Evidence map›Paper›PMID 33419910›Full record

ArticleBMJ open2021

Group practice impacts on patients, physicians and healthcare systems: a scoping review.

Terry Zwiep, San Hilalion Ahn, Jamie Brehaut, Fady Balaa, Daniel I McIsaac, Susan Rich, Tom Wallace, Husein Moloo

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Predictors of high-performing family medicine clinics: Prospective cohort study in Alberta.Canadian family physician Medecin de famille canadien · 2026
    Article
  2. General practice organisational models and heart failure medication adherence: multi-level evidence from a regional cohort in Emilia-Romagna, Italy.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Article
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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

8 authors.

Terry ZwiepSurgery, Western University, London, Ontario, Canada.ORCID 0000-0003-4345-0215
San Hilalion AhnSurgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
Jamie BrehautClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Fady BalaaSurgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
Daniel I McIsaacAnesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.
Susan RichSurgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
Tom WallaceSurgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
Husein MolooClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada hmoloo@toh.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the advantages and disadvantages that group practices have on patients, physicians and healthcare systems. STUDY

designA scoping review was performed based on the methodology proposed by Arksey and O'Malley, and refined by Levac STUDY

settingMEDLINE, EMBASE and Cochrane databases were searched from database inception to October 2018 for papers which assessed outcomes relevant to the research question.

resultsOur search strategy returned 2408 papers and 98 were included in the final analysis. Most papers were from the USA, were surveys and assessed physician outcomes. Advantages of group practices for patients included improved satisfaction and quality of care. Studies of physicians reported improved quality of life and income, while disadvantages included increased stress due to poor interpersonal relationships. Studies of healthcare systems reported improved efficiency and better utilisation of resources.

conclusionsGroup practices have many benefits for patients and physicians. However, further work needs to be done assessing patient outcomes and establishing the elements that make a group practice successful.

Indexed as

Group PracticePhysiciansDelivery of Health CareHumansPersonal SatisfactionQuality of Lifehealth services administration & managementorganisation of health servicesquality in healthcare

Identifiers

PMID33419910
PMCPMC7798803

What OpenQuestion holds

Textmetadata
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.