ArticleAnnals of family medicine
Impact of Team-Based Care on Emergency Department Use.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The association between team-based model of care characteristics and patient outcomes in community health centres: a systematic review.BMC primary care · 2026Pooled it
- Impact of team-based primary care on health care utilization among patients with mental and substance use disorders: a systematic review of English-language articles.Family practice · 2025Pooled it
- Adoption and sustainability of a virtual interprofessional team for primary care in Ontario: a qualitative study.BMC primary care · 2026Article
- Impact of grassroots development of interprofessional team-based practices: Retrospective matched cohort study using ICES data.Canadian family physician Medecin de famille canadien · 2026Article
- Interprofessional teams and capacity in collaborative primary care: a rapid scoping review.Systematic reviews · 2026Article
- Article
- Association between continuity of care and detection of hypertension in Dutch general practice: a 10-year cohort study.BMJ open · 2026Article
- Team-based care within community health centres in Ontario, Canada and the association with emergency department visits: a population-based retrospective study.BMC primary care · 2026Article
- Exploring patient and provider perspectives on outpatient care and the family practice model at a university hospital in Ghana.PloS one · 2026Article
- Changes in emergency and primary care use after adding virtual physicians to HealthLink BC's 8-1-1 program.NPJ digital medicine · 2025Article
- Sociodemographic and Health Behaviour of Frequent, Avoidable Emergency Department Users in Ontario, Canada: A Population-based Descriptive Study.The western journal of emergency medicine · 2025Article
- Understanding the experience of clinicians and non-clinical staff in Integrated Virtual Care, a hybrid primary care program in rural Ontario, Canada: a qualitative study.BMC health services research · 2025Article
- Medication management for older adults in interprofessional primary care teams: a qualitative interview study of family health teams in Ontario, Canada.BMC primary care · 2025Article
- Convenience or Continuity: When Are Patients Willing to Wait to See Their Own Doctor?Annals of family medicine · 2025Article
- Emergency department visits for ambulatory care sensitive conditions by persons with Rheumatoid Arthritis: A population-based study.PloS one · 2025Article
- Public experiences and perspectives of primary care in Canada: results from a cross-sectional survey.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Primary care services and emergency department visits in blended fee-for-service and blended capitation models: evidence from Ontario, Canada.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- The impact of team-based primary care on medication-related outcomes in older adults: A comparative analysis of two Canadian provinces.Preventive medicine reports · 2023Article
- Training in Team-Based Practices: A Descriptive Analysis of Family Medicine Postgraduate Site Distribution across Canada.Healthcare policy = Politiques de sante · 2023Article
- Family physicians' experiences with an innovative, community-based, hybrid model of in- person and virtual care: a mixed-methods study.BMC health services research · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
purposeWe sought to assess the impact of team-based care on emergency department (ED) use in the context of physicians transitioning from fee-for-service payment to capitation payment in Ontario, Canada.
methodsWe conducted an interrupted time series analysis to assess annual ED visit rates before and after transition from an enhanced fee-for-service model to either a team capitation model or a nonteam capitation model. We included Ontario residents aged 19 years and older who had at least 3 years of outcome data both pretransition and post-transition (N = 2,524,124). We adjusted for age, sex, income quintile, immigration status, comorbidity, and morbidity, and we stratified by rurality. A sensitivity analysis compared outcomes for team vs nonteam patients matched on year of transition, age, sex, rurality, and health region.
resultsWe compared 387,607 team and 1,399,103 nonteam patients in big cities, 213,394 team and 380,009 nonteam patients in small towns, and 65,289 team and 78,722 nonteam patients in rural areas. In big cities, after adjustment, the ED visit rate increased by 2.4% (95% CI, 2.2% to 2.6%) per year for team patients and 5.2% (95% CI, 5.1% to 5.3%) per year for nonteam patients in the years after transition (
conclusionsAdoption of team-based primary care may reduce ED use. Further research is needed to understand optimal team composition and roles.
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Registered trials
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.