Evidence map›Paper›PMID 27271728›Full record

Trial reportJournal of general internal medicine2017

Integrated Care for Older Adults Improves Perceived Quality of Care: Results of a Randomized Controlled Trial of Embrace.

Ronald J Uittenbroek, Hubertus P H Kremer, Sophie L W Spoorenberg, Sijmen A Reijneveld, Klaske Wynia

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. Models of Care for Older People: A Scoping Review.Journal of the American Geriatrics Society · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Ronald J UittenbroekDepartment of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, P.O. BOX 196, 9700 AD, Groningen, The Netherlands. r.j.uittenbroek@umcg.nl.
Hubertus P H KremerDepartment of Neurology, University Medical Center Groningen, University of Groningen, P.O. BOX 30001, 9700 RB, Groningen, The Netherlands.
Sophie L W SpoorenbergDepartment of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, P.O. BOX 196, 9700 AD, Groningen, The Netherlands.
Sijmen A ReijneveldDepartment of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, P.O. BOX 196, 9700 AD, Groningen, The Netherlands.
Klaske WyniaDepartment of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, P.O. BOX 196, 9700 AD, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAll community-living older adults might benefit from integrated care, but evidence is lacking on the effectiveness of such services for perceived quality of care.

objectiveTo examine the impact of Embrace, a community-based integrated primary care service, on perceived quality of care.

designStratified randomized controlled trial.

participantsIntegrated care and support according to the "Embrace" model was provided by 15 general practitioners in the Netherlands. Based on self-reported levels of case complexity and frailty, a total of 1456 community-living older adults were stratified into non-disease-specific risk profiles ("Robust," "Frail," and "Complex care needs"), and randomized to Embrace or control groups.

interventionEmbrace provides integrated, person-centered primary care and support to all older adults living in the community, with intensity of care dependent on risk profile. MEASUREMENTS: Primary outcome was quality of care as reported by older adults on the Patient Assessment of Integrated Elderly Care (PAIEC). Effects were assessed using mixed model techniques for the total sample and per risk profile. Professionals' perceived level of implementation of integrated care was evaluated within the Embrace condition using the Assessment of Integrated Elderly Care. KEY

resultsOlder adults in the Embrace group reported a higher level of perceived quality of care than those in the control group (B = 0.33, 95 % CI = 0.15-0.51, ES d = 0.19). The advantages of Embrace were most evident in the "Frail" and "Complex care needs" risk profiles. We found no significant advantages for the "Robust" risk profile. Participating professionals reported a significant increase in the perceived level of implementation of integrated care (ES r = 0.71).

conclusionsThis study shows that providing a population-based integrated care service to community-living older adults improved the quality of care as perceived by older adults and participating professionals.

Indexed as

Patient SatisfactionPerceptionActivities of Daily LivingAgedAged, 80 and overDelivery of Health Care, IntegratedFemaleFollow-Up StudiesHumansIndependent LivingMaleNetherlandsQuality of Health CareSingle-Blind Methodintegrated careolder adultspatient-centered carequality of carerandomized controlled trial

Identifiers

PMID27271728
PMCPMC5400746

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.