Evidence map›Paper›PMID 38291669›Full record

ArticleHealthcare management forum2024

Evaluating the cost of NP-led vs. GP-led primary care in British Columbia.

Damien Contandriopoulos, Katherine Bertoni, Rita McCracken, Lindsay Hedden, Ruth Lavergne, Gurprit K Randhawa

Abstract read
In one paragraph

Article in Healthcare management forum, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. The Fraying at the Edges of the Public Healthcare System in Canada.Healthcare policy = Politiques de sante · 2025
    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

6 authors.

Damien ContandriopoulosUniversity of Victoria, Victoria, British Columbia, Canada.
Katherine BertoniUniversity of Victoria, Victoria, British Columbia, Canada.
Rita McCrackenUniversity of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-2962-0364
Lindsay HeddenSimon Fraser University, Burnaby, British Columbia, Canada.
Ruth LavergneDalhousie University, Halifax, Nova Scotia, Canada.ORCID 0000-0002-4205-4600
Gurprit K RandhawaUniversity of Victoria, Victoria, British Columbia, Canada.ORCID 0000-0001-5513-7504

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2020, British Columbia (BC) opened four pilot Nurse Practitioner Primary Care Clinics (NP-PCCs) to improve primary care access. The aim of this economic evaluation is to compare the average cost of care provided by Nurse Practitioners (NPs) working in BC's NP-PCCs to what it would have cost the government to have physicians provide equivalent care. Comparisons were made to both the Fee-For-Service (FFS) model and BC's new Longitudinal Family Physician (LFP) model. The analyses relied on administrative data, mostly from the Medical Services Plan (MSP) and Chronic Disease Registry (CDR) via BC's Health Data Platform. Results show the cost of NPs providing care in the NP-PCCs is slightly lower than what it would cost to provide similar care in medical clinics staffed by physicians paid through the LFP model. This suggests that the NP-PCC model is an efficient approach to increase accessibility to primary care services in BC and should be considered for expansion across the province.

Indexed as

Nurse PractitionersPrimary Health CareBritish ColumbiaFee-for-Service PlansGeneral PractitionersHumans

Identifiers

PMID38291669
PMCPMC11264560

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.