Evidence map›Paper›PMID 31515327›Full record

ArticleCanadian family physician Medecin de famille canadien2019

Primary care renewal strategies in Manitoba: Family physicians' perceptions.

Ashley Struthers, Colleen Metge, Catherine Charette, Karen Harlos, Sunita Bayyavarapu Bapuji, Paul Beaudin, Ingrid Botting, Alan Katz, Sara Kreindler

Abstract read
PubMed Full text at PMC
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Ashley StruthersResearch associate with the Evaluation Platform of the George and Fay Yee Centre for Healthcare Innovation at the University of Manitoba in Winnipeg. astruthers@wrha.mb.ca.
Colleen MetgeAssociate Professor in the Department of Community Health Sciences at the University of Manitoba.
Catherine CharetteResearcher with the Evaluation Platform of the George and Fay Yee Centre for Healthcare Innovation and Assistant Professor (part-time member) with the Department of Community Health Sciences at the University of Manitoba.
Karen HarlosProfessor in the Department of Business and Administration at the University of Winnipeg.
Sunita Bayyavarapu BapujiFormer research associate for the Evaluation Platform of the George and Fay Yee Centre for Healthcare Innovation and is currently Research Officer with the Australian Health Practitioner Regulation Agency in Melbourne, Australia.
Paul BeaudinResearcher with the Evaluation Platform of the George and Fay Yee Centre for Healthcare Innovation.
Ingrid BottingAssistant Professor in the Department of Community Health Sciences at the University of Manitoba, Corporate Secretary with the Winnipeg Regional Health Authority, and former Director of Health Services Integration for the Winnipeg Regional Health Authority Family Medicine-Primary Care program.
Alan KatzProfessor in the Department of Family Medicine and the Department of Community Health Sciences and Manitoba Health Research Council Chair in Primary Prevention Research at the University of Manitoba.
Sara KreindlerResearcher with the Health System Performance Platform of the George and Fay Yee Centre for Healthcare Innovation, Assistant Professor in the Department of Community Health Sciences, and Manitoba Research Chair in Health System Innovation at the University of Manitoba.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand family physicians' perceptions of Manitoba's strategies for primary care renewal or reform (PCR).

designQualitative substudy of an explanatory case study.

settingRural and urban Manitoba.

participantsA total of 60 family physicians (31 fee-for-service physicians, 26 alternate-funded physicians, and 3 physicians representing provincial physician organizations).

methodsSemistructured interviews and focus groups. MAIN

findingsMany physicians were hesitant to participate in PCR initiatives, perceiving clear risks but uncertain benefits to patients and providers. Additional barriers to participation included concerns about the adequacy and import of communication about PCR, the meaningfulness of opportunities for physician "voice," and the trustworthiness of decision makers. There was an appetite for tailored, clinic-level support in addressing concrete, physician-identified problems; however, the initiatives on offer were not widely viewed as providing such support.

conclusionAlthough some of the observed barriers might fade over time, concentrating PCR efforts on the everyday realities of family physician practice might be the best way to build a primary care system that works for patients and providers.

Indexed as

Attitude of Health PersonnelDecision MakingFemaleFocus GroupsHealth Care ReformHumansInterviews as TopicMaleManitobaPhysicians, FamilyPrimary Health CareQualitative Research

Identifiers

PMID31515327
PMCPMC6741804

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.