Evidence map›Paper›PMID 11785281›Full record

ArticleCanadian family physician Medecin de famille canadien2001

Work in progress. Integrating physicians' services in the home.

C L McWilliam, M Stewart, J Sangster, I Cohen, J Mitchell, C Sutherland, B Ryan

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Integrating Physician Services in the Home: evaluation of an innovative program.Canadian family physician Medecin de famille canadien · 2010
    Article
  2. 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

7 authors.

C L McWilliamSchool of Nursing, Faculty of Health Sciences, University of Western Ontario, London. cmcwill@uwo.ca
M Stewart
J Sangster
I Cohen
J Mitchell
C Sutherland
B Ryan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWhile increasing acuity levels and the concomitant complexity of service demand that physicians be involved in in-home care, conflicting evidence and opinions do not show how this can best be achieved.

designA phenomenologic research design was used to obtain insights into the challenges and opportunities of integrating physicians' services into the usual in-home services in London, Ont.

settingHome care in London, Ont.

participantsTwelve participants included three patients, two family caregivers, two family physicians, the program's nurse practitioner, two case managers, and two community nurses.

methodIn-depth interviews with a maximally varied purposeful sample of patients, caregivers, and providers were analyzed using immersion and crystallization techniques. MAIN

findingsFindings revealed the potential for enhanced continuity of care and interdisciplinary team functioning. Having a nurse practitioner, interdisciplinary team-building exercises and meetings, regular face-to-face contact among all providers, support for family caregivers, and 24-hour coverage for physicians were found to be essential for success.

conclusionIntegration of services takes time, money, and sustained commitment, particularly when undertaken in geographically isolated communities. Informed choice and a fair remuneration system remain important considerations for family physicians.

Indexed as

Family PracticeHome Care ServicesPhysician's RoleAdultAgedCaregiversCase ManagementContinuity of Patient CareDelivery of Health Care, IntegratedFemaleHealth Care SurveysHumansInterprofessional RelationsMaleMiddle AgedNurse Practitioners

Identifiers

PMID11785281
PMCPMC2018482

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.