SynthesisBMJ open2015
Patients' perspectives on the medical primary-secondary care interface: systematic review and synthesis of qualitative research.
Synthesis in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
43 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A conceptual model of factors potentially influencing prescribing decisions for chronic conditions: an overview of systematic reviews.BMC medicine · 2025Pooled it
- Perspectives of healthcare providers on osteoporosis, falls and fracture risk: a systematic review and thematic synthesis of qualitative studies.Archives of osteoporosis · 2024Pooled it
- Patients values regarding primary health care: a systematic review of qualitative and quantitative evidence.BMC health services research · 2023Pooled it
- Systematic literature review of pharmacists in general practice in supporting the implementation of shared care agreements in primary care.Systematic reviews · 2022Pooled it
- Defining a theoretical framework for a quality referral at the primary-secondary care interface: a systematic scoping review with qualitative content analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Professional positioning of general practitioners in the management of postmenopausal osteoporosis in community medicine.EULAR rheumatology open · 2026Article
- Sustainable care quality improvement: a scoping literature review of performance measurement in lean healthcare implementations.BMC health services research · 2025Article
- Evaluating referrals between rural district hospitals and a regional hospital in South Africa.African journal of primary health care & family medicine · 2025Article
- Development of a Novel Shared Care Intervention to Address Obstructive Sleep Apnea in Rural West Virginia.Annals of the American Thoracic Society · 2025Article
- Article
- Barriers and potential solutions for collaboration between primary and secondary care in patients with persistent somatic symptoms and functional disorders: A nominal group technique study.The European journal of general practice · 2024Article
- Has cross-level clinical coordination changed in the context of the pandemic? The case of the Catalan health system.BMC health services research · 2024Article
- Content validity of patient-reported measures evaluating experiences of the quality of transitions in healthcare settings-a scoping review.BMC health services research · 2024Article
- Distributions of recorded pain in mental health records: a natural language processing based study.BMJ open · 2024Article
- Quality in care requires kindness and flexibility - a hermeneutic-phenomenological study of patients' experiences from pathways including transitions across healthcare settings.BMC health services research · 2024Article
- Hospital doctors' and general practitioners' perspectives of outpatient discharge processes in Australia: an interpretive approach.BMC health services research · 2023Article
- Exploring barriers and opportunities to improve osteoporosis care across the acute-to-primary care interface: a qualitative study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Article
- Article
- Learning collaboration at the primary-secondary care interface: a dual-method study to define design principles for interventions in postgraduate training programmes.BMC medical education · 2023Review
- Informative value of referral letters from general practice for child and adolescent mental healthcare.European child & adolescent psychiatry · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo synthesise the published literature on the patient experience of the medical primary-secondary care interface and to determine priorities for future work in this field aimed at improving clinical outcomes.
designSystematic review and metaethnographic synthesis of primary studies that used qualitative methods to explore patients' perspectives of the medical primary-secondary care interface.
settingInternational primary-secondary care interface. DATA SOURCES: EMBASE, MEDLINE, CINAHL Plus with Full text, PsycINFO, Psychology and Behavioural Sciences Collection, Health Business Elite, Biomedica Reference Collection: Comprehensive Library, Information Science & Technology Abstracts, eBook Collection, Web of Science Core Collection: Citation Indexes and Social Sciences Citation Index, and grey literature. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies were eligible for inclusion if they were full research papers employing qualitative methodology to explore patients' perspectives of the medical primary-secondary care interface. REVIEW
methodsThe 7-step metaethnographic approach described by Noblit and Hare, which involves cross-interpretation between studies while preserving the context of the primary data.
resultsThe search identified 690 articles, of which 39 were selected for full-text review. 20 articles were included in the systematic review that encompassed a total of 689 patients from 10 countries. 4 important areas specific to the primary-secondary care interface from the patients' perspective emerged: barriers to care, communication, coordination, and 'relationships and personal value'. CONCLUSIONS AND IMPLICATIONS OF KEY
findingsPatients should be the focus of any transfer of care between primary and secondary systems. From their perspective, areas for improvement may be classified into four domains that should usefully guide future work aimed at improving quality at this important interface. TRIAL REGISTRATION NUMBER: PROSPERO CRD42014009486.
Indexed as
Identifiers
What OpenQuestion holds
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.