Evidence map›Paper›PMID 22176787›Full record

ArticleBMC health services research2011

Using network analysis to map the formal clinical reporting process in pediatric palliative care: a pilot study.

Harold Siden, Karen Urbanoski

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Applications of network analysis to routinely collected health care data: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2018
    Pooled it
  2. Observational
  3. Article
  4. Article
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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

2 authors at 2 institutions in 1 country.

Harold SidenDepartment of Pediatrics, University of British Columbia, Child & Family Research Institute, 4480 Oak Street, Vancouver BC, V6H 3N1, Canada. hsiden@cw.bc.ca
Karen Urbanoski
Centre for Addiction and Mental Health · CAUniversity of British Columbia · CA

Funding

Canadian Institutes of Health Research PET-69769
6 · The paper itself

Abstract

backgroundContinuity of care is a key component of care in complex and chronic conditions. Despite its importance, it is often absent in chronic-disease management. One challenge has been identifying tools to measure care continuity. In one context important to families, namely pediatric palliative care, we undertook a project to identify continuity and to pilot the use of network analysis as a tool.

methodsNetwork analysis studies patterns of relationships or interactions between members, providing qualitative and quantitative description of network structure.

resultsIn this report we applied network analysis to paper records of clinical consultations and reports for 6 patients with complex conditions. A high degree of discontinuity was identified, and care was fragmented amongst specialist and generalist providers. Information was shared selectively and often moved in only one direction.

conclusionsFamilies have anecdotally reported frustration with poor continuity of care. Network analysis can be a useful tool in describing the discontinuity of care experienced by families dealing with complex and chronic conditions. This tool could be expanded to other systems such as electronic health records and many other health care situations.

Indexed as

Community-Institutional RelationsContinuity of Patient CareHospice CarePalliative CarePediatricsBritish ColumbiaHumansModels, TheoreticalPilot ProjectsRisk Management

Identifiers

PMID22176787
PMCPMC3280197
OpenAlexW1965870279

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.