Evidence map›Paper›PMID 28990397›Full record

ArticleThe American journal of hospice & palliative care2018

Examining the Role of Primary Care Physicians and Challenges Faced When Their Patients Transition to Home Hospice Care.

Ariel Shalev, Veerawat Phongtankuel, Katherine Lampa, M C Reid, Brian M Eiss, Sonica Bhatia, Ronald D Adelman

Abstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Aliviado Mobile App for Hospice Providers: A Usability Study.Journal of pain and symptom management · 2022
    Article
  4. 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

7 authors at 2 institutions in 1 country.

Ariel Shalev1 Weill Cornell Medical College, New York, NY, USA.ORCID http://orcid.org/0000-0002-7749-1261
Veerawat Phongtankuel1 Weill Cornell Medical College, New York, NY, USA.
Katherine Lampa1 Weill Cornell Medical College, New York, NY, USA.
M C Reid1 Weill Cornell Medical College, New York, NY, USA.
Brian M Eiss1 Weill Cornell Medical College, New York, NY, USA.
Sonica Bhatia2 The Mount Sinai Hospital, Brookdale Department of Geriatrics and Palliative Medicine, New York, NY, USA.
Ronald D Adelman1 Weill Cornell Medical College, New York, NY, USA.
Cornell University · USMount Sinai Hospital · US

Funding

Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
Reid Aging and Pain Research Training ProgramK24AG053462 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI REID, MANNEY CARRINGTON · 2016 to 2025
$1.8M
Identifying Correlates of Symptom Burden Experienced by Home Hospice Patients and its Association with Patient and Caregiver OutcomesR03AG053284 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI PHONGTANKUEL, VEERAWAT · 2016 to 2017
$254k
NIA NIH HHS K24 AG053462NIA NIH HHS P30 AG022845NIA NIH HHS R03 AG053284
6 · The paper itself

Abstract

backgroundThe transition into home hospice care is often a critical time in a patient's medical care. Studies have shown patients and caregivers desire continuity with their physicians at the end of life (EoL). However, it is unclear what roles primary care physicians (PCPs) play and what challenges they face caring for patients transitioning into home hospice care.

objectivesTo understand PCPs' experiences, challenges, and preferences when their patients transition to home hospice care.

designNineteen semi-structured phone interviews with PCPs were conducted. Study data were analyzed using standard qualitative methods.

participantsParticipants included PCPs from 3 academic group practices in New York City. Measured: Physician recordings were transcribed and analyzed using content analysis.

resultsMost PCPs noted that there was a discrepancy between their actual role and ideal role when their patients transitioned to home hospice care. Primary care physicians expressed a desire to maintain continuity, provide psychosocial support, and collaborate actively with the hospice team. Better establishment of roles, more frequent communication with the hospice team, and use of technology to communicate with patients were mentioned as possible ways to help PCPs achieve their ideal role caring for their patients receiving home hospice care.

conclusionsPrimary care physicians expressed varying degrees of involvement during a patient's transition to home hospice care, but many desired to be more involved in their patient's care. As with patients, physicians desire to maintain continuity with their patients at the EoL and solutions to improve communication between PCPs, hospice providers, and patients need to be explored.

Indexed as

Attitude of Health PersonnelPhysician-Patient RelationsAdultFemaleHome Care ServicesHospice CareHumansMaleMiddle AgedPatient TransferPhysicians, Primary CareTerminal Carecare transitionsEnd of lifeEoL carehome hospice carehospicehospice care

Identifiers

PMID28990397
PMCPMC5842674
OpenAlexW2767443523

What OpenQuestion holds

Textmetadata
LicenceTDM
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.