Evidence map›Paper›PMID 34303062›Full record

ArticleAtencion primaria2021

[Elements influencing the election of Family and Community Medicine].

Jasmine Elsie McGhie, Anna Dalmau Roig, Marta Florensa Puig, Pau Silva Ruiz, Gisela Oñate Ferriz, Eva Maria Gracia Baño

Abstract read
In one paragraph

Article in Atencion primaria, 2021. 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

6 authors.

Jasmine Elsie McGhieUnitat Docent Barcelona Ciutat Institut Català de la Salut, Barcelona, España.
Anna Dalmau RoigUnitat Docent Barcelona Ciutat Institut Català de la Salut, Barcelona, España.
Marta Florensa PuigUnitat Docent Barcelona Ciutat Institut Català de la Salut, Barcelona, España. Electronic address: martaflorensapuig@gmail.com.
Pau Silva RuizUnitat Docent Barcelona Ciutat Institut Català de la Salut, Barcelona, España.
Gisela Oñate FerrizUnitat Docent Barcelona Ciutat Institut Català de la Salut, Barcelona, España.
Eva Maria Gracia BañoUnitat Docent Barcelona Ciutat Institut Català de la Salut, Barcelona, España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo analyze the perceptions, motives and reasons that influence the election of Family and Community Medicine (FCM) speciality, thus exploring possible proposals for change in the health system model and university training.

designDescriptive-interpretative qualitative research from a socio-constructivist perspective. EMPLACEMENT: Medical speciality training departments in the Metropolitan Area of Barcelona. PARTICIPANTS AND CONTEXT: 55 first year junior doctors belonging to the FCM Barcelona Ciutat ICS training department were contacted; 25 agreed to participate. They were segmented into two groups depending on if the choice of FCM had been their first option or not. Through snowball sampling 11 more junior doctors from other specialities were recruited.

methodThree focus groups were formed: (a) first choice FCM, (b) not first choice FCM and (c) other specialities. Semi-structured 2-h long interviews took place with each of the groups. Literal transcription and inductive codification with a first triangulation within each group and a second one between the three of them and thematic content analyses.

resultsThe choice of speciality is lived as an academic milestone and is thought determining professional and personally. It is a complex weave of influencing elements but some of main factors were university training, health system model, professional prospects and the social appreciation of the speciality. Analyzing the relation between these elements puts light on a phenomena we have called "the discredit of Primary Care (PC)".

conclusionThe FCM specialty will not be attractive in a hospital-centric health and training system that does not bet on PC organizationally or economically.

Indexed as

Career ChoiceCommunity MedicineFamily PracticeHumansPhysicians, FamilyQualitative ResearchCualitativaElecciónElectionEspecialidadFamily medicineMedicina de familiaMIRQualitativeResidency programSpecialization

Identifiers

PMID34303062
PMCPMC8322123

What OpenQuestion holds

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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.