Evidence map›Paper›PMID 33329858›Full record

ReviewMalaysian family physician : the official journal of the Academy of Family Physicians of Malaysia2020

Barriers to Making House Calls by Primary Care Physicians and Solutions: A Literature Review.

J Y Seah

Open access · greenAbstract readReview
PubMed Full text at PMC
In one paragraph

Review in Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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

1 author at 1 institution in 1 country.

J Y SeahMedical student at Yong Loo Lin, School of Medicine, National University of Singapore, Singapore, Email: seahjingyan@u.nus.edu.
National University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of house calls made by physicians has been declining over the years, while the number of people requiring house calls, especially the elderly, is growing.

aimTo consolidate the literature regarding the barriers faced by primary care physicians in making house calls. DESIGN OF THE STUDY: Literature review.

methodStudies were sourced from PubMed and Embase.

results7 studies were selected to be in the literature review. Barriers to making house calls by primary care physicians include inadequate remuneration, lack of time and training, unconducive home environment, concerns with professional liability and safety, and perceived low value-added in the patient's quality of care.

conclusionWhile primary care physicians do recognize the value of house calls in patient care, the perceived limited standard of care that can be achieved in the home setting, busy clinic practice (large patient loads), coupled with inadequate remuneration make house calls unrealistic for many doctors. These barriers must be addressed to ensure accessibility to primary health care services for the immobile, frail, and sick is not being compromised. One of the solutions may be to expose medical students and residents to house calls early through mentorship.

Indexed as

barriersfamily physiciangeneral practitionerhome visithouse callsolutions

Identifiers

PMID33329858
PMCPMC7735878
OpenAlexW3113678143

What OpenQuestion holds

Textmetadata
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.