative design guided by discourse analysis was used. This paper presents findings from in-depth semi-structured interviews conducted with seven policy informants and 29 FHT leaders.

resultsParticipants report that performance measures value quantity and are not inclusive of the broad scope of attributes that comprise primary healthcare. Performance measures do not appear to be accurately capturing the demand for healthcare services, or the actual amount of services being provided by FHTs. RESULTS suggest that unintended consequences of performance measures may be posing challenges to access and health outcomes.

conclusionIt is recommended that performance measures be developed and used to measure, support and encourage FHTs to achieve the goals of PHC.

Indexed as

Outcome Assessment, Health CareQuality Indicators, Health CareFamily PracticeHealth PolicyHumansInterviews as TopicPatient Care TeamQualitative Research

Identifiers

PMID25410698
PMCPMC4253898

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.