Evidence map›Paper›PMID 20212304›Full record

ArticleAnnals of family medicine

Learning and caring in communities of practice: using relationships and collective learning to improve primary care for patients with multimorbidity.

Hassan Soubhi, Elizabeth A Bayliss, Martin Fortin, Catherine Hudon, Marjan van den Akker, Robert Thivierge, Nancy Posel, David Fleiszer

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 108 citations in OpenAlex.

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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

8 authors at 5 institutions in 3 countries.

Hassan SoubhiFamily Medicine Unit, University of Sherbrooke, Chicoutimi, Quebec, Canada. hassan.soubhi@usherbrooke.ca
Elizabeth A Bayliss
Martin Fortin
Catherine Hudon
Marjan van den Akker
Robert Thivierge
Nancy Posel
David Fleiszer
Université du Québec à Chicoutimi · CAMcGill University · CAKaiser Permanente · USMaastricht University · NLUniversité de Montréal · CA

Funding

CIHR 80028
6 · The paper itself

Abstract

We introduce a primary care practice model for caring for patients with multimorbidity. Primary care for these patients requires flexibility and ongoing coordination, and it often must be tailored to individual circumstances. Such complex and flexible care could be accomplished within communities of practice, whose participants are willing to learn from their shared practice, further each other's goals, share their stories of success and failure, and promote the continued evolution of collective learning. Primary care in these communities would be conceived as a complex adaptive process in which the participants use an iterative approach to care improvement that integrates what they learn and do collectively over time. Clinicians in these communities would define common goals, cocreate care plans, and engage in reflective case-based learning. As community members manage their knowledge, gain insights, and develop new care strategies, they can improve care for patients with multiple conditions. Using a mix of methods, future research should explore the conditions that are necessary for collective learning within communities of clinicians who care for patients with multimorbidity and who develop new knowledge in practice. By understanding these conditions, we can foster the development of collective learning and improve primary care for these patients.

Indexed as

ComorbidityInterprofessional RelationsChronic DiseaseCommunity Health ServicesEmpathyHumansLearningModels, OrganizationalPatient Care TeamPhysician-Patient RelationsPrimary Health Care

Identifiers

PMID20212304
PMCPMC2834724
OpenAlexW2185227462

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.