Evidence map›Paper›PMID 25227632›Full record

ArticleBMJ open2014

Improving the network management of integrated primary mental healthcare for older people in a rural Australian region: protocol for a mixed methods case study.

Jeffrey Fuller, Candice Oster, Suzanne Dawson, Deb O'Kane, Sharon Lawn, Julie Henderson, Adam Gerace, Richard Reed, Ann Nosworthy, Philip Galley and 2 more

Abstract read
In one paragraph

Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

12 authors.

Jeffrey FullerSchool of Nursing & Midwifery, Flinders University, Adelaide, Australia.
Candice OsterSchool of Nursing & Midwifery, Flinders University, Adelaide, Australia.
Suzanne DawsonSchool of Nursing & Midwifery, Flinders University, Adelaide, Australia.
Deb O'KaneSchool of Nursing & Midwifery, Flinders University, Adelaide, Australia.
Sharon LawnSchool of Medicine, Flinders University, Adelaide, Australia.
Julie HendersonSchool of Nursing & Midwifery, Flinders University, Adelaide, Australia.
Adam GeraceSchool of Nursing & Midwifery, Flinders University, Adelaide, Australia.
Richard ReedSchool of Medicine, Flinders University, Adelaide, Australia.
Ann NosworthySouthern Fleurieu & Kangaroo Island Positive Ageing Taskforce, Victor Harbor, Australia.
Philip GalleySouthern Adelaide-Fleurieu-Kangaroo Island Medicare Local, Bedford Park, Australia.
Ruth McPhailCountry Health South Australia Local Health Network Mental Health Services, Adelaide, Australia.
Eimear Muir CochraneSchool of Nursing & Midwifery, Flinders University, Adelaide, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn integrated approach to the mental healthcare of older people is advocated across health, aged care and social care sectors. It is not clear, however, how the management of integrated servicing should occur, although interorganisational relations theory suggests a reflective network approach using evaluation feedback. This research will test a network management approach to help regional primary healthcare organisations improve mental health service integration. METHODS AND ANALYSIS: This mixed methods case study in rural South Australia will test facilitated reflection within a network of health and social care services to determine if this leads to improved integration. Engagement of services will occur through a governance group and a series of three 1-day service stakeholder workshops. Facilitated reflection and evaluation feedback will use information from a review of health sector and local operational policies, a network survey about current service links, gaps and enablers and interviews with older people and their carers about their help seeking journeys. Quantitative and qualitative analysis will describe the policy enablers and explore the current and ideal links between services. The facilitated reflection will be developed to maximise engagement of senior management in the governance group and the service staff at the operational level in the workshops. Benefit will be assessed through indicators of improved service coordination, collective ownership of service problems, strengthened partnerships, agreed local protocols and the use of feedback for accountability. ETHICS, BENEFITS AND DISSEMINATION: Ethics approval will deal with the sensitivities of organisational network research where data anonymity is not preserved. The benefit will be the tested utility of a facilitated reflective process for a network of health and social care services to manage linked primary mental healthcare for older people in a rural region. Dissemination will make use of the sectoral networks of the governance group.

Indexed as

AgedDelivery of Health Care, IntegratedHumansMental Health ServicesQuality ImprovementRural Health ServicesSocial WelfareSouth AustraliaHEALTH SERVICES ADMINISTRATION & MANAGEMENTMENTAL HEALTHPRIMARY CARE

Identifiers

PMID25227632
PMCPMC4166139

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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.