Evidence map›Paper›PMID 32701197›Full record

ArticleJournal of evaluation in clinical practice2021

Patients' perspectives on a new delivery model in primary care: A propensity score matched analysis of patient-reported outcomes in a Dutch cohort study.

Esther H A van den Bogaart, Marieke D Spreeuwenberg, Mariëlle E A L Kroese, Sofie J M van Hoof, Niels Hameleers, Dirk Ruwaard

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. 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

6 authors.

Esther H A van den BogaartDepartment of Health Services Research Care and Public Health Research Institute (CAPHRI) Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0001-6489-9586
Marieke D SpreeuwenbergDepartment of Health Services Research Care and Public Health Research Institute (CAPHRI) Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Mariëlle E A L KroeseDepartment of Health Services Research Care and Public Health Research Institute (CAPHRI) Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Sofie J M van HoofDepartment of Health Services Research Care and Public Health Research Institute (CAPHRI) Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Niels HameleersDepartment of Health Services Research Care and Public Health Research Institute (CAPHRI) Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Dirk RuwaardDepartment of Health Services Research Care and Public Health Research Institute (CAPHRI) Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RATIONALE, AIMS AND

objectivePrimary Care Plus (PC+) focuses on the substitution of hospital-based medical care to the primary care setting without moving hospital facilities. The aim of this study was to examine whether population health and experience of care in PC+ could be maintained. Therefore, health-related quality of life (HRQoL) and experienced quality of care from a patient perspective were compared between patients referred to PC+ and to hospital-based outpatient care (HBOC).

methodsThis cohort study included patients from a Dutch region, visiting PC+ or HBOC between December 2014 and April 2018. With patient questionnaires (T0, T1 and T2), the HRQoL and experience of care were measured. One-to-two nearest neighbour calliper propensity score matching (PSM) was used to control for potential selection bias. Outcomes were compared using marginal linear models and Pearson chi-square tests.

resultsOne thousand one hundred thirteen PC+ patients were matched to 606 HBOC patients with well-balanced baseline characteristics (SMDs <0.1). Regarding HRQoL outcomes, no significant interaction terms between time and group were found (P > .05), indicating no difference in HRQoL development between the groups over time. Regarding experienced quality of care, no differences were found between PC+ and HBOC patients. Only travel time was significantly shorter in the HBOC group (P ≤ .001).

conclusionResults show equal effects on HRQoL outcomes over time between the groups. Regarding experienced quality of care, only differences in travel time were found. Taken as a whole, population health and quality of care were maintained with PC+ and future research should focus more on cost-related outcomes.

Indexed as

Patient Reported Outcome MeasuresQuality of LifeCohort StudiesHumansPrimary Health CarePropensity Scorehealth policyhealth services researchpatient-centered carepublic health

Identifiers

PMID32701197
PMCPMC7983912

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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.