Impact of Type of Medical Specialist Involvement in Chronic Illness Care on Emergency Department Use.

Jean-Louis Larochelle, Debbie Ehrmann Feldman, Jean-Frédéric Levesque

Abstract read

In one paragraph

Article in Healthcare policy = Politiques de sante, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing 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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jean-Louis LarochelleProfessor, École de réadaptation, Université de Montréal, Montreal, QC.

Debbie Ehrmann FeldmanProfessor, École de réadaptation, Researcher, Institut de recherche en santé publique de l'Université de Montréal (IRSPUM), Université de Montréal, Montreal, QC.

Jean-Frédéric LevesqueCenter for Primary Health Care and Equity, University of New South Wales, Bureau of Health Information, Sydney, Australia.

Funding

CIHR

6 · The paper itself

Abstract

objectivesMedical specialist physicians may act as either consultants or co-managers for patients managed in primary care settings. We assessed whether the type of specialist involvement affected emergency department (ED) use for patients with chronic diseases.

methodsIn total, 709 primary care patients with arthritis, chronic obstructive pulmonary disease, diabetes or congestive heart failure were followed for one year using survey and administrative data. Multivariate logistic regressions were used to compare all-cause ED use according to specialist involvement (none, co-manager or consultant).

resultsIn total, 240 (34%) patients visited the ED. ED use did not differ between those with specialist involvement and those without it, either as co-managers (adjusted OR = 1.06, 95% CI = [0.61, 1.85]) or consultants (adjusted OR = 0.97, 95% CI = [0.63, 1.50]). DISCUSSION: The type of specialist involvement is not associated with all-cause ED use in primary care patients with chronic diseases. Indications for co-management should be further investigated.

Indexed as

AdultAgedAged, 80 and overAge FactorsArthritisChronic DiseaseDiabetes MellitusEmergency Service, HospitalFemaleHeart FailureHumansMaleMedicineMiddle AgedPulmonary Disease, Chronic ObstructiveQuebec

Identifiers

PMID27027793

PMCPMC4817966

What OpenQuestion holds

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LicenceCC BY-NC

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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.