ArticleBMC family practice2020
Person-centred and efficient care delivery for high-need, high-cost patients: primary care professionals' experiences.
Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- A systematic review and meta-synthesis of qualitative studies of alopecia: Managing identity and appearance changes.British journal of health psychology · 2026Pooled it
- The renewed Development Model for Integrated Care: a systematic review and model update.BMC health services research · 2025Pooled it
- Dizziness in older persons at high risk of future hospitalization: prevalence, differences between those with and without dizziness, and effect of a proactive primary care intervention.BMC geriatrics · 2022Trial
- Use of general practitioner services among high-cost older patients in somatic hospitals - a Norwegian registry-based study.BMC health services research · 2026Observational
- A Mixed-Methods Study Exploring How Food Insecurity Screening can be Embedded in Routine Mental Health Care for Adults With Severe Mental Illness.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Building bridges: the integral presence of audiologists and speech-language pathologists in comprehensive interprofessional primary care teams.Primary health care research & development · 2026Article
- Personalizing prostate cancer education for patients using an EHR-Integrated LLM agent.NPJ digital medicine · 2025Article
- Decoding Health Professionals' Attitudes and Perceptions Towards Plant-Based Nutrition: A Narrative Review.Nutrients · 2025Review
- Predicting high-need high-cost pediatric hospitalized patients in China based on machine learning methods.Scientific reports · 2025Article
- Utilization of Municipal Healthcare Services Among High-Cost Older Patients in Norwegian Somatic Hospitals: A Cross-Sectional Registry Study.Health services insights · 2025Article
- Measures during the COVID-19 pandemic in public primary health care in Greece: is there still a missing link to universal health coverage?BMC primary care · 2024Article
- Supporting professionals to implement integrated, person-centered care for people with chronic conditions: the TARGET pilot study.Scandinavian journal of primary health care · 2023Review
- Development of a Person-Centred Integrated Care Approach for Chronic Disease Management in Dutch Primary Care: A Mixed-Method Study.International journal of environmental research and public health · 2023Review
- Person-centred care in primary care: What works for whom, how and in what circumstances?Health & social care in the community · 2022Review
- First Things First: How to Elicit the Initial Program Theory for a Realist Evaluation of Complex Integrated Care Programs.The Milbank quarterly · 2022Article
- Perceptions and experiences of care providers as clients of NaviCare/SoinsNavi: a patient navigation centre for children and youth with complex care needs.Integrated healthcare journal · 2022Article
- The Patient Centered Assessment Method (PCAM) for Action-Based Biopsychosocial Evaluation of Patient Needs: Validation and Perceived Value of the Dutch Translation.International journal of environmental research and public health · 2021Article
- An eCoach-Pain for Patients with Chronic Musculoskeletal Pain in Interdisciplinary Primary Care: A Feasibility Study.International journal of environmental research and public health · 2021Article
- Community-engaged healthcare model for currently under-served individuals involved in the healthcare system.SSM - population health · 2021Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh-need, high-cost (HNHC) patients, who typically have complex and long-term care demands, contribute considerably to the high work pressure of primary care professionals (PCPs). To improve patient as well as provider experiences, it is crucial to take into account the PCPs' perspective in designing health care strategies for HNHC patients. Therefore, this study aimed to create insight into PCPs' experienced barriers and possible solutions with regards to person-centred, efficient care delivery to HNHC patients.
methodsWe conducted a qualitative study using focus group interviews with PCPs at a Dutch primary care group. A semi-structured interview guide was developed for the interviews. Qualitative content analysis was employed deductively by means of a categorisation matrix. The matrix was based on the components retrieved from the SELFIE framework for integrated care for multi-morbidity.
resultsForty-two PCPs participated in five focus group interviews. Discussed barriers and solutions were related to the core of the SELFIE framework (i.e. the individual and environment), and particularly four of the six health system components in the framework: service delivery, leadership & governance, workforce, and technologies & medical products. Many discussed barriers revolved around the complex biopsychosocial needs of HNHC patients: PCPs reported a lack of time (service delivery), insufficiently skilled PCPs (workforce), and inefficient patient information retrieval and sharing (technologies & medical products) as barriers to adequately meet the biopsychosocial needs of HNHC patients.
conclusionsThis qualitative study suggests that primary care is currently insufficiently equipped to accommodate the complex biopsychosocial needs of HNHC patients. Therefore, it is firstly important to strengthen primary care internally, taking into account the experienced lack of time, the insufficient number of equipped PCPs and lack of inter-professional information retrieval and sharing. Secondly, PCPs should be supported in cooperating and communicating more efficiently with health services outside primary care to adequately deliver person-centred, efficient care. As a prerequisite, it is crucial to direct policy efforts at the design of a strong system of social and community services. In terms of future research, it is important to assess the feasibility and effects of re-designing primary care based on the provided recommendations.
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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.