ArticleAnnals of family medicine2019
Connecting People With Multimorbidity to Interprofessional Teams Using Telemedicine.
Article in Annals of family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- A realist review of factors critical for the implementation of eHealth in chronic disease management.BMC health services research · 2025Pooled it
- Organisation and integrated healthcare approaches for people living with HIV, multimorbidity, or both: a systematic review.BMC public health · 2023Pooled it
- Patient-centred innovation for multimorbidity care: a mixed-methods, randomised trial and qualitative study of the patients' experience.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Trial
- Trial
- Impact of virtual appointments on referral-to-appointment times for type 2 diabetes patients in Northwest London.npj health systems · 2026Article
- Information and Communication Technologies for Chronic Disease Self-Management in Adults Aged 65 Years and Older: Scoping Review.Interactive journal of medical research · 2026Review
- The landscape of research in quality in primary care: A bibliometric analysis of articles between 2000 and 2025.Journal of family medicine and primary care · 2026Article
- Identifying core teamwork competencies for community-based health and social care professionals: an e-Delphi study.BMC medical education · 2026Article
- Patient Journey Maps to Improve Treatment Adherence in Chronic Comorbidities: A Narrative Review.Patient preference and adherence · 2026Review
- A scoping review of digital health technologies in multimorbidity management: mechanisms, outcomes, challenges, and strategies.BMC health services research · 2025Article
- Current Implementation of Digital Health in Chronic Disease Management: Scoping Review.Journal of medical Internet research · 2024Article
- Comparing telehealth to traditional office visits for patient management in the COVID-19 pandemic: A cross-sectional study in a respiratory assessment clinic.Journal of telemedicine and telecare · 2023Article
- Perspectives on the popularization of smart senior care to meet the demands of older adults living alone in communities of Southwest China: A qualitative study.Frontiers in public health · 2023Article
- The Interplay of Work, Digital Health Usage, and the Perceived Effects of Digitalization on Physicians' Work: Network Analysis Approach.Journal of medical Internet research · 2022Article
- Responding to vulnerable patients with multimorbidity: an interprofessional team approach.BMC primary care · 2022Article
- Challenges in Multimorbidity Research: Lessons Learned From the Most Recent Randomized Controlled Trials in Primary Care.Frontiers in medicine · 2022Review
- Precision Health Care Elements, Definitions, and Strategies for Patients with Diabetes: A Literature Review.International journal of environmental research and public health · 2021Review
- "Standing on common ground" - a qualitative study of self-management support for patients with multimorbidity in primary health care.BMC family practice · 2020Article
- Video Consultations for Older Adults With Multimorbidity During the COVID-19 Pandemic: Protocol for an Exploratory Qualitative Study.JMIR research protocols · 2020Article
- Facilitating Practice Transformation in Frontline Health Care.Annals of family medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMost models for managing chronic disease focus on single diseases. Managing patients with multimorbidity is an increasing challenge in family medicine. We evaluated the feasibility of a novel approach to caring for patients with multimorbidity, performing a case study of TIP-Telemedicine IMPACT (Interprofessional Model of Practice for Aging and Complex Treatments) Plus-a 1-time interprofessional consultation with primary care physicians (PCPs) and their patients in Toronto, Canada.
methodsWe assessed feasibility of the TIP model from the number of referrals from PCPs and emergency departments in Toronto, Canada; the intervention cost; and the satisfaction of patients, PCPs, and team members with the new model. One patient and PCP story highlights the model's impact. We also performed thematic analysis of written feedback.
resultsA total of 76 patients were referred from 53 PCPs and 4 emergency departments, and 65 PCPs participated in TIP. All 74 patient survey respondents indicated TIP improved their access to interdisciplinary resources, and 97% reported feeling hopeful their conditions would improve as a result. Of 21 PCP survey respondents, 100% reported they would use TIP again, and 90% reported improved confidence in managing their patient's care. Of 87 team member survey respondents, 97% rated TIP as effective. Qualitative findings indicated benefits to both patients and health professionals. The cost was about 22% less than that of a 1-day hospital admission through the emergency department (C$854 vs C$1,088).
conclusionsTIP is a feasible intervention in multiple primary care settings that gives patients an active role in their health management, supported by their team. The model effectively addresses the needs of the most complex patients and their PCPs.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.