Evidence map›Paper›PMID 28050221›Full record

ArticleCanadian geriatrics journal : CGJ2016

Quality of Dementia Care in the Community: Identifying Key Quality Assurance Components.

George A Heckman, Veronique M Boscart, Bryan B Franco, Loretta Hillier, Lauren Crutchlow, Linda Lee, Frank Molnar, Dallas Seitz, Paul Stolee

Abstract read
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In one paragraph

Article in Canadian geriatrics journal : CGJ, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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  8. Last Issue, 2016.Canadian geriatrics journal : CGJ · 2016
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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

9 authors.

George A HeckmanSchlegel - University of Waterloo Research Institute for Aging, University of Waterloo, Waterloo, ON, Canada; School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada.
Veronique M BoscartSchlegel - University of Waterloo Research Institute for Aging, University of Waterloo, Waterloo, ON, Canada; Conestoga College's School of Health & Life Sciences and Community Services, Schlegel Villages, Kitchener, ON, Canada.
Bryan B FrancoSchool of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada.
Loretta HillierSpecialized Geriatric Services, St. Joseph's Health Care London, London, ON, Canada; Parkwood Institute, London, ON, Canada.
Lauren CrutchlowUniversity of Western Ontario, London, ON, Canada.
Linda LeeSchlegel - University of Waterloo Research Institute for Aging, University of Waterloo, Waterloo, ON, Canada; Department of Family Medicine, McMaster University, Kitchener, ON, Canada.
Frank MolnarUniversity of Ottawa, Ottawa, ON, Canada; Division of Geriatric Medicine, The Ottawa Hospital, Ottawa, ON, Canada; Ottawa Hospital Research Institute, Ottawa, ON, Canada; Bruyere Research Institute, Ottawa, ON, Canada.
Dallas SeitzDepartment of Psychiatry, Queen's University, Kingston, ON, Canada.
Paul StoleeSchool of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary care-based memory clinics (PCMCs) have been established in several jurisdictions to improve the care for persons with Alzheimer's disease and related dementias. We sought to identify key quality indicators (QIs), quality improvement mechanisms, and potential barriers and facilitators to the establishment of a quality assurance framework for PCMCs.

methodsWe employed a Delphi approach to obtain consensus from PCMC clinicians and specialist physicians on QIs and quality improvement mechanisms. Thirty-eight candidate QIs and 19 potential quality improvement mechanisms were presented to participants in two rounds of electronic Delphi surveys. Written comments were collected and descriptively analyzed.

resultsThe response rate for the first and second rounds were 21.3% (n = 179) and 12.8% (n = 88), respectively. The majority of respondents were physicians. Fourteen QIs remained after the consensus process. Ten quality improvement mechanisms were selected with those characterized by specialist integration, such as case discussions and mentorships, being ranked highly. Written comments revealed three major themes related to potential barriers and facilitators to quality assurance: 1) perceived importance, 2) collaboration and role clarity, and 3) implementation process.

conclusionWe successfully utilized a consultative process among primary and specialty providers to identify core QIs and quality improvement mechanisms for PCMCs. Identified quality improvement mechanisms highlight desire for multi-modal education. System integration and closer integration between PCMCs and specialists were emphasized as essential for the provision of high-quality dementia care in community settings.

Indexed as

chronic disease managementdementiaprimary carequality improvementquality indicatorssystem integration

Identifiers

PMID28050221
PMCPMC5178859

What OpenQuestion holds

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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.