ArticleBMJ open2020
Protocol for a mixed-method analysis of implementation of case management in primary care for frequent users of healthcare services with chronic diseases and complex care needs.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 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
12 citing papers in PubMed, 14 citations in OpenAlex.
- Taunakitanga Takitini, Reframing Self-Management Support for All in Aotearoa New Zealand: Protocol for a Participatory Case Study Program of Research.JMIR research protocols · 2026Article
- Nurses' and Patients' Perspectives on Care Coordination Across Health Care and Social Services Sectors: A Qualitative Study.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026Article
- Citizen science for research in public health: perspective.Frontiers in public health · 2025Article
- Opportunities of integrated care to improve equity for adults with complex needs: a qualitative study of case management in primary care.BMC primary care · 2024Article
- Fostering collective leadership to improve integrated primary care: lessons learned from the PriCARE program.Archives of public health = Archives belges de sante publique · 2024Article
- Article
- Patient engagement in health implementation research: A logic model.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Implementation analysis of a case management intervention for people with complex care needs in primary care: a multiple case study across Canada.BMC health services research · 2023Article
- Reconciling validity and challenges of patient comfort and understanding: Guidelines to patient-oriented questionnaires.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Patient and researcher experiences of patient engagement in primary care health care research: A participatory qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs: A Comparative Case Study.International journal of integrated careArticle
- Case Study With a Participatory Approach: Rethinking Pragmatics of Stakeholder Engagement for Implementation Research.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 9 institutions in 4 countries.
Funding
Abstract
introductionCase management (CM) in a primary care setting is a promising approach to integrating and improving healthcare services and outcomes for patients with chronic conditions and complex care needs who frequently use healthcare services. Despite evidence supporting CM and interest in implementing it in Canada, little is known about how to do this. This research aims to identify the barriers and facilitators to the implementation of a CM intervention in different primary care contexts (objective 1) and to explain the influence of the clinical context on the degree of implementation (objective 2) and on the outcomes of the intervention (objective 3). METHODS AND ANALYSIS: A multiple-case embedded mixed-methods study will be conducted on CM implemented in ten primary care clinics across five Canadian provinces. Each clinic will represent a subunit of analysis, detailed through a case history. Cases will be compared and contrasted using multiple analytical approaches. Qualitative data (objectives 1 and 2) from individual semistructured interviews (n=130), focus group discussions (n=20) and participant observation of each clinic (36 hours) will be compared and integrated with quantitative (objective 3) clinical data on services use (n=300) and patient questionnaires (n=300). An evaluation of intervention fidelity will be integrated into the data analysis. ETHICS AND DISSEMINATION: This project received approval from the CIUSSS de l'Estrie - CHUS Research Ethic Board (project number MP-31-2019-2830). Results will provide the opportunity to refine the CM intervention and to facilitate effective evaluation, replication and scale-up. This research provides knowledge on how to resp ond to the needs of individuals with chronic conditions and complex care needs in a cost-effective way that improves patient-reported outcomes and healthcare use, while ensuring care team well-being. Dissemination of results is planned and executed based on the needs of various stakeholders involved in the research.
Indexed as
Identifiers
What OpenQuestion holds
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.