Evidence map›Paper›PMID 29090159›Full record

ArticleJournal of comorbidity2015

The Patient Centered Assessment Method (PCAM): integrating the social dimensions of health into primary care.

Rebekah Pratt, Carina Hibberd, Isobel M Cameron, Margaret Maxwell

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Article in Journal of comorbidity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. Definition of patient complexity in adults: A narrative review.Journal of multimorbidity and comorbidity · 2022
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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

4 authors.

Rebekah PrattDepartment of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA.
Carina HibberdSchool of Nursing, Midwifery and Health, University of Stirling, Stirling, UK.
Isobel M CameronPsychiatry Group, Division Institute of Applied Medicine, Health and Wellbeing, University of Aberdeen, Clinical Research Centre, Royal Cornhill Hospital, Aberdeen, UK.
Margaret MaxwellSchool of Nursing, Midwifery and Health, University of Stirling, Stirling, UK.

Funding

Chief Scientist Office NMAHP1Department of Health HS&DR/13/33/16
6 · The paper itself

Abstract

backgroundSocial dimensions of health are known to contribute to what is often termed "patient complexity," which is particularly common among patients with multimorbidity. Health-care professionals require tools to help them identify and manage these aspects of patient needs.

objectivesTo examine: (i) the Patient Centered Assessment Method (PCAM), a tool for assessing patient complexity in ways that are sensitive to the biopsychosocial dimensions of health, in primary care settings in Scotland; (ii) the impact of the PCAM on referral patterns and its perceived value; and (iii) the PCAM's perceived applicability for use in a complex patient population.

designTwo studies are described: (i) a mixed-methods prospective cohort study of the implementation of the PCAM in primary care clinics; and (ii) a qualitative exploratory study that evaluated the value of the PCAM in a complex patient population.

resultsUse of the PCAM did not impact patient satisfaction or perception of practitioners' empathy, but it did increase both the number of onward referrals per referred patient (9-12%) and the proportion of referrals to non-medical services addressing psychological, social, and lifestyle needs. Nurses valued the PCAM, particularly its ability to help them address psychological and social domains of patients' lives, and found it to be highly relevant for use in populations with known high complexity.

conclusionsThe PCAM represents a feasible approach for assessing patient needs with consideration to the social dimensions of health, and allows practitioners to refer patients to a broader range of services to address patient complexity.

Indexed as

comorbiditymultimorbidityPatient Centered Assessment Method (PCAM)patient complexitypreventionsocial dimensions of health

Identifiers

PMID29090159
PMCPMC5636039

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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.