Evidence map›Paper›PMID 34895409›Full record

ArticleHealthcare policy = Politiques de sante2021

A "Shock Test" to Primary Care Integration: COVID-19 Lessons from Alberta.

Myles Leslie, Raad Fadaak, Nicole Pinto, Jan Davies, Lee Green, Judy Seidel, John Conly, Pierre-Gerlier Forest

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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Confronting Barriers to Improving Healthcare Performance in Canada.Healthcare policy = Politiques de sante · 2021
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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.

Myles LeslieDirector of Research, School of Public Policy, University of Calgary; Associate Professor, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB.
Raad FadaakResearch Associate, School of Public Policy, University of Calgary, Calgary, AB.
Nicole PintoResearch Associate, School of Public Policy, University of Calgary, Calgary, AB.
Jan DaviesProfessor of Anesthesia, Cumming School of Medicine, University of Calgary; Anesthesiologist, Department of Anesthesiology, Perioperative and Pain Medicine, Alberta Health Services, Calgary, AB.
Lee GreenProfessor and Chair, Faculty of Medicine and Dentistry, Department of Family Medicine, University of Alberta, Edmonton, AB.
Judy SeidelAdjunct Associate Professor, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary; Scientific Director, Primary Healthcare Integration Network, Alberta Health Services, Calgary, AB.
John ConlyProfessor, Department of Microbiology, Immunology and Infectious Diseases, Cumming School of Medicine, University of Calgary, Infection Prevention and Control, Alberta Health Services, Calgary, AB.
Pierre-Gerlier ForestDirector, School of Public Policy, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic exposed primary care (PC), and policies aimed at integrating it into provincial health systems, to a "shock test." This paper draws on documentary analysis and qualitative interviews with PC and health system stakeholders to examine shifts in Alberta's pre-pandemic PC integration model during the first nine months of the pandemic. We begin with an account of three elements of the province's pre-pandemic model: finance, health authority activity and community activity. We describe these elements as they shifted, focusing on two indicators of change: novel virtual care billing codes and personal protective equipment (PPE) distribution channels. We draw out policy planning lessons for improving PC integration under normal and future pandemic conditions, namely, by facilitating rapid updates of virtual care billing codes, analyses of the impact of care delivery and backstopping of PPE markets and supply chains for PC.

Indexed as

COVID-19AlbertaHumansPandemicsPrimary Health CareSARS-CoV-2

Identifiers

PMID34895409
PMCPMC8665727

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.