Evidence map›Paper›PMID 18628243›Full record

ArticleFamily practice2008

Processes of care desired by elderly patients with multimorbidities.

Elizabeth A Bayliss, Allison E Edwards, John F Steiner, Deborah S Main

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Family practice, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 162 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
162citing papers in PubMed, 9 pooled it
7.6field-weighted citation impact, top 2% of its field
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

162 citing papers in PubMed, 9 syntheses or guidelines pooled it, 331 citations in OpenAlex.

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  13. High Symptom Burden and Low Functional Status in the Setting of Multimorbidity.Journal of the American Geriatrics Society · 2017 · on this map
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102 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 1 country.

Elizabeth A BaylissKaiser Permanente Institute for Health Research, Denver, CO 80237-8066, USA. elizabeth.bayliss@kp.org
Allison E Edwards
John F Steiner
Deborah S Main
University of Colorado Denver · USKaiser Permanente · US

Funding

Assessing Barriers to Self-Management if ComorbiditiesK08HS015476 · AHRQ · KAISER FOUNDATION RESEARCH INSTITUTE · PI BAYLISS, ELIZABETH A · 2006 to 2009
$499k
Patient-Centered Care Management/Seniors/MultimorbiditiesR21AG027064 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI BAYLISS, ELIZABETH A · 2005 to 2006
$337k
AHRQ HHS K08 HS015476NIA NIH HHS 5 R21 AG027064
6 · The paper itself

Abstract

backgroundMost recommended care for chronic diseases is based on the research of single conditions. There is limited information on 'best' processes of care for persons with multiple morbidities. Our objective was to explore processes of care desired by elderly patients who have multimorbidities that may present competing demands for patients and providers.

methodsQualitative investigation using one-on-one interviews of 26 community-dwelling HMO members aged 65-84 (50% male) who had, at a minimum, the combined conditions of diabetes, depression and osteoarthritis. Participants were chosen from a stratified random sample to have a range of 4-16 chronic medical conditions.

resultsParticipants' desired processes of care included: the need for convenient access to providers (telephone, internet or in person), clear communication of individualized care plans, support from a single coordinator of care who could help prioritize their competing demands and continuity of relationships. They also desired providers who would listen to and acknowledge their needs, appreciate that these' needs were unique and fluctuating and have a caring attitude.

conclusionsThese respondents describe an ideal process of care that is patient centered and individualized and that supports their unique constellations of problems, shifting priorities and multidimensional decision making. Individual and ongoing care coordination managed by a primary contact person may meet some of these needs. Achieving these goals will require developing efficient methods of assessing patient care needs and flexible care management support systems that can respond to patients' needs for different levels of support at different times.

Indexed as

ComorbidityHealth Services for the AgedPatient-Centered CarePatient SatisfactionActivities of Daily LivingAgedAged, 80 and overChronic DiseaseDepressionDiabetes MellitusFemaleGeriatricsHealth Services AccessibilityHealth Services Needs and DemandHumansMale

Identifiers

PMID18628243
PMCPMC2504745
OpenAlexW2098122214

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.