Evidence map›Paper›PMID 31501199›Full record

ArticleAnnals of family medicine2019

Change in Site of Children's Primary Care: A Longitudinal Population-Based Analysis.

Richard C Wasserman, Susan E Varni, Matthew C Hollander, Valerie S Harder

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine, 2019. 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
4.1field-weighted citation impact, top 7% of its field
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, 16 citations in OpenAlex.

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  4. Pediatric Gender Care in Primary Care Settings in West Virginia: Provider Knowledge, Attitudes, and Educational Experiences.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
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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 at 1 institution in 1 country.

Richard C WassermanThe Robert Larner, MD College of Medicine, University of Vermont, Burlington, Vermont Richard.Wasserman@med.uvm.edu.
Susan E VarniThe Robert Larner, MD College of Medicine, University of Vermont, Burlington, Vermont.
Matthew C HollanderThe Robert Larner, MD College of Medicine, University of Vermont, Burlington, Vermont.
Valerie S HarderThe Robert Larner, MD College of Medicine, University of Vermont, Burlington, Vermont.
University of Vermont · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEvidence that fewer children are being seen at family physician (FP) practices has not been confirmed using population-level data. This study examines the proportion of children seen at FP and pediatrician practices over time and the influence of patient demographics and rurality on this trend.

methodsWe conducted a retrospective longitudinal analysis of Vermont all-payer claims (2009-2016) for children aged 0 to 21 years. The sample included 184,794 children with 2 or more claims over 8 years. Generalized estimating equations modeled the outcome of child attribution to a FP practice annually, with covariates for calendar year, child age, sex, insurance, and child Rural Urban Commuting Area (RUCA) category.

resultsOver time, controlling for other covariates, children were 5% less likely to be attributed to a FP practice (

conclusionsThe declining proportion of children attending FP practices, confirmed in this population-based analysis and more pronounced in rural areas, represents a continuing challenge.

Indexed as

AdolescentChildChild, PreschoolFamily PracticeFemaleHumansInfantInfant, NewbornLongitudinal StudiesMalePediatricsPractice Patterns, Physicians'Primary Health CareRetrospective StudiesRural Health ServicesRural Populationchild healthpediatriciansphysicians, familyprimary health careworkforce

Identifiers

PMID31501199
PMCPMC7032921
OpenAlexW2972599611

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.