Observational studyBMC pediatrics2026
Primary care among newborns at a Canadian urban center: an observational study.
Observational study in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundCanada is facing a primary healthcare crisis with physician shortages and long wait times. Across Canada, 8.1% of children lack a regular healthcare provider. However, little is understood about primary care access among newborns. The objective of this study was to determine the prevalence of newborns without primary care, and to evaluate the association between lack of primary care and sociodemographic factors at a large Canadian urban hospital.
methodsThis was a cross-sectional survey of caregivers of newborns who delivered within one week on the post-partum ward at a large urban hospital in Toronto, Ontario, Canada. To determine the association between lack of a primary care provider (PCP) among newborns and caregivers' sociodemographic characteristics, a logistic regression model estimated unadjusted and adjusted odds ratios (OR)s and 95% confidence intervals (CI).
resultsThere were 656 caregivers and 659 newborns. Of these, 202 did not have access to a PCP with a prevalence of 30.6% (95% CI 27.2% - 34.3%). In the unadjusted analyses, not having a PCP for newborns was associated with caregivers not having a PCP for themselves (OR 7.59, 95% CI 5.06-11.39), not owning a home (OR 2.86, 95% CI 1.88-4.35), being born outside of Canada (OR 2.62, 95% CI 1.74-3.96), income <$75,000 (OR 2.30, 95% CI 1.47-3.61), and first language not English (OR 1.66, 95% CI 1.18-2.32). Similarly, in the adjusted analyses, not having a PCP for newborns was associated with caregivers not having a PCP for themselves (adjusted OR 6.18, 95% CI 4.04-9.46), not owning a home (adjusted OR 1.68, 95% CI 1.04-2.71), and being born outside of Canada (adjusted OR 1.69 95% CI 1.05-2.71). CONCLUSIO: This study found that 30.6% of newborns at a large urban Canadian hospital did not have primary care. Given the primary care crisis in Canada, it is essential to understand the lack of access to primary care among newborns. Next steps will be to link survey data to provincial datasets to determine the association between lack of primary care and emergency department visits and hospital admissions within the first year of life.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.