Evidence map›Paper›PMID 29307317›Full record

ArticlePrimary health care research & development2018

Strength of primary care service delivery: a comparative study of European countries, Australia, New Zealand, and Canada.

Danica R Pavlič, Maja Sever, Zalika Klemenc-Ketiš, Igor Švab, Milena Vainieri, Chiara Seghieri, Alem Maksuti

Abstract readComparative Study
In one paragraph

Article in Primary health care research & development, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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.

Danica R Pavlič1Department of Family Medicine, Medical Faculty,University of Ljubljana,Ljubljana,Slovenia.
Maja Sever2Statistical Office of the Republic of Slovenia,Ljubljana,Slovenia.
Zalika Klemenc-Ketiš1Department of Family Medicine, Medical Faculty,University of Ljubljana,Ljubljana,Slovenia.
Igor Švab1Department of Family Medicine, Medical Faculty,University of Ljubljana,Ljubljana,Slovenia.
Milena Vainieri5Laboratory of Management and Health,Institute of Management,Sant'Anna School of Advanced Studies,Pisa,Italy.
Chiara Seghieri5Laboratory of Management and Health,Institute of Management,Sant'Anna School of Advanced Studies,Pisa,Italy.
Alem Maksuti6Institute for Political Management,Ljubljana,Slovenia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AimWe sought to examine strength of primary care service delivery as measured by selected process indicators by general practitioners from 31 European countries plus Australia, Canada, and New Zealand. We explored the relation between strength of service delivery and healthcare expenditures.

backgroundThe strength of a country's primary care is determined by the degree of development of a combination of core primary care dimensions in the context of its healthcare system. This study analyses the strength of service delivery in primary care as measured through process indicators in 31 European countries plus Australia, New Zealand, and Canada.

methodsA comparative cross-sectional study design was applied using the QUALICOPC GP database. Data on the strength of primary healthcare were collected using a standardized GP questionnaire, which included 60 questions divided into 10 dimensions related to process, structure, and outcomes. A total of 6734 general practitioners participated. Data on healthcare expenditure were obtained from World Bank statistics. We conducted a correlation analysis to analyse the relationship between strength and healthcare expenditures.FindingsOur findings show that the strength of service delivery parameters is less than optimal in some countries, and there are substantial variations among countries. Continuity and comprehensiveness of care are significantly positively related to national healthcare expenditures; however, coordination of care is not.

Indexed as

Quality Indicators, Health CareAustraliaCanadaCross-Sectional StudiesDelivery of Health CareEuropeHealth Services ResearchHumansNew ZealandPrimary Health CareSurveys and Questionnairescomparative methodcross-country studyhealthcare expenditureprimary carestrength

Identifiers

PMID29307317
PMCPMC5904289

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.