Evidence map›Paper›PMID 27331231›Full record

ArticleCanadian family physician Medecin de famille canadien2016

Do new and traditional models of primary care differ with regard to access?: Canadian QUALICOPC study.

Baukje Miedema, Julie Easley, Ashley E Thompson, Antoine Boivin, Kris Aubrey-Bassler, Alan Katz, William E Hogg, Mylaine Breton, Danièle Francoeur, Sabrina T Wong and 1 more

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Computer use in primary care practices in Canada.Canadian family physician Medecin de famille canadien · 2017
    Article
  11. Observational
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

11 authors.

Baukje Miedema
Julie Easley
Ashley E Thompson
Antoine Boivin
Kris Aubrey-Bassler
Alan Katz
William E Hogg
Mylaine Breton
Danièle Francoeur
Sabrina T Wong
Walter P Wodchis

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine access to primary care in new and traditional models using 2 dimensions of the concept of patient-centred access.

designAn international survey examining the quality and costs of primary health care (the QUALICOPC study) was conducted in 2013 in Canada. This study adopted a descriptive cross-sectional survey method using data from practices across Canada. Each participating practice filled out the Family Physician Survey and the Practice Survey, and patients in each participating practice were asked to complete the Patient Experiences Survey.

settingAll 10 Canadian provinces.

participantsA total of 759 practices and 7172 patients.

main outcome measuresIndependent t tests were conducted to examine differences between new and traditional models of care in terms of availability and accommodation, and affordability of care.

resultsOf the 759 practices, 407 were identified as having new models of care and 352 were identified as traditional. New models of care were distinct with respect to payment structure, opening hours, and having an interdisciplinary work force. Most participating practices were from large cities or suburban areas. There were few differences between new and traditional models of care regarding accessibility and accommodation in primary care. Patients under new models of care reported easier access to other physicians in the same practice, while patients from traditional models reported seeing their regular family physicians more frequently. There was no difference between the new and traditional models of care with regard to affordability of primary care. Patients attending clinics with new models of care reported that their physicians were more involved with them as a whole person than patients attending clinics based on traditional models did.

conclusionPrimary care access issues do not differ strongly between traditional and new models of care; however, patients in the new models of care believed that their physicians were more involved with them as people.

Indexed as

Health Services AccessibilityAdultAgedCanadaCapitation FeeCross-Sectional StudiesFee-for-Service PlansFemaleHealth ExpendituresHumansMaleMiddle AgedPatient Care TeamPrimary Health CareSurveys and Questionnaires

Identifiers

PMID27331231
PMCPMC4721842

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.