Evidence map›Paper›PMID 32611744›Full record

ArticleBMJ open2020

Competencies for collaboration between general practitioners and medical specialists: a qualitative study of the patient perspective.

Marijn Janssen, Cornelia R M G Fluit, Margaretha H Sagasser, Loes H J Kusters, Nynke D Scherpbier-de Haan, Jacqueline de Graaf

Open access · goldAbstract read
In one paragraph

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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Marijn JanssenDepartment of Internal Medicine, Radboudumc, Nijmegen, The Netherlands marijn.janssen@radboudumc.nl.ORCID 0000-0003-4188-8889
Cornelia R M G FluitRadboudumc Health Academy, Radboudumc, Nijmegen, The Netherlands.
Margaretha H SagasserNetwork of GP Specialty Training Institute in The Netherlands, Utrecht, The Netherlands.
Loes H J KustersDutch Training Programme for Specialists in Elderly Care, Utrecht, The Netherlands.
Nynke D Scherpbier-de HaanPrimary and Community Care, Radboudumc, Nijmegen, The Netherlands.
Jacqueline de GraafDepartment of Internal Medicine, Radboudumc, Nijmegen, The Netherlands.
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the patient view of competencies essential for doctors to provide good collaboration at the primary-secondary care interface.

designWe used a qualitative research approach. Focus groups with patients were conducted to explore their opinions of doctors' competencies to provide good collaboration between primary and secondary care doctors. Transcripts were analysed using thematic analysis.

settingDutch primary-secondary care interface.

participantsSixteen participants took part in five focus groups. Patients treated in both primary and secondary care, defined as having a minimum of two contacts with their general practitioner and two contacts with a medical specialty in the last 6 months, were included. Psychiatric patients and children were excluded from this study.

resultsThree groups of competencies were identified: (1) relationship building, both with patients and with other doctors; (2) transparent collaborating: be able to provide clarity on the process of collaboration and on roles and responsibilities of those involved and (3) reflective practising: to be willing to acknowledge mistakes, give and receive feedback and act as a lifelong learner.

conclusionsThis focus group study enhances our understanding of the patient perspective on doctors' collaborative competencies at the primary-secondary care interface. With this information, doctors can improve their collaborative skills to a level that would meet their patients' needs. Patients expect doctors to be able to build relationships and act as reflective practitioners. Including patients in the collaborative process by giving them a role that is appropriate to their abilities and by making collaboration more explicit could help to improve collaboration between general practitioners and medical specialists.

Indexed as

General PractitionersMedicineAdultAgedHumansMiddle AgedPrimary Health CareQualitative ResearchSpecializationYoung Adultmedical education & trainingorganisation of health servicesprimary carequalitative research

Identifiers

PMID32611744
PMCPMC7332184
OpenAlexW3040342482

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.