Evidence map›Paper›PMID 28073346›Full record

ArticleBMC family practice2017

Experiencing integration: a qualitative pilot study of consumer and provider experiences of integrated primary health care in Australia.

Michelle Banfield, Tanisha Jowsey, Anne Parkinson, Kirsty A Douglas, Paresh Dawda

Abstract read
In one paragraph

Article in BMC family practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

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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

5 authors.

Michelle BanfieldCentre for Mental Health Research, Research School of Population Health, The Australian National University, 63 Eggleston Rd, Acton, ACT 2601, Australia. Michelle.Banfield@anu.edu.au.ORCID http://orcid.org/0000-0002-3024-1687
Tanisha JowseyCentre for Medical and Health Sciences Education The University of Auckland, Auckland City Hospital, Building 599, Level 12, Auckland, 1023, New Zealand.
Anne ParkinsonDepartment of Health Services Research and Policy, Research School of Population Health, The Australian National University, 63 Eggleston Rd, Acton, ACT 2601, Australia.
Kirsty A DouglasANU Medical School, Canberra Hospital, Bldg 4, Level 2, Garran, ACT 2605, Australia.
Paresh DawdaOchre Health Medical Centre, Cnr Allawoona Street & Ginninderra Drive, Bruce, ACT 2617, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe terms integration and integrated care describe the complex, patient-centred strategies to improve coordination of healthcare services. Frameworks exist to conceptualise these terms, but these have been developed from a professional viewpoint. The objective of this study was to explore consumers' and providers' concepts, expectations and experience of integrated care. A key focus was whether frameworks developed from a professional perspective are effective models to explore people's experiences.

methodsA qualitative pilot study was undertaken at one Australian multidisciplinary primary health care centre. Semi-structured interviews were conducted with consumers (N = 19) and staff (N = 10). Data were analysed using a framework analysis approach.

resultsConsumers' experience of integrated care tended to be implicit in their descriptions of primary healthcare experiences more broadly. Experiences related to the typologies involved clinical and functional integration, such as continuity of providers and the usefulness of shared information. Staff focused on clinical level integration, but also talked about a cultural shift that demonstrated normative, professional and functional integration.

conclusionsExisting frameworks for integration have been heavily influenced by the provider and organisational perspectives. They are useful for conceptualising integration from a professional perspective, but are less relevant for consumers' experiences. Consumers of integrated primary health care may be more focussed on relational aspects of care and outcomes of care.

Indexed as

Community ParticipationHealth PersonnelInterdisciplinary CommunicationAustraliaDelivery of Health Care, IntegratedFamily PracticeFemaleHumansInterprofessional RelationsMalePilot ProjectsPrimary Health CareQualitative ResearchQuality Assurance, Health CareConsumer experienceIntegrationPrimary health care

Identifiers

PMID28073346
PMCPMC5225665

What OpenQuestion holds

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LicenceCC BY
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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.