Evidence map›Paper›PMID 33853916›Full record

ArticleCanadian family physician Medecin de famille canadien2021

Building capacity for palliative care delivery in primary care settings: Mixed-methods evaluation of the INTEGRATE Project.

Jenna M Evans, Marnie Mackinnon, José Pereira, Craig C Earle, Bruno Gagnon, Erin Arthurs, Sharon Gradin, Tara Walton, Frances Wright, Sandy Buchman

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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  8. End-of-Life Care Education as Blended Learning Approach for General Practitioners: a Scoping Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
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  14. Revisiting Alma Ata: A Blueprint for Cancer Care.Cancer control : journal of the Moffitt Cancer Center
    Article
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  16. Review
  17. 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

10 authors.

Jenna M EvansScientist at Cancer Care Ontario in Toronto and Assistant Professor (status) at the Institute of Health Policy, Management, and Evaluation at the University of Toronto.
Marnie MackinnonDirector of Integrated Care at Cancer Care Ontario.
José PereiraPalliative care physician and was Director of Research at the College of Family Physicians of Canada in Mississauga, Ont, at the time of the study, Dr Gillian Gilchrist Chair in Palliative Care Research at Queen's University in Kingston, Ont, and Scientific Officer at Pallium Canada.
Craig C EarleMedical oncologist in the Odette Cancer Centre at Sunnybrook Health Sciences Centre in Toronto, Vice-President of Cancer Control at the Canadian Partnership Against Cancer, Senior Scientist at ICES, and Professor of Medicine at the University of Toronto.
Bruno GagnonPalliative care physician and Associate Professor in the Cancer Research Centre in the Department of Family Medicine and Emergency Medicine at Laval University in Quebec.
Erin ArthursSenior Analyst in Integrated Care at Cancer Care Ontario at the time of the study.
Sharon GradinGroup Manager in Integrated Care at Cancer Care Ontario at the time of the study.
Tara WaltonTeam Lead in Palliative Care at Cancer Care Ontario.
Frances WrightOncologist and affiliate scientist with the Sunnybrook Health Sciences Centre.
Sandy BuchmanPalliative care physician in the Temmy Latner Centre for Palliative Care in the Sinai Health System in Toronto. Sandy.Buchman@sinaihealthsystem.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate an intervention aimed at building capacity to deliver palliative care in primary care settings.

designThe INTEGRATE Project was a 3-year pilot project involving interprofessional palliative care education and an integrated care model to promote early identification and support of patients with palliative care needs. A concurrent mixed-methods evaluation was conducted using descriptive data, provider surveys before and after implementation, and interviews with providers and managers.

settingFour primary care practices in Ontario.

participantsAll providers in each practice were invited to participate. Providers used the "surprise question" as a prompt to determine patient eligibility for inclusion.

main outcome measuresProvider attitudes toward and confidence in providing palliative care, use of palliative care tools, delivery of palliative care, and perceived barriers to delivering palliative care.

resultsA total of 294 patients were identified for early initiation of palliative care, most of whom had multiple comorbid conditions. Results demonstrated improvement in provider confidence to deliver palliative care (30% mean increase,

conclusionA standardized model for the early introduction of palliative care to patients can be integrated into the routine practice of primary care practitioners with appropriate training and support. Additional research is needed to understand the practice factors that contribute to the success of palliative care interventions in primary care and to examine patient outcomes.

Indexed as

Capacity BuildingPalliative CareHumansOntarioPilot ProjectsPrimary Health Care

Identifiers

PMID33853916
PMCPMC8324144

What OpenQuestion holds

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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.