Evidence map›Paper›PMID 30918479›Full record

ArticleInternational journal of integrated care2019

Patient-specific versus Organisational Barriers to Program Adherence: A Multivariate Analysis.

Sara Fokdal Lehn, Ann-Dorthe Zwisler, Solvejg Gram Henneberg Pedersen, Thomas Gjørup, Lau Caspar Thygesen

Abstract read
In one paragraph

Article in International journal of integrated care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

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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

2 citing papers in PubMed.

  1. Article
  2. Review
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

5 authors.

Sara Fokdal LehnDepartment of Medicine, Holbæk University Hospital, Smedelundsgade 60, Holbæk, DK.ORCID 0000-0002-9872-6162
Ann-Dorthe ZwislerDanish Knowledge Centre for Rehabilitation and Palliative Care, University of Southern Denmark and Odense University hospital, Vestergade 17, Nyborg, DK.
Solvejg Gram Henneberg PedersenDepartment of Medicine, Geriatric section, Holbæk University Hospital, Smedelundsgade 60, Holbæk, DK.
Thomas GjørupEmergency Clinic, Gentofte Hospital, Kildegårdsvej 28, Hellerup, DK.
Lau Caspar ThygesenNational Institute of Public Health, University of Southern Denmark, Studiestræde 6, København, DK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis article explores the influence of patient-specific and organisational factors on adherence to program guidelines in an integrated care program targeting older patients.

methodsThe integrated care program aimed to offer post-discharge follow-up visits by a municipality nurse and the general practitioner to frail older patients after discharge from hospital. Adherence was measured as

resultsWe found substantial lack of adherence in both steps of the program: 69% adherence in step 1 and 54% adherence in step 2. In step 1, adherence was related to hospital, and receiving municipal home care prior to admission. In step 2, level of adherence varied according to municipality, the type of general practitioner and the patient's gender.

conclusionWe found that adherence was strongly related to organisational factors. Adherence differed significantly at all organisational levels (hospital, municipality, general practice), thus indicating challenges in the vertical integration of care. Gender influenced adherence as the only patient-related factor.

Indexed as

adherenceimplementationintegrated care programolder patientsorganizational factorspatient-specific factors

Identifiers

PMID30918479
PMCPMC6427061

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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.