Evidence map›Paper›PMID 31470573›Full record

ArticleInternational journal of environmental research and public health2019

Factors Associated with Practice-Level Performance Indicators in Primary Health Care in Hungary: A Nationwide Cross-Sectional Study.

Nóra Kovács, Anita Pálinkás, Valéria Sipos, Attila Nagy, Nouh Harsha, László Kőrösi, Magor Papp, Róza Ádány, Orsolya Varga, János Sándor

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Inequalities in Diabetes Mortality Between Microregions in Hungary.International journal of public health · 2023
    Article
  7. Article
  8. Review
  9. Article
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

10 authors.

Nóra KovácsDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, 4028 Debrecen, Hungary.
Anita PálinkásDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, 4028 Debrecen, Hungary.
Valéria SiposDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, 4028 Debrecen, Hungary.
Attila NagyDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, 4028 Debrecen, Hungary.
Nouh HarshaDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, 4028 Debrecen, Hungary.ORCID 0000-0002-6822-1024
László KőrösiDepartment of Financing, National Institute of Health Insurance Fund Management, 1139 Budapest, Hungary.
Magor PappHealth Promotion Center, Semmelweis University, 1085 Budapest, Hungary.
Róza ÁdányDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, 4028 Debrecen, Hungary.
Orsolya VargaDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, 4028 Debrecen, Hungary.
János SándorDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, 4028 Debrecen, Hungary. sandor.janos@sph.unideb.hu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The performance of general practitioners (GPs) is frequently assessed without considering the factors causing variability among general medical practices (GMPs). Our cross-sectional national-based study was performed in Hungary to evaluate the influence of GMP characteristics on performance indicators. The relationship between patient's characteristics (age, gender, education) and GMP-specific parameters (practice size, vacancy of GP's position, settlement type, and county of GMP) and the quality of care was assessed by multilevel logistic regression models. The variations attributable to physicians were small (from 0.77% to 17.95%). The education of patients was associated with 10 performance indicators. Practicing in an urban settlement mostly increased the quality of care for hypertension and diabetes care related performance indicators, while the county was identified as one of the major determinants of variability among GPs' performance. Only a few indicators were affected by the vacancy and practice size. Thus, the observed variability in performance between GPs partially arose from demographic characteristics and education of patients, settlement type, and regional location of GMPs. Considering the real effect of these factors in evaluation would reflect better the personal performance of GPs.

Indexed as

AdultCross-Sectional StudiesDiabetes MellitusFemaleGeneral PractitionersHumansHungaryHypertensionLogistic ModelsMaleMiddle AgedMultivariate AnalysisPrimary Health CareUrban Populationgeneral practitionerGMPperformanceprimary healthcarequality indicators

Identifiers

PMID31470573
PMCPMC6747708

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Registered trials

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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.