Evidence map›Paper›PMID 34895410›Full record

ArticleHealthcare policy = Politiques de sante2021

Achieving Resilience in Primary Care during the COVID-19 Pandemic: Competing Visions and Lessons from Alberta.

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

Open access · bronzeAbstract 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 4% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  11. 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 at 3 institutions in 1 country.

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.
University of Calgary · CAAlberta Health Services · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has tested the resilience of health systems broadly and primary care (PC) specifically. This paper begins by distinguishing the technical and political aspects of resilience and then draws on a documentary analysis and qualitative interviews with health system and PC stakeholders to examine competing resilience-focused responses to the pandemic in Alberta, Canada. We describe the pre-existing linkages between the province's central service delivery agency and its independent PC clinics. Together, these central and independent elements make up Alberta's broader health system, with the focus of this paper being on PC's particular vision of how resilience ought to be achieved. We describe two specific, pandemic-affected areas of activity by showing how competing visions of resilience emerged in the central service delivery agency and independent PC responses as they met at the system's points of linkage. At the first point of linkage, we describe the centralized activation of an incident management system and the replies made by independent PC stakeholders. At the second point of linkage, we describe central efforts to disseminate infection prevention and control guidance to PC clinics and the improvisational efforts of staff at those independent clinics to operationalize the guidance and ensure continuity of operations. We identify gaps between the resilience visions of the central agency and independent PC, drawing broadly applicable policy lessons for improving responses in present and future public health emergencies. Finding ways to include PC in centralized resilience policy planning is a priority.

Indexed as

COVID-19PandemicsAlbertaHumansPrimary Health CareSARS-CoV-2

Identifiers

PMID34895410
PMCPMC8665729
OpenAlexW3215531646

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.