Evidence map›Paper›PMID 27092979›Full record

Trial reportScandinavian journal of primary health care2016

Writing information transfers for out-of-hours palliative care: a controlled trial among GPs.

Bart Schweitzer, Nettie Blankenstein, Willemjan Slort, Dirk L Knol, Luc Deliens, Henriette Van Der Horst

Abstract readClinical Trial
In one paragraph

Trial report in Scandinavian journal of primary health care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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

6 authors.

Bart Schweitzera Department of General Practice and Elderly Care Medicine, EMGO + Institute for Health and Care Research , VU University Medical Center , Amsterdam , The Netherlands ;
Nettie Blankensteina Department of General Practice and Elderly Care Medicine, EMGO + Institute for Health and Care Research , VU University Medical Center , Amsterdam , The Netherlands ;
Willemjan Slorta Department of General Practice and Elderly Care Medicine, EMGO + Institute for Health and Care Research , VU University Medical Center , Amsterdam , The Netherlands ;
Dirk L Knolb Department of Epidemiology and Biostatistics, EMGO + Institute for Health and Care Research , VU University Medical Center , Amsterdam , The Netherlands ;
Luc Deliensc Department of Public and Occupational Health, EMGO + Institute for Health and Care Research , VU University Medical Center , Amsterdam , The Netherlands ;
Henriette Van Der Horsta Department of General Practice and Elderly Care Medicine, EMGO + Institute for Health and Care Research , VU University Medical Center , Amsterdam , The Netherlands ;

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim was to evaluate the effect of the implementation of an information handover form regarding patients receiving palliative care. Outcome was the information available for the out-of-hours GP co-operative.

designWe conducted a controlled trial.

settingAll GPs in Amsterdam, The Netherlands.

interventionThe experimental group (N = 240) received an information handover form and an invitation for a one-hour training, the control group (N =  186) did not receive a handover form or training. We studied contacts with the GP co-operative concerning patients in palliative care for the presence and quality of information transferred by the patient's own GP.

main outcome measuresProportion of contacts in which information was available and proportion of adequate information transfer.

resultsOverall information was transferred by the GPs in 179 of the 772 first palliative contacts (23.2%). The number of contacts in the experimental group in which information was available increased significantly after intervention from 21% to 30%, compared to a decrease from 23% to 19% in the control group. The training had no additional effect. The content of the transferred information was adequate in 61.5%. There was no significant difference in the quality of the content between the groups.

conclusionThe introduction of a handover form resulted in a moderate increase of information transfers to the GP co-operative. However, the total percentage of contacts in which this information was present remained rather low. GP co-operatives should develop additional policies to improve information transfer. Key points  The out-of-hours period is potentially problematic for the delivery of optimal palliative care, often due to inadequate information transfer.  Introduction of a handover form resulted in a moderate increase of transferred information.  The percentage of palliative contacts remained low in cases where information was available.  Adequate information was transferred in more than half of the cases.

Indexed as

Continuity of Patient CareAdultAfter-Hours CareAgedEducation, MedicalFemaleFocus GroupsGeneral PractitionersHumansInterprofessional RelationsMaleMiddle AgedModels, StatisticalNetherlandsPalliative CarePractice Patterns, Physicians'Educationgeneral practiceGP co-operativeout-of-hours carepalliative careprimary careThe Netherlands

Identifiers

PMID27092979
PMCPMC4977942

What OpenQuestion holds

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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.