Evidence map›Paper›PMID 14694670›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2003

Developing intermediate care provided by general practitioners with a special interest: the economic perspective.

David P Kernick

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Trial
  2. Economic evaluation of nurse practitioners versus GPs in treating common conditions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Developing an evidence base for intermediate care delivered by GPs with a special interest.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005
    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

1 author.

David P KernickExeter Research Practices Consortium, St Thomas' Medical Group, Cowick Street, Exeter EX4 1HJ. su1838@eclipse.co.uk

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The concept of intermediate care is part of the National Health Service (NHS) modernization agenda to make services more flexible and accessible. One objective is for the general practitioner with a special interest (GPwSI) to provide a variety of extended services in a primary care setting that have been traditionally provided in secondary care. This development is underpinned by the hope that primary care organisations (PCOs) will provide more effective and efficient care in local settings, but, as with other skill-mix changes, the process has developed ahead of an evidence base of effectiveness or cost-effectiveness. This paper considers intermediate care from an economic perspective and provides healthcare commissioners with a background that can facilitate resource allocation decisions. It cautions that, unless the economic issues are carefully considered, there is a danger that services may be introduced that are thought to be efficient, when in fact they may not be so.

Indexed as

Continuity of Patient CareCost-Benefit AnalysisEnglandFamily PracticeHealth Services AccessibilityHealth Services ResearchHumansIntermediate Care FacilitiesPersonnel Staffing and SchedulingPrimary Health CareSocial ChangeState Medicine

Identifiers

PMID14694670
PMCPMC1314648

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.