Evidence map›Paper›PMID 31471429›Full record

ArticleBMJ open2019

Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study.

Jonas Czwikla, Maike Schulz, Franziska Heinze, Thomas Kalwitzki, Daniel Gand, Annika Schmidt, Chrysanthi Tsiasioti, Antje Schwinger, Stephan Kloep, Guido Schmiemann and 3 more

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.1field-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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. [Nursing home-sensitive conditions and approaches to reduce hospitalization of nursing home residents].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
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 2 institutions in 1 country.

Jonas CzwiklaDepartment of Health, Long-Term Care and Pensions, SOCIUM Research Center on Inequality and Social Policy, University of Bremen, Bremen, Germany czwikla@uni-bremen.de.ORCID 0000-0002-1171-4717
Maike SchulzDepartment of Health, Long-Term Care and Pensions, SOCIUM Research Center on Inequality and Social Policy, University of Bremen, Bremen, Germany.
Franziska HeinzeDepartment of Health, Long-Term Care and Pensions, SOCIUM Research Center on Inequality and Social Policy, University of Bremen, Bremen, Germany.
Thomas KalwitzkiDepartment of Health, Long-Term Care and Pensions, SOCIUM Research Center on Inequality and Social Policy, University of Bremen, Bremen, Germany.
Daniel GandHigh-Profile Area of Health Sciences, University of Bremen, Bremen, Germany.
Annika SchmidtHigh-Profile Area of Health Sciences, University of Bremen, Bremen, Germany.
Chrysanthi TsiasiotiWIdO-AOK Research Institute, Berlin, Germany.
Antje SchwingerWIdO-AOK Research Institute, Berlin, Germany.
Stephan KloepHigh-Profile Area of Health Sciences, University of Bremen, Bremen, Germany.
Guido SchmiemannHigh-Profile Area of Health Sciences, University of Bremen, Bremen, Germany.
Karin Wolf-OstermannHigh-Profile Area of Health Sciences, University of Bremen, Bremen, Germany.
Ansgar GerhardusHigh-Profile Area of Health Sciences, University of Bremen, Bremen, Germany.
Heinz RothgangDepartment of Health, Long-Term Care and Pensions, SOCIUM Research Center on Inequality and Social Policy, University of Bremen, Bremen, Germany.
University of Bremen · DEWissenschaftliches Institut der AOK · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNursing home residents typically have greater needs for medical care than community-dwelling elderly. However, restricted cognitive abilities and limited mobility may impede their access to general practitioners and medical specialists. The provision of medical care in nursing homes may therefore be inappropriate in some areas of medical care. The purpose of this mixed-methods study is to systematically assess, evaluate and explain met and unmet medical care needs in German nursing homes and to develop solutions where medical care is found to be inappropriate. METHODS AND ANALYSIS: First, statutory health insurance claims data are analysed to identify differences in the utilisation of medical care between nursing home residents and community-dwelling elderly with and without need for long-term care. Second, the health status and medical care of 500 nursing home residents are assessed and evaluated to quantify met and unmet medical care needs. Third, qualitative expert interviews and case conferences and, fourth, quantitative analyses of linked data are used to provide structural, case-specific and generalisable explanations of inappropriate medical care among nursing home residents. Fifth, a modified Delphi study is employed to develop pilot projects aiming to improve medical care in nursing homes. ETHICS AND DISSEMINATION: This study was approved by the Ethics Committee of the University of Bremen on 23 November 2017. Research findings are disseminated through presentations at national and international conferences and publications in peer-reviewed scientific journals. TRIAL REGISTRATION NUMBER: DRKS00012383.

Indexed as

Health StatusAgedFemaleGeriatric AssessmentHumansMaleNeeds AssessmentNursing HomesRetrospective Studiesadministrative claimshealth services researchmedical careneeds assessmentnursing homes

Identifiers

PMID31471429
PMCPMC6720143
OpenAlexW2971240369

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.