Evidence map›Paper›PMID 42285725›Full record

ArticleCanadian family physician Medecin de famille canadien2026

Predictors of high-performing family medicine clinics: Prospective cohort study in Alberta.

Nicole Kain, Nigel Ashworth, Nancy Hernandez-Ceron, Homeira Hamayeli-Mehrabani, Iryna Hurava, Kushagr Kumar

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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.

Nicole KainProgram Manager of the Research and Evaluation Unit (REVU) at the College of Physicians & Surgeons of Alberta (CPSA) in Edmonton.
Nigel AshworthProfessor in the Department of Medicine at the University of Alberta and Senior Medical Advisor and Principal Investigator in the CPSA REVU.
Nancy Hernandez-CeronSenior Data Analyst in the CPSA REVU.
Homeira Hamayeli-MehrabaniResearch Associate at the CPSA REVU.
Iryna HuravaResearch Associate at the CPSA REVU.
Kushagr KumarData Analyst at the CPSA REVU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify potential risk and protective factors associated with family medicine (FM) and general practitioner (GP) group performance.

designProspective cohort study of FM and GP clinics in Alberta, using a Group Practice Review (GPR) framework.

settingFM and GP clinics operating in Alberta between 2017 and 2019.

participantsSeventy randomly selected FM and GP clinics.

interventionsClinics were observed and assessed as part of the GPR. Group performance was assessed based on compliance with applicable College of Physicians & Surgeons of Alberta (CPSA) standards of practice (SOPs). Data on physicians' demographic characteristics, practice characteristics, chart scores, and prescribing information were collected from CPSA databases and self-reports.

main outcome measuresPredictors of high-performing clinics, defined as meeting 90% or more of applicable SOPs, were identified using logistic regression.

resultsFour key predictors of group performance (SOP compliance) were identified: prescribing practices, number of workdays per week, number of physicians, and chart scores. Clinics with higher rates of risky prescribing and heavier workloads were less likely to comply with SOPs, while clinics with more physicians and higher chart scores were more likely to be classified as high performing.

conclusionThis study is among the first to examine predictors of group performance in FM and GP group practices. Findings highlight the importance of monitoring prescribing behaviour, workload, and chart scores at the clinic level to support physicians and protect patients.

Indexed as

Ambulatory Care FacilitiesFamily PracticeGroup PracticeGuideline AdherencePractice Patterns, Physicians'AlbertaFemaleHumansMaleProspective StudiesWorkload

Identifiers

PMID42285725
PMCPMC13262341

What OpenQuestion holds

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Registered trials

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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.