Evidence map›Paper›PMID 42106629›Full record

SynthesisBMC primary care2026

The association between team-based model of care characteristics and patient outcomes in community health centres: a systematic review.

Li-Anne Audet, Pablo Galvez Hernandez, Ifeyinwa Chizoba Akamike, Jennifer Rayner, Ruth Martin-Misener, Walter P Wodchis

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Li-Anne AudetFaculté Des Sciences Infirmières, Université de Montréal, 2375 Chem. De La Côte-Sainte-Catherine, Montréal, QC, H3S2N4, Canada. li-anne.audet@umontreal.ca.
Pablo Galvez HernandezInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, 155 College St 4th Floor, Toronto, ON, M5T 3M6, Canada.
Ifeyinwa Chizoba AkamikeInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, 155 College St 4th Floor, Toronto, ON, M5T 3M6, Canada.
Jennifer RaynerAlliance for Healthier Communities, 970 Lawrence Av W, Suite 500, North York, ON, M6A 3B6, Canada.
Ruth Martin-MisenerSchool of Nursing, Dalhousie University, 5869 University Avenue, PO BOX 15000, Halifax, NS, B3H 4R2, Canada.
Walter P WodchisInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, 155 College St 4th Floor, Toronto, ON, M5T 3M6, Canada.

Funding

CIHR 513679
6 · The paper itself

Abstract

backgroundCommunity Health Centres (CHCs) are community-governed organizations often located in communities facing significant challenges with social determinants of health. To date, no review has summarized the evidence on the effects of team-based models of care on patient outcomes. The objective of this systematic review was to synthesize the evidence on the characteristics of interprofessional teams practicing in CHCs and their associations with patient outcomes.

methodsA systematic review was conducted following the guidelines of the Cochrane Handbook for Systematic Reviews of Interventions. In October 2024, an electronic search was performed in five databases and the grey literature using a combination of descriptors and keywords. No restrictions were applied regarding language or year of publication. Screening and data extraction were independently conducted by two reviewers. The included papers focused on interprofessional teams composed of at least three different types of providers (e.g., physician, nurse, and nutritionist) practicing in CHCs and addressing at least one patient outcome (e.g., satisfaction, diabetes management). The risk of bias was assessed by two independent reviewers using the Joanna Briggs Institute checklist.

resultsFrom 6,309 identified papers, 36 papers were included. Most papers focused on team composition (n = 18) and staffing patterns (n = 8). Adjustments to staffing patterns-such as increasing full-time equivalents, expanding team size, and diversifying skill mixes-were associated with improved patient satisfaction and increased number of visits. Adding a chiropractor reduced opioid prescriptions and patient pain, while including a pharmacist improved hepatitis management and patient satisfaction. Inconsistent findings were observed regarding the inclusion of nurse practitioners and physician assistants in interprofessional teams and their impact on the number of patients seen in CHCs. Specialized interprofessional teams addressing diabetes, pain management, and childhood obesity had better health outcomes and care management compared to standard care, highlighting the value of tailored interprofessional collaboration in achieving improved health outcomes for specific populations.

conclusionsSpecific team compositions are associated with improved health outcomes for the populations served by CHCs. Future research is needed to deepen the understanding of the associations between team composition, the type of care provided, and patients' clinical and psychosocial needs.

Indexed as

Community Health CentersPatient Care TeamHumansPatient SatisfactionCommunity health centresPatient outcomesPrimary careSystematic reviewTeam-based model of care

Identifiers

PMID42106629
PMCPMC13360040

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.