Evidence map›Paper›PMID 32878620›Full record

ReviewBMC family practice2020

Competencies to promote collaboration between primary and secondary care doctors: an integrative review.

Marijn Janssen, Margaretha H Sagasser, Cornelia R M G Fluit, Willem J J Assendelft, Jacqueline de Graaf, Nynke D Scherpbier

Abstract readReview
In one paragraph

Review 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 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
–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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. A Bibliometric Analysis and Visualization of Decision Support Systems for Healthcare Referral Strategies.International journal of environmental research and public health · 2022
    Pooled it
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  11. Evaluating referrals between rural district hospitals and a regional hospital in South Africa.African journal of primary health care & family medicine · 2025
    Article
  12. AI ethics for the everyday intensivist.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025
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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.

Marijn JanssenDepartment of internal medicine Nijmegen, Radboud university medical centre, Geert Grooteplein Zuid 10, postal route 463, PO box 9101, 6500 HB, Nijmegen, the Netherlands. Marijn.Janssen@radboudumc.nl.ORCID 0000-0003-4188-8889
Margaretha H SagasserNetwork of GP Specialty Training Institute in The Netherlands, Utrecht, the Netherlands.
Cornelia R M G FluitRadboud university medical centre, Radboudumc Health Academy, Nijmegen, the Netherlands.
Willem J J AssendelftDepartment of Primary and Community Care, Radboud university medical centre, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.
Jacqueline de GraafDepartment of internal medicine Nijmegen, Radboud university medical centre, Geert Grooteplein Zuid 10, postal route 463, PO box 9101, 6500 HB, Nijmegen, the Netherlands.
Nynke D ScherpbierDepartment of Primary and Community Care, Radboud university medical centre, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn a society where ageing of the population and the increasing prevalence of long-term conditions are major issues, collaboration between primary and secondary care is essential to provide continuous, patient-centred care. Doctors play an essential role at the primary-secondary care interface in realising 'seamless' care. Therefore, they should possess collaborative competencies. However, knowledge about these collaborative competencies is scarce. In this review we explore what competencies doctors need to promote collaboration between doctors at the primary-secondary care interface.

methodsWe conducted an integrative literature review. After a systematic search 44 articles were included in the review. They were analysed using a thematic analysis approach.

resultsWe identified six themes regarding collaborative competencies: 'patient-centred care: a common concern', 'roles and responsibilities', 'mutual knowledge and understanding', 'collaborative attitude and respect', 'communication' and 'leadership'. In every theme we specified components of knowledge, skills and attitudes as found in the reviewed literature. The results show that doctors play an important role, not only in the way they collaborate in individual patient care, but also in how they help shaping organisational preconditions for collaboration.

conclusionsThis review provides an integrative view on competencies necessary for collaborative practice at the primary-secondary care interface. They are part of several domains, showing the complexity of collaboration. The information gathered in this review can support doctors to enhance and learn collaboration in daily practice and can be used in educational programmes in all stages of medical education.

Indexed as

PhysiciansSecondary Health CareHumansLeadershipPatient-Centered CarePrimary Health CareCompetenciesDoctorsIntegrative review(intraprofessional) collaborationPrimary-secondary care interface

Identifiers

PMID32878620
PMCPMC7469099

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.