ArticleCanadian family physician Medecin de famille canadien2023
Who provides chronic disease management? Population-based retrospective cohort study in Alberta.
Article in Canadian family physician Medecin de famille canadien, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Interprofessional collaboration in primary care: what effect on patient health? A systematic literature review.BMC primary care · 2023Pooled it
- PEER simplified lipid guideline 2023 update: Prevention and management of cardiovascular disease in primary care.Canadian family physician Medecin de famille canadien · 2023Guideline
- Co-creation and interprofessional collaborative practice for the local management of osteoporosis: a qualitative study in primary healthcare.Family practice · 2026Article
- Family medicine is primary care and much more.Canadian family physician Medecin de famille canadien · 2026Article
- "It could bring a lot of help to people that aren't getting help right now": A qualitative analysis of the impact of virtual care on access to primary care for people with opioid use disorder.PLOS digital health · 2026Article
- To stay or leave: an integrative review of factors, personas, and recommendations for retaining family physicians in Canada.BMC primary care · 2025Review
- Breaking the chains in plato's cave: acute care in general practice.BMC primary care · 2025Article
- Determinants of the implementation of eHealth-based long-term follow-up care for young cancer survivors: a qualitative study.BMC cancer · 2024Article
- Top studies of 2023 relevant to primary care: From the PEER team.Canadian family physician Medecin de famille canadien · 2024Review
- Quality of care in patients with hypertension: a retrospective cohort study of primary care routine data in Germany.BMC primary care · 2024Article
- The value of family medicine: An impossible job, done impossibly well.Canadian family physician Medecin de famille canadien · 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
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the proportions of patients who receive care from family physicians, specialists, and nurse practitioners for the management of common chronic medical conditions.
designPopulation-based retrospective cohort study.
settingProvince of Alberta.
participantsAdults aged 19 years or older who were registered for provincial health services and each had 2 or more interactions with the same provider between January 1, 2013, and December 31, 2017, for any of 7 specified chronic medical conditions: hypertension, diabetes, chronic obstructive pulmonary disease (COPD), asthma, heart failure, ischemic heart disease, and chronic kidney disease.
main outcome measuresNumbers of patients being managed for these conditions and which provider types were involved in their care.
resultsAlbertans receiving care for the chronic medical conditions being studied (n=970,783) had a mean (SD) age of 56.8 (16.3) years and 49.1% were female. Family physicians were the sole providers of care for 85.7% of patients with a diagnosis of hypertension, 70.9% with diabetes, 59.8% with COPD, and 65.5% with asthma. Specialists were sole providers of care for 49.1% of patients with ischemic heart disease, 42.2% with chronic kidney disease, and 35.6% with heart failure. Nurse practitioners were involved in the care of less than 1% of patients with these conditions.
conclusionFamily physicians were involved in the care of most patients with any of 7 chronic medical conditions included in this study and were the sole providers of care for the majority of patients with hypertension, diabetes, COPD, and asthma. Guideline working group representation and the setting of clinical trials should reflect this reality.
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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.