Evidence map›Paper›PMID 18809810›Full record

ArticleArchives of internal medicine2008

So much to do, so little time: care for the socially disadvantaged and the 15-minute visit.

Kevin Fiscella, Ronald M Epstein

Registry-linked trialAbstract readCase Reports
In one paragraph

Article in Archives of internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06404515 (Utilizing Telehealth Group Counseling Sessions to Improve the Process and Delivery of Secondary Preventive Care for Women With Atherosclerotic Cardiovascular Disease), which is not on this map. Cited by 82 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 2 pooled it
–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.

NCT06404515 nacompletednot on this mapstarted 2024, after this paper: background citation

Utilizing Telehealth Group Counseling Sessions to Improve the Process and Delivery of Secondary Preventive Care for Women With Atherosclerotic Cardiovascular Disease

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2024 to 2024Enrolled13ConditionsASCVD, NSTEMI, STEMI, Coronary Artery DiseaseArmsTelehealth Group Counseling
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
  20. Article

22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Kevin FiscellaDepartment of Family Medicine, University of Rochester School of Medicine & Dentistry, 1381 South Ave, Rochester, NY 14620, USA. Kevin_Fiscella@urmc.rochester.edu
Ronald M Epstein

Funding

RCT of Primary Care-based Patient Navigation-ActivationU01CA116924 · NCI · UNIVERSITY OF ROCHESTER · PI FISCELLA, KEVIN ANTHONY · 2005 to 2011
$4.4M
Using Social Risk to Guide Coronary Heart Disease (CHD) Preventive TreatmentR01HL081066 · NHLBI · UNIVERSITY OF ROCHESTER · PI FISCELLA, KEVIN ANTHONY · 2007 to 2009
$820k
NCI NIH HHS U01 CA116924NCI NIH HHS U01CA116924-01NHLBI NIH HHS R01 HL081066
6 · The paper itself

Abstract

There is so much to do in primary care, and so little time to do it. During 15-minute visits, physicians are expected to form partnerships with patients and their families, address complex acute and chronic biomedical and psychosocial problems, provide preventive care, coordinate care with specialists, and ensure informed decision making that respects patients' needs and preferences. This is a challenging task during straightforward visits, and it is nearly impossible when caring for socially disadvantaged patients with complex biomedical and psychosocial problems and multiple barriers to care. Consider the following scenario.

Indexed as

Delivery of Health CareHealthcare DisparitiesOffice VisitsPrimary Health CareFemaleHealth PersonnelHumansLeadershipMiddle AgedMinority GroupsPatient Education as TopicSocioeconomic FactorsUnited States

Identifiers

PMID18809810
PMCPMC2606692

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.