Evidence map›Paper›PMID 29061603›Full record

ArticleBMJ open2017

Implementation and impact of an online tool used in primary care to improve access to financial benefits for patients: a study protocol.

Anjana Aery, Anne Rucchetto, Alexander Singer, Gayle Halas, Gary Bloch, Ritika Goel, Danyaal Raza, Ross E G Upshur, Jackie Bellaire, Alan Katz and 1 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02959866 (Evaluating the Implementation and Impact of an Online Tool Used Within Primary Care to Improve the Income Security of Patients With Complex Health and Social Needs in Ontario and Manitoba), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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.

NCT02959866 nacompletednot on this map

Evaluating the Implementation and Impact of an Online Tool Used Within Primary Care to Improve the Income Security of Patients With Complex Health and Social Needs in Ontario and Manitoba

TypeinterventionalSponsorUnity Health TorontoRan2016 to 2017Enrolled59ConditionsSocial Determinants of Health, Poverty, Social Isolation, Social MarginalizationArmsonline income tool
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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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

11 authors at 4 institutions in 1 country.

Anjana AeryWellesley Institute, Toronto, Ontario, Canada.
Anne RucchettoThe Upstream Lab, Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.
Alexander SingerDepartment of Family Medicine, Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Gayle HalasDepartment of Family Medicine, Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Gary BlochDepartment of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Ritika GoelDepartment of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Danyaal RazaDepartment of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Ross E G UpshurDepartment of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Jackie BellaireDepartment of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Alan KatzDepartment of Family Medicine, Rady Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Andrew David PintoThe Upstream Lab, Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-1841-9347
St. Michael's Hospital · CAUniversity of Toronto · CAManitoba Health · CAWellesley Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAddressing the social determinants of health has been identified as crucial to reducing health inequities. However, few evidence-based interventions exist. This study emerges from an ongoing collaboration between physicians, researchers and a financial literacy organisation. Our study will answer the following: Is an online tool that improves access to financial benefits feasible and acceptable? Can such a tool be integrated into clinical workflow? What are patient perspectives on the tool and what is the short-term impact on access to benefits?

methodsAn advisory group made up of patients living on low incomes and representatives from community agencies supports this study. We will recruit three primary care sites in Toronto, Ontario and three in Winnipeg, Manitoba that serve low-income communities. We will introduce clinicians to screening for poverty and how benefits can increase income. Health providers will be encouraged to use the tool with any patient seen. The health provider and patient will complete the online tool together, generating a tailored list of benefits and resources to assist with obtaining these benefits. A brief survey on this experience will be administered to patients after they complete the tool, as well as a request to contact them in 1 month. Those who agree to be contacted will be interviewed on whether the intervention improved access to financial benefits. We will also administer an online survey to providers and conduct focus groups at each site. ETHICS AND DISSEMINATION: Key ethical concerns include that patients may feel discomfort when being asked about their financial situation, may feel obliged to complete the tool and may have their expectations falsely raised about receiving benefits. Providers will be trained to address each of these concerns. We will share our findings with providers and policy-makers interested in addressing the social determinants of health within healthcare settings. TRIAL REGISTRATION NUMBER: Clinicaltrials.gov: NCT02959866. Registered 7 November 2016. Retrospectively registered. Pre-results.

Indexed as

Healthcare FinancingInternetSocial Determinants of HealthCanadaFemaleFocus GroupsHumansLogistic ModelsMalePrimary Health CareResearch DesignSurveys and QuestionnairesUser-Computer Interfacecial determinants of healthhealth promotionincomepovertyprimary care

Identifiers

PMID29061603
PMCPMC5665212
OpenAlexW2766834498

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.