ArticleBMC health services research2019
Quality of primary care delivery and productive interactions among community-living frail older persons and their general practitioners and practice nurses.
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 10 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Attributes of family physician encounters valued by older adults: a systematic review.BMC primary care · 2025Pooled it
- An examination of primary health care nursing service evaluation using the Donabedian model: A systematic review.Research in nursing & health · 2023Pooled it
- Co-Production Performance Evaluation in Healthcare. A Systematic Review of Methods, Tools and Metrics.International journal of environmental research and public health · 2021Pooled it
- Key components of chronic care management programs: qualitative descriptions of care managers' practice.BMC health services research · 2025Article
- A Bayesian Structural Equation Model to Predict Quality of Life in European Older Adults.European journal of investigation in health, psychology and education · 2025Article
- Transmural collaborative care model for cardiovascular risk management and medication review in patients using antipsychotics in primary care (TACTIC): A study protocol of an incomplete stepped wedge cluster randomized trial.Contemporary clinical trials communications · 2025Article
- Impact of MidMed, a general practitioner-led modified comprehensive geriatric assessment for patients with frailty.Age and ageing · 2023Article
- Understanding the implementation of interventions to improve the management of frailty in primary care: a rapid realist review.BMJ open · 2022Review
- A cross-sectional study investigating the relationships between self-management abilities, productive patient-professional interactions, and well-being of community-dwelling frail older people.European journal of ageing · 2021Article
- Cost-effectiveness of a proactive, integrated primary care approach for community-dwelling frail older persons.Cost effectiveness and resource allocation : C/E · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundAlthough there is evidence with respect to the effectiveness of Chronic Care Model (CCM)-based programs in terms of improved patient outcomes, less attention has been given to the effect of high-quality care on productivity of patient-professional interactions, especially among frail older persons. The aim of our study was therefore to examine whether frail community-dwelling older persons' perspectives on quality of primary care according to the dimensions of the CCM are associated with the productivity of the patient-professional interactions.
methodsOur study was part of a large-scale evaluation study with a matched quasi-experimental design to compare outcomes of frail community-dwelling older persons that participated in a proactive, integrated primary care approach based on (elements of) the CCM and those that received usual primary care. Frail older persons' perceptions of quality of care were assessed with the Patient Assessment of Chronic Illness Care Short version (PACIC-S). Productive interactions with general practitioners (GPs) and practice nurses were assessed using a relational coproduction instrument. Measurements were performed at baseline (T0) and 12 months thereafter (T1). In total, 232 frail older persons were participating in the intervention group at T0 and matched to 232 frail older persons in the control group. At T1, 182 persons were in the intervention group and 176 in the control group.
resultsPaired sample t-tests showed significant improvements in overall quality of care, the majority of underlying quality of care items, and productive interactions within the intervention group and control group over time. Multilevel analyses revealed that productive interaction with the GP and practice nurse at T1 was significantly related to perceived productive interaction with them at T0, the perceived quality of primary care at T0, and the change in perceived quality of primary care over time (between T0 and T1).
conclusionsFrail community-dwelling older persons' perspectives on quality of primary care were associated with perceived productivity of their interactions with the GP and practice nurse in both the intervention group and the control group. We found no significant differences in overall perceived quality of care and perceived patient-professional interaction between the intervention group and control group at baseline and follow-up. In times of population aging it is necessary to invest in high-quality care delivery for frail older persons and productive interactions with them.
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