Evidence map›Paper›PMID 29090180›Full record

ArticleJournal of comorbidity2016

Involving patients with multimorbidity in service planning: perspectives on continuity and care coordination.

Michaela L Schiøtz, Dorte Høst, Anne Frølich

Registry-linked trialAbstract read
In one paragraph

Article in Journal of comorbidity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04162548 (Reaching the Frail Elderly for the Management of Atrial Fibrillation), which is not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 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.

NCT04162548 completednot on this mapstarted 2020, after this paper: background citation

Reaching the Frail Elderly for the Management of Atrial Fibrillation

TypeobservationalSponsorUniversity Hospital Bispebjerg and FrederiksbergRan2020 to 2022Enrolled344ConditionsAtrial Fibrillation
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. Exploring the Intensity and Continuity of Hospital Care for Patients With Long Covid: Evidence From an English Urban Healthcare System.Health expectations : an international journal of public participation in health care and health policy · 2026
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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

3 authors.

Michaela L SchiøtzResearch Unit for Chronic Conditions, Bispebjerg University Hospital, Copenhagen, Denmark.
Dorte HøstResearch Unit for Chronic Conditions, Bispebjerg University Hospital, Copenhagen, Denmark.
Anne FrølichResearch Unit for Chronic Conditions, Bispebjerg University Hospital, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of multiple comorbid chronic conditions, or multimorbidity, is increasing. Care provided to people with multimorbidity is often fragmented, incomplete, inefficient, and ineffective. As part of a research and development project focusing on improving care, we sought to involve patients with multimorbidity in the planning process.

objectiveTo identify opportunities for improving care by understanding how patients from a Danish University Hospital experience care coordination.

designQualitative semi-structured interviews with 14 patients with multimorbidity.

resultsPatients with multimorbidity described important concerns about care that included: (1) disease-centered, rather than patient-centered, care; (2) lack of attention to comorbidities and patient preferences and needs; and (3) involvement of numerous healthcare providers with limited care coordination. Poor continuity of care resulted in lack of treatment for complex problems, such as pain and mental health issues, medication errors, adverse events, and a feeling of being lost in the system. Receiving care from generalists (e.g. general practitioners and healthcare professionals at prevention centers) and having a care coordinator seemed to improve patients' experience of continuity and coordination of care. Suggestions for service improvements when providing care for people with multimorbidity included using care coordinators, longer consultation times, consultations specifically addressing follow-up on prescribed medications, and shifting the focus of care from disease states to patients' overall health status.

conclusionsA need exists for a reorganization of care delivery for people with multimorbidity that focuses on improved care coordination and puts patient preferences at the center of care.

Indexed as

Comorbidityintegrated caremultimorbiditypatient satisfactionqualitative researchuser involvement

Identifiers

PMID29090180
PMCPMC5556451

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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.