ArticleBMC family practice2016
Substitution of outpatient care with primary care: a feasibility study on the experiences among general practitioners, medical specialists and patients.
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 17 papers, 1 of them a synthesis 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
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Pooled it
- Trial
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- Value-based evaluation of gestational diabetes mellitus care pathway redesign by using cost and outcome data.BMC pregnancy and childbirth · 2025Observational
- Integrating dermatologists in primary care: impact on delays, patient and professional experiences.BMC health services research · 2024Article
- General practitioners' perspectives on relocating care: a Dutch interview study.BMC primary care · 2024Article
- Citizens' perspectives on relocating care: a scoping review.BMC health services research · 2024Article
- Obesity medicine as a subspecialty and United States certification - A review.Obesity pillars · 2023Review
- Evaluation of intermediate care for knee and hip osteoarthritis: a mixed-methods study.BMC family practice · 2021Article
- Patients' perspectives on a new delivery model in primary care: A propensity score matched analysis of patient-reported outcomes in a Dutch cohort study.Journal of evaluation in clinical practice · 2021Article
- Economic evaluation of nurse-led stroke aftercare addressing long-term psychosocial outcome: a comparison to care-as-usual.BMJ open · 2021Article
- Reorganising dermatology care: predictors of the substitution of secondary care with primary care.BMC health services research · 2020Article
- Referral decisions and its predictors related to orthopaedic care. A retrospective study in a novel primary care setting.PloS one · 2020Article
- Substitution of hospital care with Primary Care Plus: differences in referral patterns according to specialty, specialist and diagnosis group.BMC family practice · 2019Article
- Substituting hospital-based outpatient cardiology care: The impact on quality, health and costs.PloS one · 2019Article
- Shifting hospital care to primary care: An evaluation of cardiology care in a primary care setting in the Netherlands.BMC family practice · 2018Observational
- Does an in-house internist at a GP practice result in reduced referrals to hospital-based specialist care?Scandinavian journal of primary health care · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReinforcing the gatekeeping role of general practitioners (GPs) by embedding specialist knowledge into primary care is seen as a possibility for stimulating a more sustainable healthcare system and avoiding unnecessary referrals to outpatient care. An intervention called Primary Care Plus (PC+) was developed to achieve these goals. The objective of this study is to gain insight into: (1) the content and added value of PC+ consultations according to stakeholders, and (2) patient satisfaction with PC+ compared to outpatient care.
methodsA feasibility study was conducted in the southern part of the Netherlands between April 2013 and January 2014. Data was collected using GP, medical specialist and patient questionnaires. Patient characteristics and medical specialty data were collected through the data system of a GP referral department.
resultsGPs indicated that they would have referred 85.4 % of their PC+ patients to outpatient care in the hypothetical case that PC+ was not available. Medical specialists indicated that about one fifth of the patients needed follow-up in outpatient care and 75.9 % of the consultations were of added value to patient care. The patient satisfaction results appear to be in favour of PC+.
conclusionPC+ seems to be a feasible intervention to be implemented on a larger scale, because it has the potential to prevent unnecessary hospital referrals. PC+ will be evaluated on a larger scale regarding the effects on health outcomes, quality of care and costs (Triple Aim principle).
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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.