ArticleBMC geriatrics2018
Patient-centred access to health care: a framework analysis of the care interface for frail older adults.
Article in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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.
Who cites it
19 citing papers in PubMed, 42 citations in OpenAlex.
- The structural roots of multimorbidity: social inequalities, health disparities, and systemic challenges in Southern Spain.International journal for equity in health · 2026Article
- Transforming Caring for Dependent Older People: A New Approach for Integrated Socio-Healthcare.Scandinavian journal of caring sciences · 2025Article
- Re-Evaluating Access in Healthcare: Focus on Quality of Care.Public health challenges · 2025Review
- Factors Influencing General Practitioners' Deprescribing Decisions for Older Adults, with Insights into Frailty: a Qualitative Study in Greek Primary Care.Drugs & aging · 2025Article
- Understanding frailty: a qualitative study of older heart failure patients' frail experience and perceptions of healthcare professionals with frailty.BMC geriatrics · 2024Article
- Strategies for equity, diversity and inclusion in geriatric healthcare professional curricula: A scoping review protocol.PloS one · 2024Article
- Roles and experiences of informal caregivers of older adults in community and healthcare system navigation: a scoping review.BMJ open · 2023Article
- Barriers to providing internet-based home care services for urban older adults in China: a qualitative study of the service providers.BMC geriatrics · 2023Article
- A rapid literature review on the health-related outcomes of long-term person-centered care models in adults with chronic illness.Frontiers in public health · 2023Review
- Out-of-pocket expenses related to aging in place for frail older people: a scoping review.JBI evidence synthesis · 2022Article
- Equity in healthcare access and service coverage for older people: a scoping review of the conceptual literature.Integrated healthcare journal · 2022Article
- Exploring the Shift in International Trends in Mobile Health Research From 2000 to 2020: Bibliometric Analysis.JMIR mHealth and uHealth · 2021Article
- Managing frailty in an Irish primary care setting: A qualitative study of perspectives of healthcare professionals and frail older patients.Journal of frailty, sarcopenia and falls · 2021Article
- How Geographical Isolation and Aging in Place Can Be Accommodated Through Connected Health Stakeholder Management: Qualitative Study With Focus Groups.Journal of medical Internet research · 2020Article
- Frailty and the Risk of Polypharmacy in the Older Person: Enabling and Preventative Approaches.Journal of aging research · 2020Review
- A qualitative study examining everyday frailty management strategies adopted by Polish stakeholders.The European journal of general practice · 2019Article
- The use of technology in the context of frailty screening and management interventions: a study of stakeholders' perspectives.BMC medical informatics and decision making · 2019Article
- Testing the TEC-MED-Integrated Transcultural Social-Ethical-Care Model for Older People in the Mediterranean Basin: A Mixed-Method Quasiexperimental Study Protocol.International journal of integrated careArticle
- Development of a Transcultural Social Ethical and Integrated Care Model, for Dependent and Older People Populations at Risk of Exclusion in the Mediterranean Sea Basin (TEC-MED): A Research Protocol.International journal of integrated careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of this study was to explore the issues surrounding access to health and social care services for frail older adults with Polish stakeholders, including healthy and frail/pre-frail older adults, health care providers, social care providers, and caregivers, in order to determine their views and perspectives on the current system and to present suggestions for the future development of a more accessible and person-centred health and social care system.
methodsFocus groups were used to gather qualitative data from stakeholders. Data were analysed using framework analysis according to five dimensions of accessibility to care: approachability, acceptability, availability and accommodation, affordability and appropriateness.
resultsGenerally services were approachable and acceptable, but unavailable. Poor availability related to high staff turnover, staff shortages and a lack of trained personnel. There were problems of long waiting times for specialist care and rehabilitation services, and geographically remote clinics. Critically, there were shortages of long-term inpatient care places, social care workers and caregivers. The cost of treatments created barriers to care and inequities in the system. Participants described a lack of integration between health and social care systems with differing priorities and disconnected budgets. They described an acute medical system that was inappropriate for patients with complex needs, alongside a low functioning social care system, where bureaucratisation caused delays in providing services to the vulnerable. An integrated system with a care coordinator to improve connections between services and patients was suggested.
conclusionsThere is an immediate need to improve access to health and social care systems for pre-frail and frail patients, as well as their caregivers. Health and social care services need to be integrated to reduce bureaucracy and increase the timeliness of treatment and care.
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What OpenQuestion holds
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.