ArticleJournal of the American Board of Family Medicine : JABFM
Does Ownership Make a Difference in Primary Care Practice?
Registry-linked trialOpen access · diamondAbstract readComparative Study
In one paragraph
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02560428 (Evaluating System Change to Advance Learning and Take Evidence to Scale), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.
0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
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.
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.
Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES)
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Federal Investment in Primary Care Transformation: A Systematic Review and Qualitative Analysis.JAMA health forum · 2025Pooled it
- Quality indicators for the primary prevention of cardiovascular disease in primary care: A systematic review.PloS one · 2024Pooled it
- Physician Experiences in Health System-Owned Practices and Independent Practices: Insights From Interviews With Primary Care Physicians.Annals of family medicine · 2026Article
- Article
- Article
- Organizational characteristics associated with sustained participation in internal quality improvement: Findings from two waves of a national sample of physician practices in the United States.Social science & medicine (1982) · 2025Article
- Health System Expansion and Changes in Medicare Beneficiary Utilization of Safety Net Providers.Medical care · 2025Article
- What is successful integration in primary health care: qualitative insights from the Chinese public.Global health action · 2024Article
- Estimating the Cardiovascular Disease Risk Reduction of a Quality Improvement Initiative in Primary Care: Findings from EvidenceNOW.Journal of the American Board of Family Medicine : JABFM · 2023Article
- Payment strategies for behavioral health integration in hospital-affiliated and non-hospital-affiliated primary care practices.Translational behavioral medicine · 2022Article
- How Type of Practice Ownership Affects Participation with Quality Improvement External Facilitation: Findings from EvidenceNOW.Journal of general internal medicine · 2022Article
- Primary care quality and cost for privately insured patients in and out of US Health Systems: Evidence from four states.Health services research · 2020Observational
- Exemplary Practices in Cardiovascular Care: Results on Clinical Quality Measures from the EvidenceNOW Southwest Cooperative.Journal of general internal medicine · 2020Article
- Differences in Rates of High-Value and Low-Value Care Between Community Health Centers and Private Practices.Journal of general internal medicine · 2020Article
- Small Independent Primary Care Practices Serving Socially Vulnerable Urban Populations.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 1 country.
Stephan LindnerFrom Center for Health Systems Effectiveness & Department of Emergency Medicine, Oregon Health & Science University, Portland, (SL, KJM); School of Public Health, Oregon Health & Science University, Portland State University, Portland (SL, MM, KJM); Department of Emergency Medicine, Oregon Health & Science University, Portland (SL, KJM); HealthPartners Institute, Minneapolis, Minnesota (LIS); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB); Department of Family Medicine, Oregon Health & Science University, Portland, (MM STE, RJS, DJC); Section of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, OR (STE); Center for Community Health Integration, Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Western Reserve University, Cleveland, OH (KCS). lindners@ohsu.edu.
Leif I SolbergFrom Center for Health Systems Effectiveness & Department of Emergency Medicine, Oregon Health & Science University, Portland, (SL, KJM); School of Public Health, Oregon Health & Science University, Portland State University, Portland (SL, MM, KJM); Department of Emergency Medicine, Oregon Health & Science University, Portland (SL, KJM); HealthPartners Institute, Minneapolis, Minnesota (LIS); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB); Department of Family Medicine, Oregon Health & Science University, Portland, (MM STE, RJS, DJC); Section of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, OR (STE); Center for Community Health Integration, Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Western Reserve University, Cleveland, OH (KCS).
William L MillerFrom Center for Health Systems Effectiveness & Department of Emergency Medicine, Oregon Health & Science University, Portland, (SL, KJM); School of Public Health, Oregon Health & Science University, Portland State University, Portland (SL, MM, KJM); Department of Emergency Medicine, Oregon Health & Science University, Portland (SL, KJM); HealthPartners Institute, Minneapolis, Minnesota (LIS); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB); Department of Family Medicine, Oregon Health & Science University, Portland, (MM STE, RJS, DJC); Section of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, OR (STE); Center for Community Health Integration, Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Western Reserve University, Cleveland, OH (KCS).
Bijal A BalasubramanianFrom Center for Health Systems Effectiveness & Department of Emergency Medicine, Oregon Health & Science University, Portland, (SL, KJM); School of Public Health, Oregon Health & Science University, Portland State University, Portland (SL, MM, KJM); Department of Emergency Medicine, Oregon Health & Science University, Portland (SL, KJM); HealthPartners Institute, Minneapolis, Minnesota (LIS); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB); Department of Family Medicine, Oregon Health & Science University, Portland, (MM STE, RJS, DJC); Section of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, OR (STE); Center for Community Health Integration, Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Western Reserve University, Cleveland, OH (KCS).
Miguel MarinoFrom Center for Health Systems Effectiveness & Department of Emergency Medicine, Oregon Health & Science University, Portland, (SL, KJM); School of Public Health, Oregon Health & Science University, Portland State University, Portland (SL, MM, KJM); Department of Emergency Medicine, Oregon Health & Science University, Portland (SL, KJM); HealthPartners Institute, Minneapolis, Minnesota (LIS); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB); Department of Family Medicine, Oregon Health & Science University, Portland, (MM STE, RJS, DJC); Section of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, OR (STE); Center for Community Health Integration, Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Western Reserve University, Cleveland, OH (KCS).
