ArticleCanadian family physician Medecin de famille canadien2010
Integrating Physician Services in the Home: evaluation of an innovative program.
Article in Canadian family physician Medecin de famille canadien, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- The effects of integrated care: a systematic review of UK and international evidence.BMC health services research · 2018Pooled it
- Attitudes of medical doctors and nurses towards the role of the nurses in the primary care unit in Italy.Primary health care research & development · 2018Article
- Models of primary care for frail patients.Canadian family physician Medecin de famille canadien · 2015Review
- Effectiveness of a transitional home care program in reducing acute hospital utilization: a quasi-experimental study.BMC health services research · 2015Article
- The effect of a virtual ward program on emergency services utilization and quality of life in frail elderly patients after discharge: a pilot study.Clinical interventions in aging · 2015Article
- Developmental disability application.Canadian family physician Medecin de famille canadien · 2011Article
- Support for home care.Canadian family physician Medecin de famille canadien · 2011Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate a new program, Integrating Physician Services in the Home (IPSITH), to integrate family practice and home care for acutely ill patients.
designCausal model, mixed-method, multi-measures design including comparison of IPSITH and non-IPSITH patients. Data were collected through chart reviews and through surveys of IPSITH and non-IPSITH patients, caregivers, family physicians, and community nurses.
settingLondon, Ont, and surrounding communities, where home care is coordinated through the Community Care Access Centre.
participantsA total of 82 patients receiving the new IPSITH program of care (including 29 family physicians and 1 nurse practitioner), 82 non-randomized matched patients receiving usual care (and their physicians), community nurses, and caregivers.
main outcome measuresEmergency department (ED) visits and satisfaction with care. Analysis included a process evaluation of the IPSITH program and an outcomes evaluation comparing IPSITH and non-IPSITH patients.
resultsPatients and family physicians were very satisfied with the addition of a nurse practitioner to the IPSITH team. Controlling for symptom severity, a significantly smaller proportion of IPSITH patients had ED visits (3.7% versus 20.7%; P = .002), and IPSITH patients and their caregivers, family physicians, and community nurses had significantly higher levels of satisfaction (P < .05). There was no difference in caregiver burden between groups.
conclusionFamily physicians can be integrated into acute home care when appropriately supported by a team including a nurse practitioner. This integrated team was associated with better patient and system outcomes. The gains for the health system are reduced strain on hospital EDs and more satisfied patients.
Indexed as
Identifiers
21076000PMC2980438W2115390378What OpenQuestion holds
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.