Evidence map›Paper›PMID 34895408›Full record

ArticleHealthcare policy = Politiques de sante2021

Comparing the Attainment of the Patient's Medical Home Model across Regions in Three Canadian Provinces: A Cross-Sectional Study.

Sabrina T Wong, Sharon Johnston, Fred Burge, Mehdi Ammi, John L Campbell, Alan Katz, Ruth Martin-Misener, Sandra Peterson, Manpreet Thandi, Jeannie Haggerty and 1 more

Abstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Confronting Barriers to Improving Healthcare Performance in Canada.Healthcare policy = Politiques de sante · 2021
    Article
  6. 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

11 authors.

Sabrina T WongProfessor, Centre for Health Services and Health Research, University of British Columbia, School of Nursing, University of British Columbia, Vancouver, BC.
Sharon JohnstonAssociate Professor, Department of Family Medicine, University of Ottawa, Ottawa, ON.
Fred BurgeProfessor, Department of Family Medicine, Dalhousie University, Halifax, NS.
Mehdi AmmiAssociate Professor, School of Public Policy and Administration, Carleton University, Ottawa, ON.
John L CampbellProfessor, Primary Care Research Group, University of Exeter College of Medicine and Health, Exeter, England.
Alan KatzProfessor, Departments of Community Health Sciences and Family Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB.
Ruth Martin-MisenerProfessor, School of Nursing, Dalhousie University Halifax, NS.
Sandra PetersonResearch Analyst, Centre for Health Services and Health Research, University of British Columbia Vancouver, BC.
Manpreet ThandiDoctoral Student, Centre for Health Services and Health Research, School of Nursing, University of British Columbia, Vancouver, BC.
Jeannie HaggertyProfessor, Department of Family Medicine, McGill University, Montreal, QC.
William HoggCo-Investigator, TRANSFORMATION Study, Professor, Department of Family Medicine, University of Ottawa; Vice-président associé recherche et Directeur scientifique, Institut du Savoir Montfort, Ottawa, ON.

Funding

CIHR TTF-128265
6 · The paper itself

Abstract

backgroundThe aim of this work was to show the feasibility of providing a comprehensive portrait of regional primary care performance.

methodsThe TRANSFORMATION study used a mixed-methods concurrent study design where we analyzed survey data and case studies. Data were collected in British Columbia, Ontario and Nova Scotia. Patient's Medical Home (PMH) pillar scores were created by calculating mean clinic-level scores across regions. Scores and qualitative themes were compared.

resultsParticipation included 86 practices (n = 1,929 patients; n = 117 clinicians). Regions had differential attainment towards PMH orientation with respect to infrastructure; community adaptiveness and accountability; and patient and family partnered care. The lowest PMH attainment for all regions were observed in connected care; accessible care; measurement, continuous quality improvement and research; and training, education and continuing professional development.

conclusionsComprehensive performance reporting that draws on multiple data sources in primary care is possible. Regional portraits highlighting many of the key pillars of a PMH approach to primary care show that despite differences in policy contexts, achieving a PMH remains elusive.

Indexed as

Primary Health CareQuality ImprovementBritish ColumbiaCross-Sectional StudiesHumansPatient-Centered Care

Identifiers

PMID34895408
PMCPMC8665731

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.