Evidence map›Paper›PMID 30052190›Full record

ArticleHealthcare policy = Politiques de sante2018

Centralized Waiting Lists for Unattached Patients in Primary Care: Learning from an Intervention Implemented in Seven Canadian Provinces.

Mylaine Breton, Sabrina T Wong, Mélanie Ann Smithman, Sara Kreindler, Jalila Jbilou, Emily Marshall, Jason Sutherland, Astrid Brousselle, Jay Shaw, Valorie A Crooks and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers.

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

24 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Mylaine BretonAssociate Professor, Department of Community Health Sciences, Université de Sherbrooke; Chairwoman, Canadian Research Chair in Clinical Governance on Primary Health Care, Longueuil, QC.
Sabrina T WongProfessor, School of Nursing and Centre for Health Services and Policy Research, University of British Columbia; Co-Director, BC Primary Care Sentinel Surveillance Network, Vancouver, BC.
Mélanie Ann SmithmanDoctoral Student, Université de Sherbrooke, Longueuil, QC.
Sara KreindlerAssistant Professor, Department of Community Health Sciences, University of Manitoba; Manitoba Research Chair in Health System Innovation and Community Health Sciences, Winnipeg, MB.
Jalila JbilouProfessor and Researcher, Centre de formation médicale du Nouveau-Brunswick and École de psychologie, Université de Moncton, Moncton, NB.
Emily MarshallAssociate Professor, Department of Family Medicine, Dalhousie University, Halifax, NS
Jason SutherlandAssociate Professor, Centre for Health Services and Policy Research, University of British Columbia; Scholar, Michael Smith Foundation for Health Research, Vancouver, BC.
Astrid BrousselleDirector and Professor, School of Public Administration, University of Victoria, Victoria, BC.
Jay ShawScientist, Institute for Health System Solutions and Virtual Care, Women's College Research Institute, Women's College Hospital; Assistant Professor, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
Valorie A CrooksProfessor, Department of Geography, Simon Fraser University; Scholar, Michael Smith Foundation for Health Research; Canada Research Chair in Health Service Geographies, Burnaby, BC.
Damien ContandriopoulosProfessor, School of Nursing, University of Victoria; Chairman, Research Chair Policies, Knowledge and Health (Pocosa/Politiques, Connaissances, Santé), Victoria, BC.
Martin SassevilleResearch professional, Centre de recherche - Hôpital Charles-Le Moyne - Université de Sherbrooke, Longueuil, QC.
Michael GreenAssociate Professor, Departments of Family Medicine and Public Health Sciences, Queen's University; CTAQ Chair in Applied Health Economics/Health Policy; Director, Centre for Health Services and Policy Research; Associate Director, Centre for Studies in Primary Care; Adjunct Scientist, Institute for Clinical Evaluative Sciences, Kingston, ON.

Funding

CIHR 360866
6 · The paper itself

Abstract

Introduction: Centralized waiting lists (CWLs) are one solution to reduce the problematic number of patients without a regular primary care provider. This article describes different models of CWLs for unattached patients implemented in seven Canadian provinces and identifies common issues in the implementation of these CWLs. Methods: Logic models of each province's intervention were built after a grey literature review, 42 semi-structured interviews and a validation process with key stakeholders were performed. Results: Our analysis across provinces showed variability and common features in the design of CWLs such as same main objective to attach patients to a primary care provider; implementation as a province-wide program with the exception of British Columbia; management at a regional level in most provinces; voluntary participation for providers except in two provinces where it was mandatory for providers to attach CWL patients; fairly similar registration process across the provinces; some forms of prioritization of patients either using simple criteria or assessing for vulnerability was performed in most provinces except New Brunswick. Conclusion: Despite their differences in design, CWLs implemented in seven Canadian provinces face common issues and challenges regarding provider capacity to address the demand for attachment, barriers to the attachment of more vulnerable and complex patients as well as non-standardized approaches to evaluating their effectiveness. Sharing experiences across provinces as CWLs were being implemented would have fostered learning and could have helped avoid facing similar challenges.

Indexed as

Physician-Patient RelationsWaiting ListsCanadaHumansLogicModels, TheoreticalPrimary Health Care

Identifiers

PMID30052190
PMCPMC6044259

What OpenQuestion holds

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LicenceCC BY-NC
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.