K John McConnellFrom Center for Health Systems Effectiveness & Department of Emergency Medicine, Oregon Health & Science University, Portland, (SL, KJM); School of Public Health, Oregon Health & Science University, Portland State University, Portland (SL, MM, KJM); Department of Emergency Medicine, Oregon Health & Science University, Portland (SL, KJM); HealthPartners Institute, Minneapolis, Minnesota (LIS); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB); Department of Family Medicine, Oregon Health & Science University, Portland, (MM STE, RJS, DJC); Section of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, OR (STE); Center for Community Health Integration, Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Western Reserve University, Cleveland, OH (KCS).
Samuel T EdwardsFrom Center for Health Systems Effectiveness & Department of Emergency Medicine, Oregon Health & Science University, Portland, (SL, KJM); School of Public Health, Oregon Health & Science University, Portland State University, Portland (SL, MM, KJM); Department of Emergency Medicine, Oregon Health & Science University, Portland (SL, KJM); HealthPartners Institute, Minneapolis, Minnesota (LIS); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB); Department of Family Medicine, Oregon Health & Science University, Portland, (MM STE, RJS, DJC); Section of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, OR (STE); Center for Community Health Integration, Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Western Reserve University, Cleveland, OH (KCS).
Kurt C StangeFrom Center for Health Systems Effectiveness & Department of Emergency Medicine, Oregon Health & Science University, Portland, (SL, KJM); School of Public Health, Oregon Health & Science University, Portland State University, Portland (SL, MM, KJM); Department of Emergency Medicine, Oregon Health & Science University, Portland (SL, KJM); HealthPartners Institute, Minneapolis, Minnesota (LIS); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB); Department of Family Medicine, Oregon Health & Science University, Portland, (MM STE, RJS, DJC); Section of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, OR (STE); Center for Community Health Integration, Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Western Reserve University, Cleveland, OH (KCS).
Rachel J SpringerFrom Center for Health Systems Effectiveness & Department of Emergency Medicine, Oregon Health & Science University, Portland, (SL, KJM); School of Public Health, Oregon Health & Science University, Portland State University, Portland (SL, MM, KJM); Department of Emergency Medicine, Oregon Health & Science University, Portland (SL, KJM); HealthPartners Institute, Minneapolis, Minnesota (LIS); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB); Department of Family Medicine, Oregon Health & Science University, Portland, (MM STE, RJS, DJC); Section of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, OR (STE); Center for Community Health Integration, Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Western Reserve University, Cleveland, OH (KCS).
Deborah J CohenFrom Center for Health Systems Effectiveness & Department of Emergency Medicine, Oregon Health & Science University, Portland, (SL, KJM); School of Public Health, Oregon Health & Science University, Portland State University, Portland (SL, MM, KJM); Department of Emergency Medicine, Oregon Health & Science University, Portland (SL, KJM); HealthPartners Institute, Minneapolis, Minnesota (LIS); Department of Family Medicine, Lehigh Valley Health Network, Allentown, PA (WLM); Department of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health in Dallas, Dallas, TX (BAB); Department of Family Medicine, Oregon Health & Science University, Portland, (MM STE, RJS, DJC); Section of General Internal Medicine, Veterans Affairs Portland Health Care System, Portland, OR (STE); Center for Community Health Integration, Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Western Reserve University, Cleveland, OH (KCS).
Lehigh Valley Hospital-Pocono · USLehigh Valley Health Network · USVA Portland Health Care System · USHealthPartners · US
Funding
Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES)R01HS023940 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI COHEN, DEBORAH JILL · 2015 to 2018
$13.5MAHRQ HHS R01 HS023940
Abstract
purposeWe assessed differences in structural characteristics, quality improvement processes, and cardiovascular preventive care by ownership type among 989 small to medium primary care practices.
methodsThis cross-sectional analysis used electronic health record and survey data collected between September 2015 and April 2017 as part of an evaluation of the EvidenceNOW: Advancing Heart Health in Primary Care Initiative by the Agency for Health Care Research and Quality. We compared physician-owned practices, health system or medical group practices, and Federally Qualified Health Centers (FQHC) by using 15 survey-based practice characteristic measures, 9 survey-based quality improvement process measures, and 4 electronic health record-based cardiovascular disease prevention quality measures, namely, aspirin prescription, blood pressure control, cholesterol management, and smoking cessation support (ABCS).
resultsPhysician-owned practices were more likely to be solo (45.0% compared with 8.1%,
conclusionsPrimary care practice ownership was associated with differences in quality improvement process measures, with FQHCs reporting the highest use of such quality-improvement strategies. ABCS were mostly unrelated to ownership, suggesting a complex path between quality improvement strategies and outcomes.
Indexed as
Quality ImprovementAspirinBlood Pressure DeterminationCardiovascular DiseasesCholesterolCross-Sectional StudiesElectronic Health RecordsHumansOwnershipPrimary Health CareSmoking CessationSurveys and QuestionnairesAspirinCholesterolCardiovascular DiseasesCross Sectional AnalysisDelivery of Health CareGroup PracticeOwnershipPrimary Health CareProcess MeasuresQuality Improvement
Identifiers
What OpenQuestion holds
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Read underepoch 390
Registered trials
NCT02560428ClinicalTrials.gov
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.