Evidence map›Paper›PMID 29523092›Full record

ArticleBMC family practice2018

The role of the general practitioner in multidisciplinary teams: a qualitative study in elderly care.

Sietske M Grol, Gerard R M Molleman, Anne Kuijpers, Rob van der Sande, Gerdine A J Fransen, Willem J J Assendelft, Henk J Schers

Open access · goldAbstract read
In one paragraph

Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
10.2field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

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  17. 'Primary health care research & development · 2023
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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

7 authors at 2 institutions in 1 country.

Sietske M GrolDepartment of Primary and Community Care, Radboud University Medical Center, route 119, PO Box 9101, 6500 HB, Nijmegen, the Netherlands. Sietske.grol@radboudumc.nl.ORCID 0000-0002-9917-6932
Gerard R M MollemanDepartment of Primary and Community Care, Radboud University Medical Center, route 119, PO Box 9101, 6500 HB, Nijmegen, the Netherlands.
Anne KuijpersDepartment of Primary and Community Care, Radboud University Medical Center, route 119, PO Box 9101, 6500 HB, Nijmegen, the Netherlands.
Rob van der SandeLectureship of primary and community care, Han University of Applied Sciences, POB 6960, 6503 GL, Nijmegen, the Netherlands.
Gerdine A J FransenDepartment of Primary and Community Care, Radboud University Medical Center, route 119, PO Box 9101, 6500 HB, Nijmegen, the Netherlands.
Willem J J AssendelftDepartment of Primary and Community Care, Radboud University Medical Center, route 119, PO Box 9101, 6500 HB, Nijmegen, the Netherlands.
Henk J SchersDepartment of Primary and Community Care, Radboud University Medical Center, route 119, PO Box 9101, 6500 HB, Nijmegen, the Netherlands.
Radboud University Nijmegen · NLHAN University of Applied Sciences · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the western world, a growing number of the older people live at home. In the Netherlands, GPs are expected to play a pivotal role in the organization of integrated care for this patient group. However, little is known about how GPs can play this role best. Our aim for this study was to unravel how GPs can play a successful role in elderly care, in particular in multidisciplinary teams, and to define key concepts for success.

methodsA mixed qualitative research model in four multidisciplinary teams for elderly care in the Netherlands was used. With these four teams, consisting of 46 health care and social service professionals, we carried out two rounds of focus-group interviews. Moreover, we performed semi-structured interviews with four GPs. We analysed data using a hybrid inductive/deductive thematic analysis.

resultsAccording to the health care and social service professionals in our study, the role of GPs in multidisciplinary teams for elderly care was characterized by the ability to 'see the bigger picture'. We identified five key activities that constitute a successful GP role: networking, facilitating, team building, integrating care elements, and showing leadership. Practice setting and phase of multidisciplinary team development influenced the way in which GPs fulfilled their roles. According to team members, GPs were the central professionals in care services for older people. The opinions of GPs about their own roles were diverse.

conclusionsGPs took an important role in successful care settings for older people. Five key concepts seemed to be important for best practices in care for frail older people: networking (community), facilitating (organization), team building (professional), integrating care elements (patient), and leadership (personal). Team members from primary care and social services indicated that GPs had an indispensable role in such teams. It would be advantageous for GPs to be aware of this attributed role. Attention to leadership competencies and to the diversity of roles in multidisciplinary teams in GP training programmes seems useful. The challenge is to convince GPs to take a lead, also when they are not inclined to take this role in organizing multidisciplinary teams for older people.

Indexed as

Attitude of Health PersonnelGeneral PractitionersPatient Care TeamPhysician's RoleAgedFocus GroupsHealth Services for the AgedHumansInterviews as TopicNetherlandsNursesOccupational TherapistsPhysical TherapistsPrimary Health CareQualitative ResearchFocus groupsFrail older peopleGeneral practitionerIntegrated health care systemsLeadershipMultidisciplinary team meetingsQualitative research

Identifiers

PMID29523092
PMCPMC5845178
OpenAlexW2797100347

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.