From: The impact of primary care reform on health system performance in Canada: a systematic review
Outcome | Reform | Number of studies | Study design | Risk of bias | Directness | Consistency | Overall assessment of the evidence |
---|---|---|---|---|---|---|---|
Health service utilization | Team-based models | 3 | Cohort studies | No risk of serious bias | Serious indirectnessa | No serious inconsistency | Moderate |
Process of care | Team-based models | 3 | Cohort studies | Risk of serious bias | Serious indirectnessa | Serious inconsistency | Low |
Payment models | 6 | Before and after and cohort studies | Risk of serious bias | Serious indirectnessb | Serious inconsistency | Low | |
Physicians costs and productivity | Payment models | 4 | Before and after | No risk of serious bias | No serious indirectness | No serious inconsistency | High |