ArticleInternational journal of integrated care2021
Barriers to Integration of Primary Care into Emergency Care: Experiences in Germany.
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 5 papers.
What it found
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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.
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.
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- Patient navigation in German emergency care (NODE). Study protocol of a multi-center mixed-methods trial.Frontiers in health services · 2025Article
- Identification of low-acuity attendances in routine clinical information documented in German Emergency Departments.BMC emergency medicine · 2023Article
- Effectiveness of community-based multidisciplinary integrated care for older people: a protocol for a systematic review.BMJ open · 2022Article
- Developing integration among stakeholders in the primary care networks of Singapore: a qualitative study.BMC health services research · 2022Article
- From Integrated Care to Integrating Care: A Conceptual Framework of Behavioural Processes Underlying Effective Collaboration in Care.International journal of integrated careArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn response to emergency department over-crowding primary care practitioners (PCPs) have been incorporated into care pathways to provide integrated care. We consider why a pilot project of PCP-led streaming in a German emergency department failed, the challenges encountered transplanting models between differing systems and cultures, and if the concept constitutes integrated care. THEORY AND
methodsThe original design was a mixed methods data gather around PCP-streaming of non-urgent self-referrers in an emergency department.
resultsThe demand for the PCP-streaming was low, which was at odds with pre-study estimates. The study was stopped prematurely without adequate data; this is an opinion-based article. DISCUSSION: A fundamental of emergency care is a central emergency department. An emergency department can be the fulcrum from which urgent inter-disciplinary hospital care is initiated and coordinated. Objective triage is fundamental to this and regional healthcare planning. With such fundamentals in place, PCP integration has the potential to facilitate and provide integrated care. Relevant elements of the Rainbow Model of Integrated Care frame the discussion.
conclusionThe key element deficient in each barrier to our project, yet present in successful studies, was normative integration.
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Registered trials
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.