ArticleBMC geriatrics2015
Community-based primary health care for older adults: a qualitative study of the perceptions of clients, caregivers and health care providers.
Article in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses 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.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Attributes of family physician encounters valued by older adults: a systematic review.BMC primary care · 2025Pooled it
- Pooled it
- Examining Interprofessional teams structures and processes in the implementation of a primary care intervention (Health TAPESTRY) for older adults using normalization process theory.BMC family practice · 2020Trial
- Article
- Evaluating quality and utilisation of primary care among older adults in Hong Kong: a mixed-methods study protocol.BMC primary care · 2025Article
- Coping with cognitive decline in older adults with mild cognitive impairment or mild dementia: a scoping review.Aging & mental health · 2025Article
- Barriers and enablers to primary health care center access for older people in Lebanon: A qualitative inquiry.PloS one · 2025Article
- Factors that affect the implementation of an integrated care programme for older people with different frailty levels: a qualitative study of commissioners and provider stakeholders.BMC geriatrics · 2024Article
- Article
- Article
- Primary care quality for older adults: Practice-based quality measures derived from a RAND/UCLA appropriateness method study.PloS one · 2024Review
- Acceptability and Appropriateness of Patientcentered, Family-focused, Community-oriented (PFC) Lens in the Ortho-Geriatric Fracture Liaison Service among Family and Community Medicine Trainees.Acta medica Philippina · 2024Article
- Access of older people to primary health care in low and middle-income countries: A systematic scoping review.PloS one · 2024Article
- Roles and experiences of informal caregivers of older adults in community and healthcare system navigation: a scoping review.BMJ open · 2023Article
- Female Saudi nursing student perspectives on pursuing a career in home healthcare: a qualitative study.International journal of qualitative studies on health and well-being · 2023Article
- A framework for elderly participation in Primary Health Care in Tabriz Health complexes.BMC geriatrics · 2023Article
- Feasibility of Goal Attainment Scaling as a patient-reported outcome measure for older patients in primary care.Journal of patient-reported outcomes · 2023Article
- Enablers and Barriers of Healthcare Services for Community-Dwelling Elderly in Rural Indonesia: A Qualitative Evidence Synthesis: Facilitadores e barreiras dos serviços de saúde para os idosos das comunidades nas zonas rurais da Indonésia: uma síntese qualitativa das provas.Portuguese journal of public health · 2023Review
- Recommendations made by patients, caregivers, providers, and decision-makers to improve transitions in care for older adults with hip fracture: a qualitative study in Ontario, Canada.BMC geriatrics · 2022Article
- A qualitative study of challenges affecting the primary care system performance: Learning from Iran's experience.Health science reports · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundOlder persons are often poorly served by existing models of community-based primary health care (CBPHC). We sought input from clients, informal caregivers, and health care providers on recommendations for system improvements.
methodsFocus group interviews were held with clients, informal caregivers, and health care providers in mid-sized urban and rural communities in Ontario. Data were analyzed using a combination of directed and emergent coding. Results were shared with participants during a series of feedback sessions.
resultsAn extensive list of barriers, facilitators, and recommended health system improvements was generated. Barriers included poor system integration and limited access to services. Identified facilitators were person and family-focused care, self-management resources, and successful collaborative practice. Recommended system improvements included expanding and integrating care teams, supports for system navigation, and development of standardized information systems and care pathways.
conclusionsOlder adults still experience frustrating obstacles when trying to access CBPHC. Identified barriers and facilitators of improved system integration aligned well with current literature and Wagner's Chronic Care Model. Additional work is needed to implement the recommended improvements and to discern their impact on patient and system outcomes.
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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.