Evidence map›Paper›PMID 31744477›Full record

ArticleBMC geriatrics2019

Healthcare providers' experiences in supporting community-living older adults to manage multiple chronic conditions: a qualitative study.

Jenny Ploeg, Marie-Lee Yous, Kimberly Fraser, Sinéad Dufour, Lisa Garland Baird, Sharon Kaasalainen, Carrie McAiney, Maureen Markle-Reid

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Bridging policy and practice: Determinants of place of death for palliative care recipients in Taiwan.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  19. Health Promotion Practice Among Older Persons: A Nordic Multi-Professional Focus Group Study Exploring what It Is and How It Could be Achieved.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
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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

8 authors.

Jenny PloegSchool of Nursing, Aging, Community and Health Research Unit, Faculty of Health Sciences and Associate Member, Department of Health, Aging and Society, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada. ploegj@mcmaster.ca.ORCID 0000-0001-8168-8449
Marie-Lee YousSchool of Nursing, Aging, Community and Health Research Unit, Faculty of Health Sciences and Associate Member, Department of Health, Aging and Society, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.ORCID 0000-0002-4271-0401
Kimberly FraserFaculty of Nursing, University of Alberta, Faculty of Health Disciplines, Athabasca University, 1 University Drive, Athabasca, AB, T9S 3A3, Canada.ORCID 0000-0003-1517-2641
Sinéad DufourSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, 1400 Main Street West, IAHS -403, Hamilton, ON, L8S 4K1, Canada.ORCID 0000-0002-9484-1606
Lisa Garland BairdFaculty of Nursing, University of Prince Edward Island, 550 University Avenue, C1A4P3, Charlottetown, PEI, Canada.ORCID 0000-0002-2127-1577
Sharon KaasalainenFaculty of Nursing, University of Alberta, Faculty of Health Disciplines, Athabasca University, 1 University Drive, Athabasca, AB, T9S 3A3, Canada.ORCID 0000-0003-2175-6037
Carrie McAineySchlegel Research Chair in Dementia, School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, Canada.ORCID 0000-0002-7864-344X
Maureen Markle-ReidAging, Community and Health Research Unit, Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.ORCID 0000-0002-4019-7077

Funding

CIHR TTF 128261
6 · The paper itself

Abstract

backgroundLiving with multiple chronic conditions (MCC), the coexistence of two or more chronic conditions, is becoming more prevalent as the population ages. Primary care and home care providers play key roles in caring for older adults with MCC such as facilitating complex care decisions, shared decision-making, and access to community health and support services. While there is some research on the perceptions and experiences of these providers in caring for this population, much of this literature is focused specifically on family physicians. Little is known about the experiences of other primary care and home care providers from multiple disciplines who care for this vulnerable group. The purpose of this study was to explore the experiences of primary and home care healthcare providers in supporting the care of older adults with MCC living in the community, and identify ways of improving care delivery and outcomes for this group.

methodsThe study used an interpretive descriptive design. A total of 42 healthcare providers from two provinces in Canada (Ontario and Alberta) participated in individual semi-structured, face-to-face 60-min interviews. Participants represented diverse disciplines from primary care and home care settings. Inductive thematic analysis was used for data analysis.

resultsThe experiences and recommendations of healthcare providers managing care for older adults with MCC were organized into six major themes: (1) managing complexity associated with MCC, (2) implementing person-centred care, (3), supporting caregivers, (4) using a team approach for holistic care delivery, (5) encountering challenges and rewards, and (6) recommending ways to address the challenges of the healthcare system. Healthcare providers identified the need for a more comprehensive, integrated system of care to improve the delivery of care and outcomes for older adults with MCC and their family caregivers.

conclusionsStudy findings suggest that community-based healthcare providers are using many relevant and appropriate strategies to support older adults living with the complexity of MCC, such as implementing person-centred care, supporting caregivers, working collaboratively with other providers, and addressing social determinants of health. However, they also identified the need for a more comprehensive, integrated system of care.

Indexed as

Qualitative ResearchAgedAged, 80 and overAlbertaCaregiversCommunity Health ServicesDisease ManagementFemaleHealth PersonnelHome Care ServicesHumansIndependent LivingMaleMiddle AgedMultiple Chronic ConditionsOntarioCommunity careHealthcare providersMultiple chronic conditionsOlder adultsPrimary careQualitative research

Identifiers

PMID31744477
PMCPMC6862842

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.