Evidence map›Paper›PMID 27074867›Full record

ArticleBMC family practice2016

The relationship between GPs and hospital consultants and the implications for patient care: a qualitative study.

Rod Sampson, Rosaline Barbour, Philip Wilson

Abstract read
In one paragraph

Article in BMC family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed.

  1. GP workforce sustainability to maximise effective and equitable patient care: a realist review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Review
  2. Evaluating referrals between rural district hospitals and a regional hospital in South Africa.African journal of primary health care & family medicine · 2025
    Article
  3. Article
  4. Shall we all move to Denmark?The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  5. Article
  6. General practice management of COPD patients following acute exacerbations: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. The COPDnet integrated care model.International journal of chronic obstructive pulmonary disease · 2018
    Article
  20. 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

3 authors.

Rod SampsonCairn Medical Practice, 15 Culduthel Road, Inverness, IV2 4AG, Scotland. rod.sampson@nhs.net.
Rosaline BarbourThe Open University, Walton Hall, Milton Keynes, Buckinghamshire, MK7 6AA, England.
Philip WilsonCentre for Rural Health, The Centre for Health Science, University of Aberdeen, Old Perth Road, Inverness, IV2 3JH, Scotland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving the quality of care of at the medical primary-secondary care interface is both a national and a wider concern. In a qualitative exploration of clinicians' relationship at the interface, we want to study how both GPs and hospital specialists regard and behave towards each other and how this may influence patient care.

methodA qualitative interview study was carried out in primary and secondary care centres in NHS Highland health board area, Scotland. Eligible clinicians (general practitioners and hospital specialists) were invited to take part in a semi-structured interview to explore the implications of interface relationships upon patient care. A standard thematic analysis was used, involving an iterative process based on grounded theory.

resultsKey themes that emerged for clinicians included communication (the importance of accessing and listening to one another, and the transfer of soft intelligence), conduct (referring to perceived inappropriate transfer of workload at the interface, and resistance to this transfer), relationships (between interface clinicians and between clinicians and their patients), and unrealistic expectations (clinicians expressing idealistic hopes of what their colleagues at the other interface could achieve).

conclusionThe relationship between primary and secondary care clinicians, and, in particular, difficulties and misunderstandings can have an influence upon patient care. Addressing key areas identified in the study may help to improve interface relationships and benefit patient care.

Indexed as

Attitude of Health PersonnelInterprofessional RelationsPatient CarePrimary Health CareSecondary Health CareConsultantsFemaleGeneral PractitionersHumansInterviews as TopicMaleQualitative ResearchReferral and ConsultationScotlandSpecializationState MedicineInterfacePatient carePrimary healthcareRelationshipSecondary care

Identifiers

PMID27074867
PMCPMC4831146

What OpenQuestion holds

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LicenceCC BY
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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.