Evidence map›Paper›PMID 30429150›Full record

ArticleBMJ open2018

Understanding the impact of delegated home visiting services accessed via general practice by community-dwelling patients: a realist review protocol.

Ruth Abrams, Geoffrey Wong, Kamal Ram Mahtani, Stephanie Tierney, Anne-Marie Boylan, Nia Roberts, Sophie Park

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 4% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Contribution of paramedics in primary and urgent care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Supervision training in healthcare: a realist synthesis.Advances in health sciences education : theory and practice · 2020
    Article
  8. Delegating home visits in general practice: a realist review on the impact on GP workload and patient care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Review
  9. Article
  10. Models of paramedic involvement in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
  11. Article
  12. Article
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.

Ruth AbramsDepartment of Primary Care and Population Health, Institute of Epidemiology and Public Health UCL Medical School, London, UK.
Geoffrey WongNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Kamal Ram MahtaniNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Stephanie TierneyNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Anne-Marie BoylanNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Nia RobertsBodleian Health Care Libraries, University of Oxford, Oxford, UK.
Sophie ParkDepartment of Primary Care and Population Health, Institute of Epidemiology and Public Health UCL Medical School, London, UK.
University of Oxford · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn western countries, early visiting services (EVS) have been proposed as a recent intervention to reduce both general practitioner workload and hospital admissions among housebound individuals experiencing a healthcare need within the community. EVS involves the delegation of the patient home visits to other staff groups such as paramedics or nursing staff. However, the principles of organising this care are unknown and it remains unclear how different contexts, such as patient conditions and the processes of organising EVS influence care outcomes. A review has been designed to understand how EVS are enacted and, specifically, who benefits, why, how and when in order to provide further insight into the design and delivery of EVS. METHODS AND ANALYSIS: The purpose of this review is to produce findings that provide explanations of how and why EVS contexts influence their associated outcomes. Evidence on EVS will be consolidated through realist review-a theory-driven approach to evidence synthesis. A realist approach is needed as EVS is a complex intervention. What EVS achieve is likely to vary for different individuals and contexts. We expect to synthesise a range of relevant data such as qualitative, quantitative and mixed-method research in the following stages: devising an initial programme theory, searching evidence, selecting appropriate documents, extracting data, synthesising and refining the programme theory. ETHICS AND DISSEMINATION: A formal ethics review is not required as this study is secondary research. Findings will be disseminated in a peer-reviewed journal, at national and international conferences and to relevant professional associations. PROSPERO REGISTRATION NUMBER: CRD42018096518.

Indexed as

General PracticeHealth Services AccessibilityHomebound PersonsHouse CallsIndependent LivingPersonnel DelegationEnglandHumansReview Literature as Topicdelegationgeneral practicehome visitshouseboundprimary carerealist review

Identifiers

PMID30429150
PMCPMC6252761
OpenAlexW2900628507

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.