Evidence map›Paper›PMID 31848198›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020

Electronic care coordination systems for people with advanced progressive illness: a mixed-methods evaluation in Scottish primary care.

Anne M Finucane, Deborah Davydaitis, Zoe Horseman, Emma Carduff, Paul Baughan, Julia Tapsfield, Juliet A Spiller, Richard Meade, Brigid Lydon, Ian M Thompson and 2 more

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Equitable inclusion of patients with cancer on the palliative care register: a systematic review in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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  13. Palliative care is increasing, but curative care is growing even faster in the last months of life.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
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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

12 authors at 5 institutions in 1 country.

Anne M FinucaneMarie Curie Hospice, Edinburgh; honorary fellow, Usher Institute, University of Edinburgh, Edinburgh.
Deborah DavydaitisSt Columba's Hospice, Edinburgh; specialty doctor, Marie Curie Hospice, Edinburgh.
Zoe HorsemanNHS Lothian, Edinburgh; research assistant, University of Edinburgh, Edinburgh.
Emma CarduffMarie Curie Hospice, Glasgow.
Paul BaughanNHS Tayside, Dundee; national clinical lead for palliative care, Healthcare Improvement Scotland, Edinburgh.
Julia TapsfieldWest End Medical Practice, Edinburgh.
Juliet A SpillerMarie Curie Hospice, Edinburgh.
Richard MeadeMarie Curie Scotland, Edinburgh.
Brigid LydonMarie Curie Hospice, Edinburgh.
Ian M ThompsoneHealth Division, Directorate for Health Finance, Corporate Governance and Value, Scottish Government, Edinburgh; GP Partner, East Linton Surgery, East Linton, East Lothian, Edinburgh.
Kirsty J BoydUsher Institute, University of Edinburgh, Edinburgh.
Scott A MurrayUniversity of Edinburgh, Edinburgh.
Marie Curie Hospice · GBUniversity of Edinburgh · GBNHS Lothian · GBNHS Tayside · GBScottish Government · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic care coordination systems, known as the Key Information Summary (KIS) in Scotland, enable the creation of shared electronic records available across healthcare settings. A KIS provides clinicians with essential information to guide decision making for people likely to need emergency or out-of-hours care.

aimTo estimate the proportion of people with an advanced progressive illness with a KIS by the time of death, to examine when planning information is documented, and suggest improvements for electronic care coordination systems. DESIGN AND

settingThis was a mixed-methods study involving 18 diverse general practices in Scotland.

methodRetrospective review of medical records of patients who died in 2017, and semi-structured interviews with healthcare professionals were conducted.

resultsData on 1304 decedents were collected. Of those with an advanced progressive illness (79%,

conclusionIn Scotland, most people with an advanced progressive illness have an electronic care coordination record by the time of death. This is an achievement. To improve further, better informal carer information, regular updating, and a focus on generating a KIS for people with organ failure is warranted.

Indexed as

Terminally IllAfter-Hours CareContinuity of Patient CareDecision MakingElectronic Health RecordsEmergency Medical ServicesHumansInformation DisseminationPalliative CarePatient SatisfactionPrimary Health CareRetrospective StudiesScotlandafter-hours caredigital healthelectronic palliative care coordination systemsgeneral practicepalliative careprimary health care

Identifiers

PMID31848198
PMCPMC6917358
OpenAlexW2996019875

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.