Evidence map›Paper›PMID 29540392›Full record

ArticleCanadian family physician Medecin de famille canadien2018

Patients' perceptions of access to primary care: Analysis of the QUALICOPC Patient Experiences Survey.

Kamila Premji, Bridget L Ryan, William E Hogg, Walter P Wodchis

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2018. 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.

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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

4 authors.

Kamila PremjiFamily physician in Ottawa, Ont, a recent graduate of the Clinician Scholars program at the University of Ottawa, and a doctoral candidate at Western University's Centre for Studies in Family Medicine in London, Ont. kpremji@uwo.ca.
Bridget L RyanAssistant Professor in the Department of Family Medicine and the Department of Epidemiology and Biostatistics at Western University.
William E HoggClinician Investigator at the Bruyère Research Institute and Senior Research Advisor in the Department of Family Medicine at the University of Ottawa.
Walter P WodchisAssociate Professor at the Institute of Health Policy, Management and Evaluation at the University of Toronto in Ontario, Research Scientist at the Toronto Rehabilitation Institute, and Adjunct Scientist at the Institute for Clinical Evaluative Sciences.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo gain a more comprehensive understanding of patients' perceptions of access to their primary care practice and how these relate to patient characteristics.

designCross-sectional study.

settingOntario.

participantsAdult primary care patients in Ontario (N = 1698) completing the Quality and Costs of Primary Care (QUALICOPC) Patient Experiences Survey.

main outcome measuresResponses to 11 access-related survey items, analyzed both individually and as a Composite Access Score (CAS).

resultsThe mean (SD) CAS was 1.78 (0.16) (the highest possible CAS was 2 and the lowest was 1). Most patients (68%) waited more than 1 day for their appointment. By far most (96%) stated that it was easy to obtain their appointment and that they obtained that appointment as soon as they wanted to (87%). There were no statistically significant relationships between CAS and sex, language fluency, income, education, frequency of emergency department use, or chronic disease status. A higher CAS was associated with being older and being born in Canada, better self-reported health, and increased frequency of visits to a doctor.

conclusionDespite criticisms of access to primary care, this study found that Ontario patients belonging to primary care practices have favourable impressions of their access. There were few statistically significant relationships between patient characteristics and access, and these relationships appeared to be weak.

Indexed as

Quality of Health CareAdultAgedChronic DiseaseCross-Sectional StudiesFee-for-Service PlansFemaleHealth Services AccessibilityHumansLinear ModelsMaleMiddle AgedOntarioPatient SatisfactionPrimary Health CareSurveys and Questionnaires

Identifiers

PMID29540392
PMCPMC5851400

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.