Evidence map›Paper›PMID 31640232›Full record

ArticleGeriatrics (Basel, Switzerland)2019

Geriatric Resource Teams: Equipping Primary Care Practices to Meet the Complex Care Needs of Older Adults.

Gwendolen Buhr, Carrissa Dixon, Jan Dillard, Elissa Nickolopoulos, Lynn Bowlby, Holly Canupp, Loretta Matters, Thomas Konrad, Laura Previll, Mitchell Heflin and 1 more

Open access · goldAbstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Hospital to Home: Supporting the Transition From Hospital to Home for Older Adults.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2022
    Article
  7. Article
  8. Article
  9. 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

11 authors at 2 institutions in 1 country.

Gwendolen BuhrDuke Center for the Study of Aging and Human Development, Durham, NC 27710, USA. gwendolen.buhr@duke.edu.
Carrissa DixonDuke Office of Clinical Research, Durham, NC 27710, USA. carrissa.dixon@duke.edu.
Jan DillardDuke Outpatient Clinic, Durham, NC 27704, USA. janice.dillard@duke.edu.
Elissa NickolopoulosDuke Outpatient Clinic, Durham, NC 27704, USA. elissa.rumer@duke.edu.ORCID 0000-0001-7032-1836
Lynn BowlbyDuke Outpatient Clinic, Durham, NC 27704, USA. lynn.bowlby@duke.edu.
Holly CanuppDuke Outpatient Clinic, Durham, NC 27704, USA. holly.causey@duke.edu.
Loretta MattersDuke University School of Nursing, Durham, NC 27710, USA. loretta.matters@duke.edu.
Thomas KonradCecil G. Sheps Center for Health Services Research at University of North Carolina, Chapel Hill, NC 27516, USA. bobkonrad@gmail.com.ORCID 0000-0002-5269-0440
Laura PrevillDuke Center for the Study of Aging and Human Development, Durham, NC 27710, USA. laura.previll@duke.edu.
Mitchell HeflinDuke Center for the Study of Aging and Human Development, Durham, NC 27710, USA. mitchell.heflin@duke.edu.
Eleanor McConnellDuke Center for the Study of Aging and Human Development, Durham, NC 27710, USA. eleanor.mcconnell@duke.edu.
Duke University · USUniversity of North Carolina at Chapel Hill · US

Funding

HRSA HHS U1QHP28708
6 · The paper itself

Abstract

Primary care practices lack the time, expertise, and resources to perform traditional comprehensive geriatric assessment. In particular, they need methods to improve their capacity to identify and care for older adults with complex care needs, such as cognitive impairment. As the US population ages, discovering strategies to address these complex care needs within primary care are urgently needed. This article describes the development of an innovative, team-based model to improve the diagnosis and care of older adults with cognitive impairment in primary care practices. This model was developed through a mentoring process from a team with expertise in geriatrics and quality improvement. Refinement of the existing assessment process performed during routine care allowed patients with cognitive impairment to be identified. The practice team then used a collaborative workflow to connect patients with appropriate community resources. Utilization of these processes led to reduced referrals to the geriatrics specialty clinic, fewer patients presenting in a crisis to the social worker, and greater collaboration and self-efficacy for care of those with cognitive impairment within the practice. Although the model was initially developed to address cognitive impairment, the impact has been applied more broadly to improve the care of older adults with multimorbidity.

Indexed as

collaborative practicegeriatricsgeriatric workforce enhancement programprimary care

Identifiers

PMID31640232
PMCPMC6960766
OpenAlexW2980846888

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.