SynthesisBMC health services research2019
Older multimorbid patients' experiences on integration of services: a systematic review.
Synthesis 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 20 papers.
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
20 citing papers in PubMed.
- Model of care to promote recovery in older people with long COVID: findings from interviews and a co-design workshop.BMJ open · 2026Article
- Advancing a patient-centered and holistic approach for older patients with frailty in a vascular surgical department: a quality improvement initiative.European geriatric medicine · 2026Article
- Good care to older persons: Perceptions of managers, nurses, caregivers and older persons.BMC geriatrics · 2025Article
- Perceptions of Hospital Care Quality According to People Living With Multiple Long-Term Conditions: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Assessment of older persons with multimorbidity in Norwegian primary care: a qualitative study of healthcare professionals' experiences and preferences in fostering continuity of care.BMC health services research · 2025Article
- Content validity of patient-reported measures evaluating experiences of the quality of transitions in healthcare settings-a scoping review.BMC health services research · 2024Article
- Quality in care requires kindness and flexibility - a hermeneutic-phenomenological study of patients' experiences from pathways including transitions across healthcare settings.BMC health services research · 2024Article
- Healthcare for Older Adults with Multimorbidity: A Scoping Review of Reviews.Clinical interventions in aging · 2023Article
- Patient perspectives on primary care for multimorbidity: An integrative review.Health expectations : an international journal of public participation in health care and health policy · 2022Review
- Association between continuity of care (COC), healthcare use and costs: what can we learn from claims data? A rapid review.BMC health services research · 2022Review
- Healthcare professionals' practice and interactions in older peoples' cross-sectoral clinical care trajectories when acutely hospitalized - a qualitative observation study.BMC health services research · 2021Observational
- 'One feels somewhere that one is insignificant in that system' - older multimorbid patients' between lifeworld and system in healthcare.BMC geriatrics · 2021Article
- Towards a standardized approach of assessing social context of persons receiving home care in Flanders, Belgium: the development and test of a social supplement to the interRAI instruments.BMC health services research · 2021Article
- Regional variation in multimorbidity prevalence in British Columbia, Canada: a cross-sectional analysis of Canadian Community Health Survey data, 2015/16.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2020Article
- Preferences for Primary Healthcare Services Among Older Adults with Chronic Disease: A Discrete Choice Experiment.Patient preference and adherence · 2020Article
- Unveiling the potential of digital twins in homecare: A reflexive thematic analysis of older adults' views.Digital healthArticle
- Improving Health Care for Patients with Multimorbidity: A Mixed-Methods Study to Explore the Feasibility and Process of Aligning Scheduled Outpatient Appointments through Collaboration between Medical Specialties.International journal of integrated careArticle
- Users' views on the use of a smartwatch app to collect daily symptom data in individuals with multiple long-term conditions (Multimorbidity): A qualitative study.Journal of multimorbidity and comorbidityArticle
- The Effect of Coordinating the Outpatient Treatment across Medical Specialities for Patients With Multimorbidity.International journal of integrated careArticle
- Conditions and Co-production of Integrated Care for Patients with Multimorbidity.International journal of integrated careArticle
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.
Funding
Abstract
backgroundHalf of the older persons in high-income counties are affected with multimorbidity and the prevalence increases with older age. To cope with both the complexity of multimorbidity and the ageing population health care systems needs to adapt to the aging population and improve the coordination of long-term services. The objectives of this review were to synthezise how older people with multimorbidity experiences integrations of health care services and to identify barriers towards continuity of care when multimorbid.
methodsA systematic literature search was conducted in February 2018 by in Scopus, Embase, Cinahl, and Medline using the PRISMA guidelines. INCLUSION CRITERIA: studies exploring patients' point of view, ≥65 and multi-morbid. Quality assessment was conducted using COREQ. Thematic synthesis was done.
resultsTwo thousand thirty studies were identified, with 75 studies eligible for full text, resulting in 9 included articles, of generally accepted quality. Integration of health care services was successful when the patients felt listened to on all the aspects of being individuals with multimorbidity and when they obtained help from a care coordinator to prioritize their appointments. However, they felt frustrated when they did not have easy access to their health providers, when they were not listened to, and when they felt they were discharged too early. These frustrations were also identified as barriers to continuity of care.
conclusionsHealth care systems needs to adapt to people with multimorbidity and find solutions on ways to create flexible systems that are able to help older patients with multimorbidity, meet their individual needs and their desire to be involved in decisions regarding their care. A Care coordinator may be a solution.
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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.