Evidence map›Paper›PMID 33457313›Full record

ArticleJournal of comorbidity

Experiences of older primary care patients with multimorbidity and their caregivers in navigating the healthcare system: A qualitative study protocol.

Eng Sing Lee, Gayathri Muthulingam, Evelyn Ai Ling Chew, Poay Sian Sabrina Lee, Hui Li Koh, Stephanie Xin En Quak, Yew Yoong Ding, Mythily Subramaniam, Janhavi Ajit Vaingankar

Abstract read
In one paragraph

Article in Journal of comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. [Navigational health literacy of the population in Germany].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024
    Article
  2. Article
  3. HLSInternational journal of environmental research and public health · 2022
    Article
  4. 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

9 authors.

Eng Sing LeeClinical Research Unit, National Healthcare Group Polyclinics, Singapore.
Gayathri MuthulingamClinical Research Unit, National Healthcare Group Polyclinics, Singapore.ORCID https://orcid.org/0000-0002-9308-4930
Evelyn Ai Ling ChewClinical Research Unit, National Healthcare Group Polyclinics, Singapore.ORCID https://orcid.org/0000-0003-3837-2195
Poay Sian Sabrina LeeClinical Research Unit, National Healthcare Group Polyclinics, Singapore.ORCID https://orcid.org/0000-0002-4660-514X
Hui Li KohClinical Research Unit, National Healthcare Group Polyclinics, Singapore.
Stephanie Xin En QuakClinical Research Unit, National Healthcare Group Polyclinics, Singapore.
Yew Yoong DingGeriatric Education and Research Institute, Khoo Teck Puat Hospital, Singapore.
Mythily SubramaniamResearch Division, Institute of Mental Health, Singapore.
Janhavi Ajit VaingankarResearch Division, Institute of Mental Health, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with multimorbidity must bear not just the burden of their illness, but also the burden of treatment which is, in part, induced by their interactions with the healthcare system. The need to shuttle between different healthcare institutions and multiple healthcare providers can make navigating the healthcare system challenging, and this may be even more so for older patients with limited resources and support.

objectivesFew qualitative studies have explored the experiences of patients with multimorbidity in navigating the healthcare system. This study will explore the experiences of older patients with multimorbidity and their caregivers as they navigate through the healthcare system. We aim to arrive at a better understanding of patient experiences of possible gaps in the continuity of care and how the current system can be modified and adapted to better address the needs of older patients with multimorbidity.

methodSemi-structured, in-depth interviews will be conducted with purposively sampled older patients with multimorbidity, aged 60 and above seen in primary care, together with their caregivers. Interviews will be transcribed verbatim and analysed by the study team using inductive thematic analysis.

conclusionsOur study seeks to explore the navigational experiences within the healthcare system for older patients with multimorbidity in an Asian, multi-ethnic society. The findings will be shared with decision-makers in the healthcare setting in order to improve patient care for this population and ultimately maximise their positive health outcomes, and will add to better understanding how the burden of treatment arising from navigational challenges within the healthcare system may be reduced for older patients with multimorbidity.

Indexed as

healthcare systemMultimorbiditynavigationolder patientsqualitativestudy protocol

Identifiers

PMID33457313
PMCPMC7783878

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Registered trials

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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.