SynthesisThe European journal of general practice2019
Clinical leadership and integrated primary care: A systematic literature review.
Synthesis in The European journal of general practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled 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.
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
38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.
- Leadership training in healthcare: a systematic umbrella review.BMJ leader · 2025Pooled it
- Competencies required for the performance of primary health care managers: a systematic review.Cadernos de saude publica · 2025Pooled it
- Leadership program with skills training for general practitioners was highly accepted without improving job satisfaction: the cluster randomized IMPROVEjob study.Scientific reports · 2022Trial
- Beyond clinical care: A qualitative study on the leadership role of general practitioners in dutch interprofessional care for older adults.The European journal of general practice · 2026Article
- The use of a validated competency framework to guide the implementation of integrated care into the curriculum and accreditation of health and social care professionals in Australia.BMC medical education · 2026Article
- Designing Health Care Policy and Systems to Reach and Retain Those with Severe Mental Illness in HIV Prevention and Care Efforts: Insights from Ten US States.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Digital Transformational Leadership and Coordinated Care in European Primary Healthcare: The Mediating Role of Patient Agility.Journal of healthcare leadership · 2026Article
- Psychometric evaluation of the Chinese version of the Educational Leadership Scale for Nursing Students: a quantitative cross-sectional design.Frontiers in psychology · 2025Article
- Evaluating Leadership Dynamics: A Comprehensive Cross-Sectional Study of Madinah's Primary Healthcare Centers.Cureus · 2024Article
- Healthcare leaders navigating complexity: a scoping review of key trends in future roles and competencies.BMC medical education · 2024Article
- Barriers and facilitators to the implementation of prehabilitation for elderly frail patients prior to elective surgery: a qualitative study with healthcare professionals.BMC health services research · 2024Article
- Insights into Shared Decision-Making in Interprofessional Teams for a Boy with Down Syndrome with Communication and Language Issues: Simulation-Based Training for Medical and Allied Health Students.Healthcare (Basel, Switzerland) · 2024Article
- Fostering collective leadership to improve integrated primary care: lessons learned from the PriCARE program.Archives of public health = Archives belges de sante publique · 2024Article
- Toxic Leadership in Emergency Nurses: Assessing Abusive Supervision and Its Team-Level Impacts on Conflict Management and Organizational Commitment.Journal of nursing management · 2024Article
- Leading from the bottom: The clinical leaders roles in an HIV primary care facility in Eldoret, Kenya.PloS one · 2024Article
- Social workers' formal and informal leadership in interprofessional primary care teams in Ontario, Canada.Healthcare management forum · 2023Article
- Better with GPs as managers? - Variation in perceptions of feedback messages, goal-clarity and performance across manager´s in Swedish primary care.BMC health services research · 2023Article
- Barriers and enablers of integrated care in the UK: a rapid evidence review of review articles and grey literature 2018-2022.Frontiers in public health · 2023Review
- Leadership Practices as Perceived by Emergency Nurses During the COVID-19 Pandemic: The Role of Structural and Psychological Empowerment.Journal of emergency nursing · 2023Article
- Factors that support readiness to implement integrated evidence-based practice to increase cancer screening.Implementation science communications · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLeaders are needed to address healthcare changes essential for implementation of integrated primary care. What kind of leadership this needs, which professionals should fulfil this role and how these leaders can be supported remains unclear.
objectivesTo review the literature on the effectiveness of programmes to support leadership, the relationship between clinical leadership and integrated primary care, and important leadership skills for integrated primary care practice.
methodsWe systematically searched PubMed, CINAHL, Embase, PsycINFO until June 2018 for empirical studies situated in an integrated primarycare setting, regarding clinical leadership, leadership skills, support programmes and integrated-care models. Two researchers independently selected relevant studies and critically appraised studies on methodological quality, summarized data and mapped qualitative data on leadership skills.
resultsOf the 3207 articles identified, 56 were selected based on abstract and title, from which 20 met the inclusion criteria. Selected papers were of mediocre quality. Two non-controlled studies suggested that leadership support programmes helped prepare and guide leaders and positively contributed to implementation of integrated primary care. There was little support that leaders positively influence implementation of integrated care. Leaders' relational and organizational skills as well as process-management and change-management skills were considered important to improve care integration. Physicians seemed to be the most adequate leaders.
conclusionGood quality research on clinical leadership in integrated primary care is scarce. More profound knowledge is needed about leadership skills, required for integrated-care implementation, and leadership support aimed at developing these skills.
Indexed as
Identifiers
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.