Evidence map›Paper›PMID 33613136›Full record

ArticleInternational journal of integrated care2021

Integrating Primary and Secondary Care to Enhance Chronic Disease Management: A Scoping Review.

Sara Murtagh, Geoff McCombe, John Broughan, Áine Carroll, Mary Casey, Áine Harrold, Thomas Dennehy, Ronan Fawsitt, Walter Cullen

Open access · goldAbstract readScoping Review
In one paragraph

Article in International journal of integrated care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. From acute care to chronic disease management: integrating physical exercise into hospital settings.International journal of qualitative studies on health and well-being · 2026
    Article
  5. Article
  6. Article
  7. Building bridges in migraine management: consensus pathways on best practices across primary and specialist care in Italy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  8. Transforming public mental health: a review on global trends, challenges, and pathways to change.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Characterizing a heterogeneous chronic patient population for redesigning person-centred bundled payment models using risk-mitigating measures.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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 at 1 institution in 1 country.

Sara MurtaghSchool of Medicine, University College Dublin, Ireland.ORCID https://orcid.org/0000-0003-4615-1843
Geoff McCombeSchool of Medicine, University College Dublin, Ireland.ORCID https://orcid.org/0000-0003-4898-3459
John BroughanSchool of Medicine, University College Dublin, Ireland.ORCID https://orcid.org/0000-0002-5084-8507
Áine CarrollSchool of Medicine, University College Dublin, Ireland.ORCID https://orcid.org/0000-0002-4383-8650
Mary CaseySchool of Nursing Midwifery and Health Systems, University College Dublin, Ireland.ORCID https://orcid.org/0000-0003-3305-0074
Áine HarroldSchool of Medicine, University College Dublin, Ireland.ORCID https://orcid.org/0000-0002-2134-3489
Thomas DennehySchool of Medicine, University College Dublin, Ireland.ORCID https://orcid.org/0000-0003-4298-379X
Ronan FawsittSchool of Medicine, University College Dublin, Ireland.
Walter CullenSchool of Medicine, University College Dublin, Ireland.ORCID https://orcid.org/0000-0003-1838-5052
University College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Ireland, as in many healthcare systems, health policy has committed to delivering an integrated model of care to address the increasing burden of chronic disease. Integrated care is an approach to healthcare systems delivery that aims to minimise fragmentation of patient services and improve care continuity. To this end, how best to integrate primary and secondary care is a challenge. This paper aims to undertake a scoping review of empirical work on the integration of primary and secondary care in relation to chronic disease management.

methodsA search was conducted of 'PubMed', 'Cochrane Library' and 'Google Scholar' for papers published between 2009-2019 using Arksey and O'Malley's framework for conducing scoping reviews.

resultsTwenty-two studies were included. These reported research from a wide range of healthcare systems (most commonly UK, Australia, the Netherlands), adopted a range of methodologies (most commonly randomised/non-randomised controlled trials, case studies, qualitative studies) and among patients with a range of chronic conditions (most commonly diabetes, COPD, Parkinson's disease). No studies reported on interventions to address the needs of whole populations. Interventions to enhance integration included multidisciplinary teams, education of healthcare professionals, and e-health interventions. Among the effectiveness measures reported were improved disease specific outcomes, and cost effectiveness.

conclusionWith healthcare systems increasingly recognising that integrated approaches to patient care can enhance chronic disease management, considerable literature now informs how this can be done. However, most of the research published has focussed on specific diseases and their clinical outcomes. Future research should focus on how such approaches may improve health outcomes for populations as a whole.

Indexed as

chronic diseaseintegrated careprimary carescoping reviewsecondary care

Identifiers

PMID33613136
PMCPMC7880002
OpenAlexW3127291693

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.