Evidence map›Paper›PMID 24959072›Full record

SynthesisClinical interventions in aging2014

Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model.

Vladimir Khanassov, Isabelle Vedel, Pierre Pluye

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Clinical interventions in aging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 9 pooled it
7.1field-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

30 citing papers in PubMed, 9 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. [Can nursing home placement of people with dementia be delayed by case management? A Systematic Review of Randomized Controlled Trials].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023
    Pooled it
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  3. Recommendations of the 5th Canadian Consensus Conference on the diagnosis and treatment of dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2020
    Guideline
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  15. Concept Drift Detection to Assess the Diffusion of Process Innovations in Healthcare.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
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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

3 authors at 1 institution in 1 country.

Vladimir KhanassovDepartment of Family Medicine, McGill University, Montreal, QC, Canada.
Isabelle VedelDepartment of Family Medicine, McGill University, Montreal, QC, Canada.
Pierre PluyeDepartment of Family Medicine, McGill University, Montreal, QC, Canada.
McGill University · CA

Funding

Canadian Institutes of Health Research KRS 119799
6 · The paper itself

Abstract

backgroundThe purpose of this study was to examine factors associated with the implementation of case management (CM) interventions in primary health care (PHC) and to develop strategies to enhance its adoption by PHC practices.

methodsThis study was designed as a systematic mixed studies review (including quantitative and qualitative studies) with synthesis based on the diffusion of innovation model. A literature search was performed using MEDLINE, PsycInfo, EMBASE, and the Cochrane Database (1995 to August 2012) to identify quantitative (randomized controlled and nonrandomized) and qualitative studies describing the conditions limiting and facilitating successful CM implementation in PHC. The methodological quality of each included study was assessed using the validated Mixed Methods Appraisal Tool.

resultsTwenty-three studies (eleven quantitative and 12 qualitative) were included. The characteristics of CM that negatively influence implementation are low CM intensity (eg, infrequent follow-up), large caseload (more than 60 patients per full-time case manager), and approach, ie, reactive rather than proactive. Case managers need specific skills to perform their role (eg, good communication skills) and their responsibilities in PHC need to be clearly delineated.

conclusionOur systematic review supports a better understanding of factors that can explain inconsistent evidence with regard to the outcomes of dementia CM in PHC. Lastly, strategies are proposed to enhance implementation of dementia CM in PHC.

Indexed as

Case ManagementDiffusion of InnovationAgedDementiaHumansModels, TheoreticalPrimary Health CareProgram Developmentcase managementdementiadiffusion of innovationimplementationprimary health caresystematic mixed studies review

Identifiers

PMID24959072
PMCPMC4061144
OpenAlexW1974676087

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.