Evidence map›Paper›PMID 27716357›Full record

ArticleSystematic reviews2016

How best to structure interdisciplinary primary care teams: the study protocol for a systematic review with narrative framework synthesis.

W Dominika Wranik, Jill A Hayden, Sheri Price, Robin M N Parker, Susan M Haydt, Jeanette M Edwards, Esther Suter, Alan Katz, Liesl L Gambold, Adrian R Levy

Abstract read
In one paragraph

Article in Systematic reviews, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. How do primary care providers work together in the Iranian PHC system?Medical journal of the Islamic Republic of Iran · 2020
    Article
  3. Article
  4. Article
  5. 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

10 authors.

W Dominika WranikSchool of Public Administration, Faculty of Management, Dalhousie University, Halifax, Canada. dwl@dal.ca.
Jill A HaydenDepartment of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, Canada.
Sheri PriceFaculty of Nursing, Dalhousie University, Halifax, Canada.
Robin M N ParkerKellog Library, Dalhousie University, Halifax, Canada.
Susan M HaydtFaculty of Management, Dalhousie University, Halifax, Canada.
Jeanette M EdwardsPrimary Health Care and Chronic Disease, Winnipeg Regional Health Authority, Winnipeg, Canada.
Esther SuterWorkforce Research and Evaluation, Alberta Health Services, Calgary, Canada.
Alan KatzDepartment of Community Health Sciences, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Liesl L GamboldDepartment of Sociology and Social Anthropology, Faculty of Arts and Social Sciences, Dalhousie University, Halifax, Canada.
Adrian R LevyDepartment of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, Canada.

Funding

CIHR
6 · The paper itself

Abstract

backgroundWestern publicly funded health care systems increasingly rely on interdisciplinary teams to support primary care delivery and management of chronic conditions. This knowledge synthesis focuses on what is known in the academic and grey literature about optimal structural characteristics of teams. Its goal is to assess which factors contribute to the effective functioning of interdisciplinary primary care teams and improved health system outcomes, with specific focus on (i) team structure contribution to team process, (ii) team process contribution to primary care goals, and (iii) team structure contribution to primary care goals. METHODS AND

designThe systematic search of academic literature focuses on four chronic conditions and co-morbidities. Within this scope, qualitative and quantitative studies that assess the effects of team characteristics (funding, governance, organization) on care process and patient outcomes will be searched. Electronic databases (Ovid MEDLINE, Embase, CINAHL, PAIS, Web of Science) will be searched systematically. Online web-based searches will be supported by the Grey Matters Tool. Studies will be included, if they report on interdisciplinary primary care in publicly funded Western health systems, and address the relationships between team structure, process, and/or patient outcomes. Studies will be selected in a three-stage screening process (title/abstract/full text) by two independent reviewers in each stage. Study quality will be assessed using the Mixed Methods Assessment Tool. An a priori framework will be applied to data extraction, and a narrative framework approach is used for the synthesis. DISCUSSION: Using an integrated knowledge translation approach, an electronic decision support tool will be developed for decision makers. It will be searchable along two axes of inquiry: (i) what primary care goals are supported by specific team characteristics and (ii) how should teams be structured to support specific primary care goals? The results of this evidence review will contribute directly to the design of interdisciplinary primary care teams. The optimized design will support the goals of primary care, contributing to the improved health of populations. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42016041884.

Indexed as

NarrationChronic DiseaseHumansOrganizational ObjectivesPatient Care TeamPrimary Health CareSystematic Reviews as Topic

Identifiers

PMID27716357
PMCPMC5050675

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.