Evidence map›Paper›PMID 31217004›Full record

ArticleBMC health services research2019

The OPTIMISE project: protocol for a mixed methods, pragmatic, quasi-experimental trial to improve primary care delivery to refugees in Australia.

Grant Russell, Nilakshi Gunatillaka, Virginia Lewis, I-Hao Cheng, Joanne Enticott, Geraldine Marsh, Shiva Vasi, Jenny Advocat, Hyun Song, Shoko Saito and 3 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 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
1.0field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Trial
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

13 authors at 6 institutions in 1 country.

Grant RussellDepartment of General Practice, School of Primary & Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Building 1, 270 Ferntree Gully Rd, Notting Hill, Victoria, 3168, Australia. grant.russell@monash.edu.ORCID http://orcid.org/0000-0003-3773-2355
Nilakshi GunatillakaDepartment of General Practice, School of Primary & Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Building 1, 270 Ferntree Gully Rd, Notting Hill, Victoria, 3168, Australia.
Virginia LewisAustralian Institute for Primary Care and Ageing, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
I-Hao ChengDepartment of General Practice, School of Primary & Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Building 1, 270 Ferntree Gully Rd, Notting Hill, Victoria, 3168, Australia.
Joanne EnticottDepartment of General Practice, School of Primary & Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Building 1, 270 Ferntree Gully Rd, Notting Hill, Victoria, 3168, Australia.
Geraldine MarshAustralian Institute for Primary Care and Ageing, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
Shiva VasiDepartment of General Practice, School of Primary & Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Building 1, 270 Ferntree Gully Rd, Notting Hill, Victoria, 3168, Australia.
Jenny AdvocatDepartment of General Practice, School of Primary & Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Building 1, 270 Ferntree Gully Rd, Notting Hill, Victoria, 3168, Australia.
Hyun SongCentre for Primary Health Care and Equity, Faculty of Medicine, UNSW, Sydney, New South Wales, Australia.
Shoko SaitoCentre for Primary Health Care and Equity, Faculty of Medicine, UNSW, Sydney, New South Wales, Australia.
Sue CaseyFoundation House, Melbourne, Victoria, Australia.
Mitchell SmithNew South Wales Refugee Health Service, Sydney, New South Wales, Australia.
Mark HarrisCentre for Primary Health Care and Equity, Faculty of Medicine, UNSW, Sydney, New South Wales, Australia.
Monash University · AUUNSW Sydney · AULa Trobe University · AUMonash Health · AUMyer Foundation · AUParks Victoria · AU

Funding

National Health and Medical Research Council APP1106372
6 · The paper itself

Abstract

backgroundAustralia is one of many nations struggling with the challenges of delivering quality primary health care (PHC) to increasing numbers of refugees. The OPTIMISE project represents a collaboration between 12 organisations to generate a model of integrated refugee PHC suitable for uptake throughout Australia. This paper describes the methodology of one component; an outreach practice facilitation intervention, directed towards improving the quality of PHC received by refugees in Australian general practices.

methodsOur mixed methods study will use a cluster stepped wedge randomised controlled trial design set in 3 urban regions of high refugee resettlement in Australia. The intervention was build upon regional partnerships of policy advisors, clinicians, academics and health service managers. Following a regional needs assessment, the partnerships reached consensus on four core areas for intervention in general practice (GP): recording of refugee status; using interpreters; conducting comprehensive health assessments; and referring to refugee specialised services. Refugee health staff trained in outreach practice facilitation techniques will work with GP clinics to modify practice routines relating to the four core areas. 36 general practice clinics with no prior involvement in a refugee health focused practice facilitation will be randomly allocated into early and late intervention groups. The primary outcome will be changes in number of claims for Medical Benefit Service reimbursed comprehensive health assessments among patients identified as being from a refugee background. Changes in practice performance for this and 3 secondary outcomes will be evaluated using multilevel mixed effects models. Baseline data collection will comprise (i) pre-intervention provider survey; (ii) two surveys documenting each practices' structure and approaches to delivery of care to refugees. De-identified medical record data will be collected at baseline, at the end of the intervention and 6 and 12 months following completion. DISCUSSION: OPTIMISE will test whether a regionally oriented practice facilitation initiative can improve the quality of PHC delivered to refugees. Findings have the potential to influence policy and practice in broader primary care settings.

trial registrationAustralian New Zealand Clinical Trials Registry, ACTRN12618001970235 , 05/12/2018, Retrospectively registered. Protocol Version 1, 21/08/2017.

Indexed as

Delivery of Health CarePrimary Health CareQuality ImprovementRefugeesAmbulatory Care FacilitiesAustraliaHumansPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicReferral and ConsultationIntervention trialMigrant healthPartnershipsPrimary carePrimary health careRefugee health

Identifiers

PMID31217004
PMCPMC6585095
OpenAlexW2949658669

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.