Evidence map›Paper›PMID 30999763›Full record

ArticleAmerican journal of medical quality : the official journal of the American College of Medical Quality

Engaging Patients in Primary Care Quality Improvement Initiatives: Facilitators and Barriers.

Nancy Pandhi, Nora Jacobson, Madison Crowder, Andrew Quanbeck, Mollie Hass, Sarah Davis

Open access · greenAbstract read
In one paragraph

Article in American journal of medical quality : the official journal of the American College of Medical Quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  9. Coaching quality improvement in primary care to improve hypertension control.Journal of the American Association of Nurse Practitioners · 2022
    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

6 authors at 2 institutions in 1 country.

Nancy PandhiUniversity of New Mexico, Albuquerque, NM.
Nora JacobsonUniversity of Wisconsin-Madison, Madison, WI.
Madison CrowderUniversity of New Mexico, Albuquerque, NM.
Andrew QuanbeckUniversity of Wisconsin-Madison, Madison, WI.
Mollie HassUniversity of Wisconsin-Madison, Madison, WI.
Sarah DavisUniversity of Wisconsin-Madison, Madison, WI.
University of Wisconsin–Madison · USUniversity of New Mexico · US

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Promoting the implementation of clinical guidelines for opioid prescribing in primary care using systems consultationR01DA047279 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI QUANBECK, ANDREW · 2018 to 2022
$3.5M
NCATS NIH HHS UL1 TR002373NIDA NIH HHS R01 DA047279
6 · The paper itself

Abstract

Health care transformation calls for patient engagement in quality improvement (PEQI), yet practice participation remains low. This pilot study of 8 primary care clinics at 7 statewide locations sought to determine the most effective strategies for disseminating a previously successful single-system PEQI intervention. Qualitative data were obtained through site visits, interviews, observations, and journaling. All material pertaining to barriers, recruitment/retention, and implementation was extracted, compared, and categorized. Five teams partially completed the intervention and 3 finished. These 3 teams did not ask for shorter trainings and were assigned a quality improvement (QI) coach. Multiple barriers to recruitment, implementation, and retention were noted at the organizational and clinic/team level, including turnover, shifting priorities, cross-level communication difficulties, lack of QI knowledge, and confusion between patient engagement and patient activation. These findings suggest that QI facilitation and dedicated time can help primary care teams identify and overcome barriers to PEQI.

Indexed as

Ambulatory Care FacilitiesHumansPatient Care TeamPatient ParticipationPilot ProjectsPrimary Health CareQualitative ResearchQuality ImprovementUnited Statespatient care teampatient participationpractice redesignprimary health carequality improvement

Identifiers

PMID30999763
PMCPMC7392103
OpenAlexW2940334128

What OpenQuestion holds

Textmetadata
LicenceTDM
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.