Evidence map›Paper›PMID 27612540›Full record

ArticleBMJ open2016

Patients' experiences of a multidisciplinary team-led community case management programme: a qualitative study.

Alice Gowing, Claire Dickinson, Tom Gorman, Louise Robinson, Rachel Duncan

Abstract readEvaluation Study
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Pooled it
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  6. Review
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  10. Using collaborative community care to deal with the emergency department frailty epidemic.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
  11. Attitudes, perceptions, and behaviours associated with hospital admission avoidance: a qualitative study of high-risk patients in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
  12. 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

5 authors.

Alice GowingInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Claire DickinsonInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Tom GormanInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Louise RobinsonInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Rachel DuncanInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the views and experiences of patients on the care they have received while enrolled on the Northumberland High Risk Patient Programme (NHRPP). This programme involved case finding of frail patients using a multidisciplinary team (MDT)-led community case management programme, and support of patients through care planning and regular reviews using primary, community, secondary and social care professionals.

designA qualitative study using semistructured interviews, which were digitally recorded, transcribed and subject to thematic analysis.

settingCommunity patients receiving primary care in the county of Northumberland, England.

participants23 participants took part, of which 16 were patients enrolled on the NHRPP, and 7 carers. GP practices were selected purposively by size, deprivation and location, and patients identified and invited by General Practitioners to participate.

results4 main themes emerged from the data: awareness and understanding of the NHRPP, confidence in the primary healthcare team, limitations of home care and the active role of being a patient. Despite having a low level of awareness of the details of the NHRPP, participants did think that its broad aim made sense. Participants discussed their high level of satisfaction with their care and access to team members. However, some limitations of alternatives to hospital care were identified, including the need to consider psychological as well as medical needs, the importance of overnight care and the needs of those without informal carers. Finally, participants discussed the active nature of being a patient under the NHRPP if they were to contribute fully to planning and managing their own care.

conclusionsThis study has identified that a programme of MDT-led case management was generally very well received by patients and their families. However, a number of factors were identified that could improve the implementation of the programme and further research needs to be undertaken to address these.

Indexed as

Case ManagementHome Care ServicesPatient Care TeamAgedAged, 80 and overEnglandFemaleFrailtyHumansInterviews as TopicMaleMiddle AgedPatient SatisfactionPrimary Health CareProgram EvaluationQualitative ResearchGERIATRIC MEDICINEPRIMARY CARE

Identifiers

PMID27612540
PMCPMC5020758

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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.