Evidence map›Paper›PMID 40523745›Full record

ArticleCanadian family physician Medecin de famille canadien2025

Public priorities for primary care in Canada: Report on insights and actionable recommendations from 5 provincial reference panels.

Tara Kiran, Rachel Thelen, Kirsten Szymanski, Maryam Daneshvarfard, Kanya L Rajendra, Jeanette Lim, Mirna Garabet, Lucie Mayer, Steven Black, Jordan D Waterbury and 10 more

Abstract read
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. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Physician opinion on patient mental capacity in legal disputes.Canadian family physician Medecin de famille canadien · 2025
    Article
  5. Solving the family medicine crisis: Research, evidence, community engagement.Canadian family physician Medecin de famille canadien · 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

20 authors.

Tara KiranStaff physician in the Department of Family and Community Medicine and Scientist in the MAP Centre for Urban Health Solutions at St Michael's Hospital, Unity Health Toronto in Ontario; is Fidani Chair of Improvement and Innovation at the University of Toronto; and is Associate Professor in the Temerty Faculty of Medicine and the Institute of Health Policy, Management and Evaluation at the University of Toronto.
Rachel ThelenResearch Coordinator in the MAP Centre for Urban Health Solutions.
Kirsten SzymanskiQuality & Innovation Program Research Officer in the Department of Family and Community Medicine at the University of Toronto.
Maryam DaneshvarfardInternational Medical Graduate and Research Coordinator at the MAP Centre for Urban Health Solutions.
Kanya L RajendraMedical student at the University of Toronto.
Jeanette LimMember of the OurCare panel in British Columbia.
Mirna GarabetMember of the OurCare panel in Ontario.
Lucie MayerHealth, social, and political advocate, and a member of the OurCare panel in Quebec.
Steven BlackMember of the OurCare panel in Manitoba.
Jordan D WaterburyMember of the OurCare panel in 2023 in Halifax, NS, and volunteers extensively with Nova Scotia Health in Halifax and his hometown of Kentville.
Alan KatzProfessor in the Max Rady College of Medicine, the Department of Community Health Sciences, and the Department of Family Medicine at the University of Manitoba in Winnipeg.
Amanda CondonAssociate Professor and Head of the Department of Family Medicine in the Max Rady College of Medicine at the University of Manitoba.
M Ruth LavergneAssociate Professor in the Department of Family Medicine at Dalhousie University in Halifax, NS, and holds a Tier II Canada Research Chair in Primary Care.
Katherine StringerHead of the Department of Family Medicine in the Faculty of Medicine at Dalhousie University.
Mylaine BretonCanada Research Chair in Clinical Governance on Primary Health Care and Professor in the Department of Community Health Sciences at the University of Sherbrooke in Longueuil, Que.
Neb KovacinaQuality Improvement Director in the Department of Family Medicine at McGill University in Montréal, Que.
Mandy BussAssociate Professor in the Department of Family Medicine and Undergraduate Medical Education at the University of Manitoba.
Jasmin KayDirector of MASS LBP in Toronto.
Peter MacLeodFounder and Principal of MASS LBP.
Goldis MitraClinical Assistant Professor in the Department of Family Practice at the University of British Columbia in Vancouver.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo present recommendations from 5 provincial reference panels conducted as part of the OurCare initiative, the largest-ever national effort to engage the public about the future of primary care in Canada. COMPOSITION OF THE COMMITTEE: Each provincial reference panel included 30 to 36 members of the public who were randomly selected to represent the demographic characteristics of that province. Panels were held in Nova Scotia, Quebec, Ontario, Manitoba, and British Columbia.

methodsOurCare panelists spent up to 40 hours learning about primary care from experts in each province and deliberating to reach consensus on values, issues, and recommendations. Provincial advisory committees were composed of clinician leaders, policy-makers, and researchers. In each province, OurCare panelists collectively developed a report summarizing the results of their deliberations. REPORT: Panels in all 5 provinces identified 3 major challenges affecting primary care: a growing health workforce crisis, inequitable access to care, and fragmented services. Participants emphasized that everyone in Canada should have timely, equitable access to primary care, and called for a system that is prevention-focused, inclusive, patient-centred, and accountable. In all provinces, panelists recommended expanding team-based care, improving health professional retention and recruitment, ensuring patient access to health records, addressing the social determinants of health, and educating and empowering patients.

conclusionResults from the reference panels provide actionable direction for health system leaders, policy-makers, family physicians, and others engaged in health system improvement.

Indexed as

Health PrioritiesPrimary Health CareAdvisory CommitteesCanadaHealth Services AccessibilityHumans

Identifiers

PMID40523745
PMCPMC12264530

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.