Evidence map›Paper›PMID 35256440›Full record

ArticleBMJ open2022

CUP study: protocol for a comparative analysis of centralised waitlist effectiveness, policies and innovations for connecting unattached patients to primary care providers.

Emily Gard Marshall, Mylaine Breton, Michael Green, Lynn Edwards, Caitlyn Ayn, Mélanie Ann Smithman, Shannon Ryan Carson, Rachelle Ashcroft, Imaan Bayoumi, Frederick Burge and 9 more

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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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

19 authors.

Emily Gard MarshallPrimary Care Research Unit, Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada emily.marshall@dal.ca.ORCID 0000-0001-8327-0329
Mylaine BretonDepartment of Community Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.ORCID 0000-0001-5713-9618
Michael GreenQueen's University, Kingston, Ontario, Canada.
Lynn EdwardsNova Scotia Health Authority, Halifax, Nova Scotia, Canada.
Caitlyn AynPrimary Care Research Unit, Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID 0000-0001-5114-2904
Mélanie Ann SmithmanCentre de recherche Charles-LeMoyne, Université de Sherbrooke, Longueuil, Québec, Canada.
Shannon Ryan CarsonNova Scotia Health, Halifax, Nova Scotia, Canada.
Rachelle AshcroftUniversity of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-5666-1946
Imaan BayoumiQueen's University, Kingston, Ontario, Canada.
Frederick BurgePrimary Care Research Unit, Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Véronique DeslauriersCentre de recherche Charles-LeMoyne, Université de Sherbrooke, Longueuil, Québec, Canada.
Beverley LawsonPrimary Care Research Unit, Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Maria MathewsDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Charmaine McPhersonIndependent Researcher, Halifax, Nova Scotia, Canada.
Lauren R MoritzPrimary Care Research Unit, Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Sue NestoPrimary Care Research Unit, Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
David StockPrimary Care Research Unit, Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Sabrina T WongSchool of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
Melissa AndrewDivision of Geriatric Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

Funding

CIHR PJT-166115
6 · The paper itself

Abstract

introductionAccess to a primary care provider is a key component of high-functioning healthcare systems. In Canada, 15% of patients do not have a regular primary care provider and are classified as 'unattached'. In an effort to link unattached patients with a provider, seven Canadian provinces implemented centralised waitlists (CWLs). The effectiveness of CWLs in attaching patients to regular primary care providers is unknown. Factors influencing CWLs effectiveness, particularly across jurisdictional contexts, have yet to be confirmed. METHODS AND ANALYSIS: A mixed methods case study will be conducted across three Canadian provinces: Ontario, Québec and Nova Scotia. Quantitatively, CWL data will be linked to administrative and provider billing data to assess the rates of patient attachment over time and delay of attachment, stratified by demographics and compared with select indicators of health service utilisation. Qualitative interviews will be conducted with policymakers, patients, and primary care providers to elicit narratives regarding the administration, use, and access of CWLs. An analysis of policy documents will be used to identify contextual factors affecting CWL effectiveness. Stakeholder dialogues will be facilitated to uncover causal pathways and identify strategies for improving patient attachment to primary care. ETHICS AND DISSEMINATION: Approval to conduct this study has been granted in Ontario (Queens University Health Sciences and Affiliated Teaching Hospitals Research Ethics Board, file number 6028052; Western University Health Sciences Research Ethics Board, project 116591; University of Toronto Health Sciences Research Ethics Board, protocol number 40335), Québec (Centre intégré universitaire de santé et de services sociaux de l'Estrie, project number 2020-3446) and Nova Scotia (Nova Scotia Health Research Ethics Board, file number 1024979).

Indexed as

Primary Health CareWaiting ListsDelivery of Health CareHumansNova ScotiaPolicyhealth policyorganisation of health servicesprimary care

Identifiers

PMID35256440
PMCPMC8905966

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.