Evidence map›Paper›PMID 27616956›Full record

ArticleInternational journal of integrated care2016

Substitution of Hospital Care with Primary Care: Defining the Conditions of Primary Care Plus.

Sofie Johanna Maria van Hoof, Mariëlle Elisabeth Aafje Lydia Kroese, Marieke Dingena Spreeuwenberg, Arianne Mathilda Josephus Elissen, Ronald Johan Meerlo, Monique Margaretha Henriëtte Hanraets, Dirk Ruwaard

Open access · goldAbstract read
In one paragraph

Article in International journal of integrated care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 4% of its field
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

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  12. Use of regional transmural agreements to support the right care in the right place for patients with chronic heart failure-a qualitative study.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2023
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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

7 authors at 1 institution in 1 country.

Sofie Johanna Maria van HoofDepartment of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Mariëlle Elisabeth Aafje Lydia KroeseDepartment of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Marieke Dingena SpreeuwenbergDepartment of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands; Centre for Technology in Care, Zuyd University of Applied Sciences, Heerlen, The Netherlands.
Arianne Mathilda Josephus ElissenDepartment of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Ronald Johan MeerloPrimary Care Organisation Care in Development (ZIO), Maastricht, The Netherlands.
Monique Margaretha Henriëtte HanraetsDepartment of Patient and Care, Academic Hospital Maastricht (azM), Maastricht, The Netherlands.
Dirk RuwaardDepartment of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Maastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse barriers and facilitators in substituting hospital care with primary care to define preconditions for successful implementation.

methodsA descriptive feasibility study was performed to collect information on the feasibility of substituting hospital care with primary care. General practitioners were able to refer patients, about whom they had doubts regarding diagnosis, treatment and/or the need to refer to hospital care, to medical specialists who performed low-complex consultations at general practitioner practices. Qualitative data were collected through interviews with general practitioners and medical specialists, focus groups and notes from meetings in the Netherlands between April 2013 and January 2014. Data were analysed using a conventional content analysis which resulted in categorised barriers, facilitators and policy adjustments, after which preconditions were formulated.

resultsThe most important preconditions were make arrangements on governmental level, arrange a collective integrated IT-system, determine the appropriate profile for medical specialists, design a referral protocol for eligible patients, arrange deliberation possibilities for general practitioners and medical specialists and formulate a diagnostic protocol.

conclusionsThe barriers, facilitators and formulated preconditions provided relevant input to change the design of substituting hospital care with primary care.

Indexed as

hospital carepreconditionsprimary careSubstitution

Identifiers

PMID27616956
PMCPMC5015530
OpenAlexW1512369585

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.