Evidence map›Paper›PMID 27809809›Full record

ArticleBMC family practice2016

Quality of primary health care in Poland from the perspective of the physicians providing it.

Anna Krztoń-Królewiecka, Marek Oleszczyk, Willemijn LA Schäfer, Wienke Gw Boerma, Adam Windak

Abstract read
In one paragraph

Article in BMC family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Coordinated care program in the Polish primary healthcare: insights into the early implementation.Archives of public health = Archives belges de sante publique · 2025
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  7. Successes, weaknesses, and recommendations to strengthen primary health care: a scoping review.Archives of public health = Archives belges de sante publique · 2023
    Article
  8. A Crisis in the Health System and Quality of Healthcare in Economically Developed Countries.International journal of environmental research and public health · 2022
    Article
  9. Primary Health Institutions and Service Quality in China: Implications for Health Policy.International journal of environmental research and public health · 2022
    Article
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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

5 authors.

Anna Krztoń-KrólewieckaDepartment of Family Medicine, Chair of the Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, 4 Bochenska Street, 31 061, Krakow, Poland. akrolewiecka@gmail.com.ORCID 0000-0002-8492-8361
Marek OleszczykDepartment of Family Medicine, Chair of the Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, 4 Bochenska Street, 31 061, Krakow, Poland.
Willemijn LA SchäferNIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN, Utrecht, Netherlands.
Wienke Gw BoermaNIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN, Utrecht, Netherlands.
Adam WindakDepartment of Family Medicine, Chair of the Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, 4 Bochenska Street, 31 061, Krakow, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary care (PC) allows patients to address most of their health needs and is essential for high quality healthcare systems. The aim of the study was to analyze the insight of nine core dimensions of Polish PC system: "Economic conditions", "Workforce", "Accessibility", "Comprehensiveness", "Continuity", "Coordination", "Quality of care", "Efficiency" and "Equity" and to identify the characteristics of the providing physicians that influence their perception of the quality of care.

methodsA cross-sectional study was conducted as part of an international QUALICOPC project. In Poland a nationally representative sample of 220 PC physicians was selected from the database of Polish National Health Fund by a stratified random sampling procedure. The research tool was a standardized 64-item questionnaire. Each of the respondents' answers were assigned a numerical value ranging from-1 (extremely negative) to +1 (extremely positive). The quality indicators were calculated as an arithmetic mean of variables representing particular PC dimensions.

resultsThe mean scores for the majority of the dimensions had negative values. Accessibility of care was perceived as the best dimension, while the economic conditions were evaluated most negatively. Only a small part of variation in quality evaluation could be explained by physicians' characteristics.

conclusionsThe negative evaluation of primary care reflects the growing crisis in the health care system in Poland. There is an urgent need to apply complex recovery measures to improve the quality of primary care.

Indexed as

Attitude of Health PersonnelQuality of Health CareAdultAgedAged, 80 and overCross-Sectional StudiesEducation, MedicalFemaleHealth Services AccessibilityHumansMaleMiddle AgedPerceptionPhysiciansPolandPrimary Health CareGeneral practiceHealth policyHealth services researchPrimary careQuality of care

Identifiers

PMID27809809
PMCPMC5096289

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.