SynthesisJournal of general internal medicine2017
Effectiveness of Intensive Primary Care Interventions: A Systematic Review.
Synthesis in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07587073 (A Pragmatic Cluster-Randomized Evaluation of Enhanced Care Management With Community Supports, Transitional Care, and Residential Care Coordination for High-Risk Medi-Cal Members Under CalAIM in California), which is not on this map. Cited by 47 papers.
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.
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.
A Pragmatic Cluster-Randomized Evaluation of Enhanced Care Management With Community Supports, Transitional Care, and Residential Care Coordination for High-Risk Medi-Cal Members Under CalAIM in California
Who cites it
47 citing papers in PubMed.
- Perceptions of Medically Complex Patients Enrolled in an Ambulatory Intensive Care Unit at a Healthcare-for-the-Homeless Clinic.Journal of the American Board of Family Medicine : JABFM · 2025Trial
- Impact of Referring High-Risk Patients to Intensive Outpatient Primary Care Services: A Propensity Score-Matched Analysis.Journal of general internal medicine · 2025Trial
- Ambulatory Intensive Care for Medically Complex Patients at a Health Care Clinic for Individuals Experiencing Homelessness: The SUMMIT Randomized Clinical Trial.JAMA network open · 2023Trial
- An Intensive Intervention to Reduce Readmissions for Frequently Hospitalized Patients: the CHAMP Randomized Controlled Trial.Journal of general internal medicine · 2022Trial
- Effects of a standardized community health worker intervention on hospitalization among disadvantaged patients with multiple chronic conditions: A pooled analysis of three clinical trials.Health services research · 2020Trial
- Effects of Intensive Primary Care on High-Need Patient Experiences: Survey Findings from a Veterans Affairs Randomized Quality Improvement Trial.Journal of general internal medicine · 2019Trial
- Improving adherence to guideline-based lipid-lowering therapy in people with hyperlipidemia using a targeted educational outreach approach.Journal of managed care & specialty pharmacy · 2026Article
- What makes patients in primary care complex? A scoping review combined with a focus group analysis.Scandinavian journal of primary health care · 2025Article
- Baseline Housing Stability Positively Impacts the Effect of an Ambulatory Intensive Care Unit on Decreasing Hospitalization Rates.Journal of general internal medicine · 2025Article
- "The start of something that I hope could be greater": Health information technology tools for social care.SSM. Qualitative research in health · 2025Article
- Onsite Primary Care to Address Medical Needs Among Permanent Supportive Housing Tenants: A Feasibility Demonstration Project.Journal of general internal medicine · 2025Article
- A mixed-method investigation of the root causes of construction project delays in Afghanistan.Heliyon · 2025Article
- Geriatrics-Focused vs Traditional Primary Care in the Veterans Affairs Health Care System.JAMA network open · 2025Article
- Optimizing Home Visit Records as a Way of Improving Quality of Care: A Quality Improvement Study.Cureus · 2024Article
- Widely Integrated Services in Home (WISH) for homebound older adults: a study protocol for a randomized encouragement trial.BMC geriatrics · 2024Article
- Primary care services and emergency department visits in blended fee-for-service and blended capitation models: evidence from Ontario, Canada.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- GP assessment of unmet need in a complex multimorbid population using a data-driven and clinical triage system: a prospective cohort study.BJGP open · 2023Article
- Caring for high-need patients.BMC health services research · 2023Article
- Peer support and whole health coaching to address the healthcare needs of homeless veterans: a pilot study.BMC primary care · 2022Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundMulticomponent, interdisciplinary intensive primary care programs target complex patients with the goal of preventing hospitalizations, but programs vary, and their effectiveness is not clear. In this study, we systematically reviewed the impact of intensive primary care programs on all-cause mortality, hospitalization, and emergency department use.
methodsWe searched PubMed, CINAHL, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Reviews of Effects from inception to March 2017. Additional studies were identified from reference lists, hand searching, and consultation with content experts. We included systematic reviews, randomized controlled trials (RCTs), and observational studies of multicomponent, interdisciplinary intensive primary care programs targeting complex patients at high risk of hospitalization or death, with a comparison to usual primary care. Two investigators identified studies and abstracted data using a predefined protocol. Study quality was assessed using the Cochrane risk of bias tool.
resultsA total of 18 studies (379,745 participants) were included. Three major intensive primary care program types were identified: primary care replacement (home-based; three RCTs, one observational study, N = 367,681), primary care replacement (clinic-based; three RCTs, two observational studies, N = 9561), and primary care augmentation, in which an interdisciplinary team was added to existing primary care (five RCTs, three observational studies, N = 2503). Most studies showed no impact of intensive primary care on mortality or emergency department use, and the effectiveness in reducing hospitalizations varied. There were no adverse effects reported. DISCUSSION: Intensive primary care interventions demonstrated varying effectiveness in reducing hospitalizations, and there was limited evidence that these interventions were associated with changes in mortality. While interventions could be grouped into categories, there was still substantial overlap between intervention approaches. Further work is needed to identify program features that may be associated with improved outcomes.
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Registered trials
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.