Evidence map›Paper›PMID 38086598›Full record

ArticleBMJ open2023

Taxonomy of advanced access practice profiles among family physicians, nurse practitioners and nurses in university-affiliated team-based primary healthcare clinics in Quebec.

Mylaine Breton, Nadia Deville-Stoetzel, Isabelle Gaboury, Arnaud Duhoux, Lara Maillet, Sabina Abou Malham, Catherine Hudon, Isabelle Vedel, France Légaré, Djamal Berbiche and 1 more

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Mylaine BretonDepartment of Community Health, University of Sherbrooke, Longueuil, Quebec, Canada mylaine.breton@usherbrooke.ca.ORCID 0000-0001-5713-9618
Nadia Deville-StoetzelDepartment of Community Health, University of Sherbrooke, Longueuil, Quebec, Canada.ORCID 0000-0001-7387-6511
Isabelle GabouryDepartment of Family Medecine and Emergency Medicine, University of Sherbrooke, Longueuil, Quebec, Canada.ORCID 0000-0002-2881-4714
Arnaud DuhouxFaculty of Nursing, University of Montreal, Montreal, Québec, Canada.
Lara MailletNational School of Public Administration, ENAP, Montreal, Québec, Canada.ORCID 0000-0001-6192-183X
Sabina Abou MalhamSchool of Nursing Sciences, University of Sherbrooke, Longueuil, Quebec, Canada.ORCID 0000-0003-2885-6807
Catherine HudonDepartment of Family Medecine and Emergency Medicine, University of Sherbrooke, Longueuil, Quebec, Canada.ORCID 0000-0001-6140-9916
Isabelle VedelDepartment of Family Medicine, McGill University, Montreal, Québec, Canada.ORCID 0000-0002-6873-1681
France LégaréDepartment of Family Medicine and Emergency Medicine, Laval University, Québec, Québec, Canada.ORCID 0000-0002-2296-6696
Djamal BerbicheDepartment of Community Health, University of Sherbrooke, Longueuil, Quebec, Canada.
Nassera TouatiNational School of Public Administration, ENAP, Montreal, Québec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe advanced access model is highly recommended to improve timely access to primary healthcare (PHC). However, its adoption varies among PHC providers. We aim to identify the advanced access profiles of PHC providers.

designA cross-sectional study was conducted between October 2019 and March 2020. Latent class analysis (LCA) measures were used to identify PHC provider profiles based on 14 variables, 2 organisational context characteristics (clinical size and geographical area) and 12 advanced access strategies. SETTING AND

participantsAll family physicians, nurse practitioners and nurses working in the 49 university-affiliated team-based PHC clinics in Quebec, Canada, were invited, of which 35 participated. PRIMARY OUTCOME MEASURE: The LCA was based on 335 respondents. We determined the optimal number of profiles using statistical criteria (Akaike information criterion, Bayesian information criterion) and qualitatively named each of the six advanced access profiles.

results(1)

conclusionThe different patterns of advanced access strategy adoption confirm the need for training to be tailored to individuals, categories of PHC providers and contexts.

Indexed as

Nurse PractitionersPhysicians, FamilyBayes TheoremCross-Sectional StudiesHumansPrimary Health CareQuebecUniversitieshealth services accessibilityorganisation of health servicesprimary health care

Identifiers

PMID38086598
PMCPMC10729211

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.