Evidence map›Paper›PMID 28483888›Full record

ArticleAnnals of family medicine2017

Alignment of Canadian Primary Care With the Patient Medical Home Model: A QUALICO-PC Study.

Alan Katz, Nicole Herpai, Glenys Smith, Kris Aubrey-Bassler, Mylaine Breton, Antoine Boivin, William Hogg, Baukje Miedema, Jocelyn Pang, Walter P Wodchis and 1 more

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Annals of family medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

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  16. Partnering for change.Journal of health organization and management · 2019
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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

11 authors.

Alan KatzManitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong). alan_katz@cpe.umanitoba.ca.
Nicole HerpaiManitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).
Glenys SmithManitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).
Kris Aubrey-BasslerManitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).
Mylaine BretonManitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).
Antoine BoivinManitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).
William HoggManitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).
Baukje MiedemaManitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).
Jocelyn PangManitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).
Walter P WodchisManitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).
Sabrina T WongManitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe patient medical home (PMH) model aims to improve patient satisfaction and health outcomes in Canada, but since its introduction in 2009, there has been no evaluation of the extent to which primary care conforms with PMH attributes. Our objective was to compare current primary care across Canada with the 10 goals of the PMH model.

methodsA cross-sectional survey of primary care organization and delivery was conducted in Canadian provinces to evaluate the PMH-based attributes of primary care practices. Family physician and patient responses were mapped to the 10 goals of the PMH model. We used regression models to describe the provinces' success in meeting the goals, taking specific practice characteristics into account. We created a PMH composite score by weighting each goal equally for each practice and aggregating these by province. The PMH score is the sum of the values for each goal, which were scored from 0 to 1; a score of 10 indicates that all 10 goals of the PMH model were achieved.

resultsSeven hundred seventy-two primary care practices and 7,172 patients participated in the survey. The average national PMH score was 5.36 (range 4.75-6.23) of 10. Ontario was the only province to score significantly higher than Canada as a whole, whereas Québec, Newfoundland/Labrador, and New Brunswick/Prince Edward Island scored below the national average. There was little variation, however, among provinces in achieving the 10 PMH goals.

conclusionsProvincial PMH scores indicate considerable room for improvement if the PMH goals are to be fully implemented in Canada.

Indexed as

CanadaCross-Sectional StudiesHumansPatient-Centered CarePrimary Health CareQuality of Health CareRegression AnalysisSurveys and QuestionnairesCanadapatient-centered carepatient medical homeprimary care

Identifiers

PMID28483888
PMCPMC5422084

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.