Evidence map›Paper›PMID 34193054›Full record

ArticleBMC geriatrics2021

"Caregiving is like on the job training but nobody has the manual": Canadian caregivers' perceptions of their roles within the healthcare system.

Susan Law, Ilja Ormel, Stephanie Babinski, Kerry Kuluski, Amélie Quesnel-Vallée

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 52 citations in OpenAlex.

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  2. Exploring Patient and Caregiver Work and Continuity of Care During Hospital-to-Home Transitions of Care in the Canadian Context.Health expectations : an international journal of public participation in health care and health policy · 2026
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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

5 authors at 5 institutions in 1 country.

Susan LawTrillium Health Partners - Institute for Better Health, 100 Queensway West, 6th Floor CA Building, Mississauga, ON, L5B 1B8, Canada. susan.law@utoronto.ca.ORCID 0000-0001-5196-2267
Ilja OrmelSt. Mary's Research Centre, 3830 avenue Lacombe, Montreal, QC, H3T 1M5, Canada.
Stephanie BabinskiRyerson University, Faculty of Community Services, 350 Victoria Street, Toronto, ON, M5B 2K3, Canada.
Kerry KuluskiTrillium Health Partners - Institute for Better Health, 100 Queensway West, 6th Floor CA Building, Mississauga, ON, L5B 1B8, Canada.
Amélie Quesnel-ValléeDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, 1020 Pine Avenue West, Montreal, QC, H3A 1A2, Canada.
McGill University · CAPrincess Margaret Cancer Centre · CASt Mary's Hospital Centre · CATrillium Health Centre · CAUniversity of Toronto · CA

Funding

St. Mary's Hospital Foundation N/A
6 · The paper itself

Abstract

backgroundStepping into the role of an unpaid caregiver to offer help is often considered a natural expectation of family members or friends. In Canada, such contributions are substantial in terms of healthcare provision but this comes at a considerable cost to the caregivers in both health and economic terms.

methodsIn this study, we conducted a secondary analysis of a collection of qualitative interviews with 39 caregivers of people with chronic physical illness to assess how they described their particular roles in caring for a loved one. We used a model of caregiving roles, originally proposed by Twigg in 1989, as a guide for our analysis, which specified three predominant roles for caregivers - as a resource, as a co-worker, and as a co-client.

resultsThe caregivers in this collection spoke about their roles in ways that aligned well with these roles, but they also described tasks and activities that fit best with a fourth role of 'care-coordinator', which required that they assume an oversight role in coordinating care across institutions, care providers and often advocate for care in line with their expectations. For each of these types of roles, we have highlighted the limitations and challenges they described in their interviews.

conclusionsWe argue that a deeper understanding of the different roles that caregivers assume, as well as their challenges, can contribute to the design and implementation of policies and services that would support their contributions and choices as integral members of the care team. We provide some examples of system-level policies and programs from different jurisdictions developed in recognition of the need to sustain caregivers in their role and respond to such limitations.

Indexed as

CaregiversDelivery of Health CareCanadaHumansInservice TrainingPerceptionCanadaCaregivingCarersChronic illnessHealthcare systemQualitative research

Identifiers

PMID34193054
PMCPMC8243301
OpenAlexW3174908783

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.