ArticleJournal of general internal medicine2023
Revisiting the Time Needed to Provide Adult Primary Care.
Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 190 papers, 4 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
190 citing papers in PubMed, 4 syntheses or guidelines pooled it, 315 citations in OpenAlex.
- Identification and Management of Binge-Eating Disorder and Bulimia Nervosa in Primary Care Settings: A Qualitative Systematic Review of Healthcare Professionals' and Patients' Perceptions.The International journal of eating disorders · 2026Pooled it
- Perceptions of, Barriers to, and Facilitators of the Use of AI in Primary Care: Systematic Review of Qualitative Studies.Journal of medical Internet research · 2025Pooled it
- Automated lifestyle interventions and weight loss: a systematic review of randomized controlled trials.International journal of obesity (2005) · 2025Pooled it
- PEER simplified lipid guideline 2023 update: Prevention and management of cardiovascular disease in primary care.Canadian family physician Medecin de famille canadien · 2023Guideline
- Feasibility trial of a transdiagnostic individual lifestyle evaluation and intervention (Lev-i) for health behavior change.PloS one · 2026Trial
- Trial
- Effect of a Peer Comparison and Educational Intervention on Medical Test Conversation Quality: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Results from the BETTER WISE trial: a pragmatic cluster two arm parallel randomized controlled trial for primary prevention and screening in primary care during the COVID-19 pandemic.BMC primary care · 2023Trial
- The Potential for a Benefit-Estimating Algorithm to Improve Recommendations for Preventive Services: Comparing Algorithm Recommendations with Those of Primary Care Providers.Medical decision making : an international journal of the Society for Medical Decision Making · 2026Article
- Optimizing generative artificial intelligence for clinical summarization: a blinded comparison study of automated versus human care planning synopses.JAMIA open · 2026Article
- Enhancing Alzheimer's disease diagnosis in primary care through targeted screening of people at risk of developing dementia - study design and feasibility assessment of the PREDEM primary care study.Alzheimer's research & therapy · 2026Article
- Rewiring the Research Enterprise: Why Primary Care Is the Next Frontier.Journal of general internal medicine · 2026Article
- Patient-Centered Clinical Decision Support for Recommended Screenings in French Primary Care: Protocol for a Multicenter Mixed Methods Feasibility Study.JMIR research protocols · 2026Article
- Exploring primary care providers' perspectives on clinical decision support for venous thromboembolism diagnosis: a qualitative study.BMJ open · 2026Article
- Eligibility-Identification Difficulty and Self-Reported Preventive Care Implementation Among Japanese Primary Care Physicians.Journal of general and family medicine · 2026Article
- Mapping the complexity of care in patients with heart disease living with chronic kidney disease.Clinical kidney journal · 2026Article
- Designing a computerized decision support system for asthma chronic disease management in community pharmacies.International journal of clinical pharmacy · 2026Article
- A Remote Program for Navigator- and Pharmacist-Led Management of Obesity Medications in Adults: Rationale, Design, and Implementation.Obesity science & practice · 2026Article
- Nurses' Transitions Into and Out of the Home Health Sector.Medical care research and review : MCRR · 2026Article
- Parenthood in US Medical Training Across Specialty Groups: Scoping Review.JMIR medical education · 2026Article
130 more citing papers are in PubMed but not listed here.
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 at 3 institutions in 2 countries.
Funding
Abstract
backgroundMany patients do not receive guideline-recommended preventive, chronic disease, and acute care. One potential explanation is insufficient time for primary care providers (PCPs) to provide care.
objectiveTo quantify the time needed to provide 2020 preventive care, chronic disease care, and acute care for a nationally representative adult patient panel by a PCP alone, and by a PCP as part of a team-based care model.
designSimulation study applying preventive and chronic disease care guidelines to hypothetical patient panels.
participantsHypothetical panels of 2500 patients, representative of the adult US population based on the 2017-2018 National Health and Nutrition Examination Survey. MAIN MEASURES: The mean time required for a PCP to provide guideline-recommended preventive, chronic disease and acute care to the hypothetical patient panels. Estimates were also calculated for visit documentation time and electronic inbox management time. Times were re-estimated in the setting of team-based care. KEY
resultsPCPs were estimated to require 26.7 h/day, comprising of 14.1 h/day for preventive care, 7.2 h/day for chronic disease care, 2.2 h/day for acute care, and 3.2 h/day for documentation and inbox management. With team-based care, PCPs were estimated to require 9.3 h per day (2.0 h/day for preventive care and 3.6 h/day for chronic disease care, 1.1 h/day for acute care, and 2.6 h/day for documentation and inbox management).
conclusionsPCPs do not have enough time to provide the guideline-recommended primary care. With team-based care the time requirements would decrease by over half, but still be excessive.
Indexed as
Identifiers
What OpenQuestion holds
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.