Evidence map›Paper›PMID 39843197›Full record

ArticleCanadian family physician Medecin de famille canadien2025

Primary care in the COVID-19 pandemic and beyond: Lessons from Ontario.

Danielle Martin, Fahad Razak, Imaan Bayoumi, Azza Eissa, Michael E Green, Richard H Glazier, Allan K Grill, Noah M Ivers, Derelie Mangin, Elizabeth Muggah and 8 more

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In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Correction.Canadian family physician Medecin de famille canadien · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. What the pandemic taught us.Canadian family physician Medecin de famille canadien · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Danielle MartinFamily physician and Chair in the Department of Family and Community Medicine (DFCM) at the University of Toronto (U of T).
Fahad RazakInternist at St Michael's Hospital in Toronto, Ont, and Canada Research Chair in Healthcare Data and Analytics at U of T.
Imaan BayoumiAssociate Professor in the Department of Family Medicine at Queen's University in Kingston, Ont.
Azza EissaClinician Scholar in the DFCM at U of T.
Michael E GreenPresident, Vice-Chancellor, Dean, and Chief Executive Officer of the NOSM University.
Richard H GlazierSenior Core Scientist at ICES, Scientist in the MAP Centre for Urban Health Solutions at St Michael's Hospital, and Professor in the DFCM, the Dalla Lana School of Public Health, and the Institute of Health Policy, Management and Evaluation at U of T.
Allan K GrillChief of Family Medicine at Oak Valley Health's Markham Stouffville Hospital in Ontario.
Noah M IversFamily physician at Women's College Hospital, Scientist at the Women's College Research Institute and Associate Professor in the DFCM at U of T.
Derelie ManginProfessor in the Department of Family Medicine at McMaster University in Hamilton, Ont.
Elizabeth MuggahSenior Clinical Advisor of Primary Care at Ontario Health in Toronto and Associate Professor in the Department of Family Medicine at the University of Ottawa in Ontario.
Sarah NewberyAssociate Professor and Associate Dean of Physician Workforce Strategy at NOSM University.
Onyenyechukwu NnoromFamily doctor, a public health specialist, and Associate Program Director of the Public Health and Preventive Medicine Residency Program at U of T.
Dominik Alex NowakPresident of the Ontario Medical Association in Toronto and Assistant Professor in the DFCM at U of T.
Kamila PremjiFamily physician, Assistant Professor at the University of Ottawa, Clinician Researcher at the Institut du Savoir Montfort in Ottawa, and a doctoral candidate at Western University in London, Ont.
Andrew D PintoDirector of the Upstream Lab, a public health and preventive medicine specialist and family physician at St Michael's Hospital, and Associate Professor at U of T.
Jennifer RaynerDirector of Research and Policy at the Alliance for Healthier Communities in Toronto and Associate Professor in the DFCM at U of T.
Janet SmylieFamily physician and Research Scientist at Unity Health Toronto, Professor in the Dalla Lana School of Public Health and DFCM at U of T, and Tier 1 Canada Research Chair in Advancing Generative Health Services for Indigenous Populations in Canada.
Tara KiranVice-Chair of Quality and Innovation in the DFCM at U of T; Associate Professor in the Faculty of Medicine and the Institute of Health Policy, Management and Evaluation at U of T; Scientist in the MAP Centre for Urban Health Solutions at St Michael's Hospital; and a staff physician in the DFCM at St Michael's Hospital, Unity Health Toronto.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand the role of primary care in the COVID-19 pandemic to provide insight into its functioning and inform potential reforms. COMPOSITION OF THE COMMITTEE: The now dissolved Ontario COVID-19 Science Advisory Table (Science Table) was formed in July 2020 to provide decision makers and the public with a synthesis of rapidly evolving evidence related to COVID-19. The Science Table was based at the Dalla Lana School of Public Health at the University of Toronto, and supported by Public Health Ontario.

methodsAuthors worked with the leadership and secretariat of the Science Table to synthesize evidence and inputs. Authors drew on their expertise in research, policy, and front-line care delivery and coupled this with data analysis and reviews of the literature relevant to the topic areas discussed. Data analysis and literature reviews were done with the support of the Ontario Medical Association, the INSPIRE-Primary Health Care research program, and the Department of Family and Community Medicine at the University of Toronto. Experts conducted a rapid review of the briefs prior to publication, and authors presented the briefs' content at a series of meetings attended by Science Table members for their input. As Science Table briefs were intended to provide rapid-response answers to important health system questions in real time, the intent was not to conduct a systematic review but rather to gather available relevant evidence and present it in a form that could be used by policy-makers. REPORT: This summary describes the work of primary care during the COVID-19 pandemic in Ontario up to September 2022; outlines current challenges in primary care capacity and structure; and makes recommendations for strengthening the sector to better address population needs for current and future public health priorities. While the focus is on Ontario, many of the findings are relevant to other jurisdictions in Canada and elsewhere.

conclusionUniversal formal attachment to an accountable interprofessional primary care team supported by adequate infrastructure should be the cornerstone of pandemic recovery planning.

Indexed as

COVID-19Primary Health CareHumansOntarioPandemicsSARS-CoV-2

Identifiers

PMID39843197
PMCPMC11753269

What OpenQuestion holds

Textmetadata
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.