Evidence map›Paper›PMID 21708967›Full record

Trial reportCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2011

Effects of multidisciplinary integrated care on quality of care in residential care facilities for elderly people: a cluster randomized trial.

Marijke Boorsma, Dinnus H M Frijters, Dirk L Knol, Miel E Ribbe, Giel Nijpels, Hein P J van Hout

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 7 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

44 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  17. Models of Care for Older People: A Scoping Review.Journal of the American Geriatrics Society · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Marijke BoorsmaDepartment of General Practice, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
Dinnus H M Frijters
Dirk L Knol
Miel E Ribbe
Giel Nijpels
Hein P J van Hout

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSophisticated approaches are needed to improve the quality of care for elderly people living in residential care facilities. We determined the effects of multidisciplinary integrated care on the quality of care and quality of life for elderly people in residential care facilities.

methodsWe performed a cluster randomized controlled trial involving 10 residential care facilities in the Netherlands that included 340 participating residents with physical or cognitive disabilities. Five of the facilities applied multidisciplinary integrated care, and five provided usual care. The intervention, inspired by the disease management model, consisted of a geriatric assessment of functional health every three months. The assessment included use of the Long-term Care Facility version of the Resident Assessment Instrument by trained nurse-assistants to guide the design of an individualized care plan; discussion of outcomes and care priorities with the family physician, the resident and his or her family; and monthly multidisciplinary meetings with the nurse-assistant, family physician, psychologist and geriatrician to discuss residents with complex needs. The primary outcome was the sum score of 32 risk-adjusted quality-of-care indicators.

resultsCompared with the facilities that provided usual care, the intervention facilities had a significantly higher sum score of the 32 quality-of-care indicators (mean difference - 6.7, p = 0.009; a medium effect size of 0.72). They also had significantly higher scores for 11 of the 32 indicators of good care in the areas of communication, delirium, behaviour, continence, pain and use of antipsychotic agents.

interpretationMultidisciplinary integrated care resulted in improved quality of care for elderly people in residential care facilities compared with usual care.

trial registrationwww.controlled-trials.com trial register no. ISRCTN11076857.

Indexed as

Patient Care TeamPatient-Centered CareResidential FacilitiesAgedAged, 80 and overDisease ManagementFemaleGeriatric AssessmentHumansMaleNetherlandsQuality Indicators, Health CareQuality of Health CareQuality of Life

Identifiers

PMID21708967
PMCPMC3153543

What OpenQuestion holds

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Registered trials

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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.