Evidence map›Paper›PMID 25886504›Full record

ArticleBMC family practice2015

Quality of asthma care under different primary care models in Canada: a population-based study.

Teresa To, Jun Guan, Jingqin Zhu, M Diane Lougheed, Alan Kaplan, Itamar Tamari, Matthew B Stanbrook, Jacqueline Simatovic, Laura Feldman, Andrea S Gershon

Abstract read
In one paragraph

Article in BMC family practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Integrating asthma care guidelines into primary care electronic medical records: a review focused on Canadian knowledge translation tools.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Developments in asthma incidence and prevalence in Alberta between 1995 and 2015.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2020
    Article
  13. Article
  14. Article
  15. 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

10 authors.

Teresa ToChild Health Evaluative Sciences, The Hospital for Sick Children, 555 University Avenue, Toronto, Canada. teresa.to@sickkids.ca.
Jun GuanInstitute for Clinical Evaluative Sciences, Toronto, Canada. jun.guan@ices.on.ca.
Jingqin ZhuChild Health Evaluative Sciences, The Hospital for Sick Children, 555 University Avenue, Toronto, Canada. jingqin.zhu@sickkids.ca.
M Diane LougheedDepartment of Medicine, Queen's University, Kingston, Canada. lougheed@KGH.KARI.NET.
Alan KaplanFamily Physician Airways Group of Canada, Warwick, Canada. for4kids@gmail.com.
Itamar TamariStonegate Community Health Centre, Toronto, Canada. itamar.tamari@stonegatechc.org.
Matthew B StanbrookInstitute for Clinical Evaluative Sciences, Toronto, Canada. matthew.stanbrook@uhn.ca.
Jacqueline SimatovicChild Health Evaluative Sciences, The Hospital for Sick Children, 555 University Avenue, Toronto, Canada. jacqueline.simatovic@sickkids.ca.
Laura FeldmanChild Health Evaluative Sciences, The Hospital for Sick Children, 555 University Avenue, Toronto, Canada. l.feldman@mail.utoronto.ca.
Andrea S GershonChild Health Evaluative Sciences, The Hospital for Sick Children, 555 University Avenue, Toronto, Canada. Andrea.gershon@ices.on.ca.

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundPrevious research has shown variations in quality of care and patient outcomes under different primary care models. The objective of this study was to use previously validated, evidence-based performance indicators to measure quality of asthma care over time and to compare quality of care between different primary care models.

methodsData were obtained for years 2006 to 2010 from the Ontario Asthma Surveillance Information System, which uses health administrative databases to track individuals with asthma living in the province of Ontario, Canada. Individuals with asthma (n=1,813,922) were divided into groups based on the practice model of their primary care provider (i.e., fee-for-service, blended fee-for-service, blended capitation). Quality of asthma care was measured using six validated, evidence-based asthma care performance indicators.

resultsAll of the asthma performance indicators improved over time within each of the primary care models. Compared to the traditional fee-for-service model, the blended fee-for-service and blended capitation models had higher use of spirometry for asthma diagnosis and monitoring, higher rates of inhaled corticosteroid prescription, and lower outpatient claims. Emergency department visits were lowest in the blended fee-for-service group.

conclusionsQuality of asthma care improved over time within each of the primary care models. However, the amount by which they improved differed between the models. The newer primary care models (i.e., blended fee-for-service, blended capitation) appear to provide better quality of asthma care compared to the traditional fee-for-service model.

Indexed as

Quality Indicators, Health CareAdolescentAdultAgedAsthmaCanadaCapitation FeeChildChild, PreschoolCross-Sectional StudiesDelivery of Health CareFee-for-Service PlansFemaleGlucocorticoidsHealth Services ResearchHumansGlucocorticoids

Identifiers

PMID25886504
PMCPMC4336688

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LicenceCC BY
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Registered trials

None linked

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.