Evidence map›Paper›PMID 28807953›Full record

ReviewCanadian family physician Medecin de famille canadien2017

Developing family practice to respond to global health challenges: The Besrour Papers: a series on the state of family medicine in the world.

Neil Arya, Bruce Dahlman, Christine Gibson, David Ponka, Cynthia Haq, Katherine Rouleau, Stephanie Hansel

Open access · greenAbstract readReview
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 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
3.4field-weighted citation impact, top 7% of its field
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, 20 citations in OpenAlex.

  1. Pooled it
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  7. The Family Physician Training Program in the World: A Scoping Review Protocol.International journal of preventive medicine · 2026
    Review
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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

7 authors at 7 institutions in 3 countries.

Neil AryaAssistant Clinical Professor in the Department of Family Medicine at McMaster University in Hamilton, Ont, and Adjunct Professor in the Department of Family Medicine at Western University in London, Ont.
Bruce DahlmanHead of the Department of Family Medicine and Community Care in the School of Medicine and Health Sciences at Kabarak University in Kenya at the time of the review.
Christine GibsonClinical Assistant Professor in the Department of Family Medicine of the Cumming School of Medicine at the University of Calgary in Alberta and Executive Director of the Global Familymed Foundation.
David PonkaAssociate Professor in the Department of Family Medicine at the University of Ottawa in Ontario and Lead of the Besrour Papers Working Group. dponka@bruyere.org.
Cynthia HaqProfessor of Family Medicine and Community Health in the School of Medicine and Public Health at the University of Wisconsin in Madison.
Katherine RouleauAssociate Professor and Director of the Global Health Program in the Department of Family and Community Medicine at St Michael's Hospital and the University of Toronto in Ontario, and Director of the Besrour Centre at the College of Family Physicians of Canada.
Stephanie HanselSenior Manager at Juzoor, a health and social development non-governmental organization in Ramallah, Palestine, at the time of the review.
Bruyère · CACollege of Family Physicians of Canada · CAGovernment of the United States of America · USKabarak University · KEUniversity of Calgary · CAUniversity of Wisconsin–Madison · USWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess family medicine's role in developing strong, coordinated, community-based, integrated health care systems in low-resource settings globally. COMPOSITION OF THE COMMITTEE: A subgroup of the Besrour Centre of the College of Family Physicians of Canada developed connections with selected international colleagues with expertise in international family medicine practice, health systems and capacity building, and teaching to map family medicine globally and give a bird's eye view of family medicine internationally.

methodsFollowing a background literature review, the authors collectively reflected on their substantial international experience to attempt to describe best practices for various contexts. REPORT: With the failure of vertical, disease-oriented models to provide sustained improvements in health outcomes, the need to develop integrated primary care involving the most appropriate health professionals for differing contexts is becoming apparent worldwide. Health system planning is required to develop policies on health professional training to achieve this. Advocating and offering appropriate incentives for, and coordination of, local opportunities within the health system also becomes paramount. The adaptability and generalist nature of family medicine allows it to respond to the unique needs of a given population. Family physicians with adequate financial and physical resources can function most effectively as members of interdisciplinary teams, thus providing valuable, comprehensive health services in any area of the world.

Indexed as

Africa South of the SaharaCapacity BuildingCubaDelivery of Health Care, IntegratedFamily PracticeGlobal HealthHealth Services AccessibilityHumansPovertyPrimary Health Care

Identifiers

PMID28807953
PMCPMC5555325
OpenAlexW2981920760

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.