Evidence map›Paper›PMID 31154293›Full record

ArticleBMJ open2019

The feasibility and potential use of case-tracked client journeys in primary healthcare: a pilot study.

Elsa Barton, Toby Freeman, Fran Baum, Sara Javanparast, Angela Lawless

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

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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

5 authors.

Elsa BartonFlinders University Rural Health South Australia, Flinders University, Mt Gambier, South Australia, Australia.ORCID 0000-0002-2030-0495
Toby FreemanSouthgate Institute for Health, Society & Equity, Flinders University, Adelaide, South Australia, Australia.
Fran BaumSouthgate Institute for Health, Society & Equity, Flinders University, Adelaide, South Australia, Australia.
Sara JavanparastSouthgate Institute for Health, Society & Equity, Flinders University, Adelaide, South Australia, Australia.
Angela LawlessSpeech Pathology, School of Health Sciences, Flinders University, Adelaide, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the feasibility of case-tracking methods in documenting client journeys at primary healthcare (PHC) services in order to investigate the comprehensiveness of service responses and the experiences of clients.

designProspective pilot study. Quantitative and qualitative case management data were collected from staff via questionnaire or interview.

settingFive Australian multidisciplinary PHC services were involved including four South Australian state-managed and one Northern Territory Aboriginal community-controlled PHC service.

participantsClients using services for depression (95) or diabetes (185) at the PHC services were case tracked over a 12-month period to allow construction of client journeys for these two conditions. Clients being tracked were invited to participate in two semi-structured interviews (21) and complete a health log.

resultsThough a number of challenges were encountered, the case-tracking methods were useful in documenting the complex nature of client journeys for those with depression or diabetes accessing PHC services and the need to respond to the social determinants of health. A flexible research design was crucial to respond to the needs of staff and changing organisational environments.

conclusionsThe client journeys provided important information about the services' responses to depression and diabetes, and about aspects unique to comprehensive PHC such as advocacy and work that takes into account the social determinants of health.

Indexed as

Critical PathwaysPrimary Health CareAdultAgedDepressionDiabetes MellitusFeasibility StudiesFemaleHumansInterviews as TopicMaleMiddle AgedPatient ParticipationPilot ProjectsSurveys and QuestionnairesYoung Adultcase trackingclient journeyscomprehensive primary healthcaredepressiondiabetes

Identifiers

PMID31154293
PMCPMC6549639

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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.