Evidence map›Paper›PMID 20863364›Full record

ArticleBMC family practice2010

Priority setting in primary health care - dilemmas and opportunities: a focus group study.

Eva Arvidsson, Malin André, Lars Borgquist, Per Carlsson

Abstract read
In one paragraph

Article in BMC family practice, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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.

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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Priority Setting in the Polish Health Care System According to Patients' Perspective.International journal of environmental research and public health · 2021
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  13. Public engagement in setting healthcare priorities: a ranking exercise in Cyprus.Cost effectiveness and resource allocation : C/E · 2017
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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

4 authors.

Eva ArvidssonDepartment of Medicine and Health Sciences, Centre for Medical Technology Assessment, Linköping University, Linköping, Sweden. eva.arvidsson@ltkalmar.se
Malin André
Lars Borgquist
Per Carlsson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSwedish health care authorities use three key criteria to produce national guidelines for local priority setting: severity of the health condition, expected patient benefit, and cost-effectiveness of medical intervention. Priority setting in primary health care (PHC) has significant implications for health costs and outcomes in the health care system. Nevertheless, these guidelines have been implemented to a very limited degree in PHC. The objective of the study was to qualitatively assess how general practitioners (GPs) and nurses perceive the application of the three key priority-setting criteria.

methodsFocus groups were held with GPs and nurses at primary health care centres, where the staff had a short period of experience in using the criteria for prioritising in their daily work.

resultsThe staff found the three key priority-setting criteria (severity, patient benefit, and cost-effectiveness) to be valuable for priority setting in PHC. However, when the criteria were applied in PHC, three additional dimensions were identified: 1) viewpoint (medical or patient's), 2) timeframe (now or later), and 3) evidence level (group or individual).

conclusionsThe three key priority-setting criteria were useful. Considering the three additional dimensions might enhance implementation of national guidelines in PHC and is probably a prerequisite for the criteria to be useful in priority setting for individual patients.

Indexed as

Attitude of Health PersonnelHealth PrioritiesNursesPhysicians, FamilyPrimary Health CareCost-Benefit AnalysisFocus GroupsHumansPatient Care ManagementSeverity of Illness IndexSweden

Identifiers

PMID20863364
PMCPMC2955602

What OpenQuestion holds

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LicenceCC BY
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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.