Evidence map›Paper›PMID 30979773›Full record

ArticleCanadian family physician Medecin de famille canadien2019

Engaging primary care physicians in care coordination for patients with complex medical conditions.

Elizabeth Lockhart, Gillian A Hawker, Noah M Ivers, Tara O'Brien, Geetha Mukerji, Pauline Pariser, Ian Stanaitis, Laura Pus, G Ross Baker

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Review
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  12. Canadian family physician Medecin de famille canadien · 2021
    Article
  13. Social prescribing: A call to action.Canadian family physician Medecin de famille canadien · 2021
    Article
  14. Awareness and Use of Community Services among Primary Care Physicians.Healthcare policy = Politiques de sante · 2020
    Article
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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

9 authors.

Elizabeth LockhartGraduate student at the Institute of Health Policy, Management and Evaluation at the University of Toronto in Ontario. elizabeth.lockhart@cancercare.on.ca.
Gillian A HawkerProfessor in the Institute of Health Policy, Management and Evaluation and the Department of Medicine at the University of Toronto, and Senior Scientist at Women's College Research Institute.
Noah M IversAssistant Professor in the Institute of Health Policy, Management and Evaluation and the Department of Family and Community Medicine at the University of Toronto, and a family physician at Women's College Hospital.
Tara O'BrienMedical Director of the Acute Ambulatory Care Unit at Women's College Hospital and the Division of General Internal Medicine at the University of Toronto.
Geetha MukerjiAssistant Professor in the Institute of Health Policy, Management and Evaluation and the Division of Endocrinology and Metabolism at the University of Toronto, and a staff endocrinologist at Women's College Hospital.
Pauline PariserAssociate Professor in the Department of Family and Community Medicine at the University of Toronto and Associate Medical Director at University Health Network.
Ian StanaitisResearch Project Coordinator at Women's College Hospital.
Laura PusDirector, Women's Virtual at Women's College Hospital.
G Ross BakerProfessor in the Institute of Health Policy, Management and Evaluation at the University of Toronto.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the dynamics of primary care physicians' (PCPs') engagement with the Seamless Care Optimizing the Patient Experience (SCOPE) project.

designQualitative study using semistructured interviews.

settingSolo and small group primary care practices in urban Toronto, Ont.

participantsA total of 22 of the 29 SCOPE PCPs (75.8%) were interviewed 14 to 19 months after the initiation of SCOPE.

methodsQualitative semistructured interviews were conducted to examine influencing factors associated with PCPs' engagement in SCOPE. Transcripts were analyzed using a grounded theory-informed approach and key themes were identified. MAIN

findingsThe SCOPE project provided practical mechanisms through which PCPs could access information and connect with resources. Contextual and historical factors including strained relationships between hospital specialists and community PCPs and PCPs' feelings of responsibility, isolation, disconnection, and burnout influenced readiness to engage. Provision of clinically useful supports in a trusting, collaborative manner encouraged PCPs' engagement in newer, more collaborative ways of working.

conclusionThe SCOPE project provided an opportunity for PCPs to build meaningful relationships, reconnect to the broader health care system, and redefine their roles. For many PCPs, reestablishing connections reaffirmed their role in the system and enabled a more collaborative care model. Strategies for connecting community-based PCPs to the broader system need to consider contextual factors and the effects of new linkages and coordination on the identities and relationships of PCPs.

Indexed as

Attitude of Health PersonnelAdultChronic DiseaseFemaleHumansMaleMiddle AgedOntarioPatient-Centered CarePhysicians, Primary CarePrimary Health CareQualitative ResearchSpecialization

Identifiers

PMID30979773
PMCPMC6467654

What OpenQuestion holds

Textmetadata
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.