Evidence map›Paper›PMID 29133498›Full record

ReviewAnnals of family medicine2017

The Foundations Framework for Developing and Reporting New Models of Care for Multimorbidity.

Jonathan Stokes, Mei-See Man, Bruce Guthrie, Stewart W Mercer, Chris Salisbury, Peter Bower

Abstract readReview
In one paragraph

Review in Annals of family medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
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  10. Using self-determination theory in research and evaluation in primary care.Health expectations : an international journal of public participation in health care and health policy · 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

6 authors.

Jonathan StokesNIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, Manchester Academic Health Science Centre, University of Manchester, Manchester, United Kingdom jonathan.m.stokes@manchester.ac.uk.
Mei-See ManCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom.
Bruce GuthrieQuality, Safety and Informatics Research Group, University of Dundee, Dundee, United Kingdom.
Stewart W MercerGeneral Practice and Primary Care, Institute for Health and Wellbeing, University of Glasgow, Glasgow, Scotland, United Kingdom.
Chris SalisburyCentre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom.
Peter BowerNIHR School for Primary Care Research, Centre for Primary Care, Manchester Academic Health Science Centre, School of Health Sciences, University of Manchester, Manchester, United Kingdom.

Funding

Department of Health 12/130/15
6 · The paper itself

Abstract

purposeMultimorbidity challenges health systems globally. New models of care are urgently needed to better manage patients with multimorbidity; however, there is no agreed framework for designing and reporting models of care for multimorbidity and their evaluation.

methodsBased on findings from a literature search to identify models of care for multimorbidity, we developed a framework to describe these models. We illustrate the application of the framework by identifying the focus and gaps in current models of care, and by describing the evolution of models over time.

resultsOur framework describes each model in terms of its theoretical basis and target population (the foundations of the model) and of the elements of care implemented to deliver the model. We categorized elements of care into 3 types: (1) clinical focus, (2) organization of care, (3) support for model delivery. Application of the framework identified a limited use of theory in model design and a strong focus on some patient groups (elderly, high users) more than others (younger patients, deprived populations). We found changes in elements with time, with a decrease in models implementing home care and an increase in models offering extended appointments.

conclusionsBy encouragin greater clarity about the underpinning theory and target population, and by categorizing the wide range of potentially important elements of an intervention to improve care for patients with multimorbidity, the framework may be useful in designing and reporting models of care and help advance the currently limited evidence base.

Indexed as

Models, TheoreticalMultimorbidityChronic DiseaseCommunity Health ServicesDisease ManagementHealth Services Needs and DemandHumansPrimary Health Carechronic diseaseframeworkhealth systemsmodels of caremultimorbidityprimary care

Identifiers

PMID29133498
PMCPMC5683871

What OpenQuestion holds

Textmetadata
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.