Evidence map›Paper›PMID 34199866›Full record

ArticleInternational journal of environmental research and public health2021

Easier Said Than Done: Healthcare Professionals' Barriers to the Provision of Patient-Centered Primary Care to Patients with Multimorbidity.

Sanne J Kuipers, Anna P Nieboer, Jane M Cramm

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

35 citing papers in PubMed.

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  3. Towards System Changes: Experiences of General Practitioners and Nurses in Facilitating Appointments and Referrals for Africans from Refugee Backgrounds in Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
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  11. Relying on Trust: A Qualitative Study on Home-Dwelling Older Adults' Experiences and Preferences With Multimorbidity Management in Municipal Healthcare Assessments.Health expectations : an international journal of public participation in health care and health policy · 2025
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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

3 authors.

Sanne J KuipersDepartment of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University, 3062 PA Rotterdam, The Netherlands.ORCID 0000-0003-4659-6244
Anna P NieboerDepartment of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University, 3062 PA Rotterdam, The Netherlands.ORCID 0000-0002-9676-0607
Jane M CrammDepartment of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University, 3062 PA Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patient-centered care (PCC) has the potential to entail tailored primary care delivery according to the needs of patients with multimorbidity (two or more co-existing chronic conditions). To make primary care for these patients more patient centered, insight on healthcare professionals' perceived PCC implementation barriers is needed. In this study, healthcare professionals' perceived barriers to primary PCC delivery to patients with multimorbidity were investigated using a constructivist qualitative design based on semi-structured interviews with nine general and nurse practitioners from seven general practices in the Netherlands. Purposive sampling was used, and the interview content was analyzed to generate themes representing experienced barriers. Barriers were identified in all eight PCC dimensions (patient preferences, information and education, access to care, physical comfort, emotional support, family and friends, continuity and transition, and coordination of care). They include difficulties achieving mutual understanding between patients and healthcare professionals, professionals' lack of training and education in new skills, data protection laws that impede adequate documentation and information sharing, time pressure, and conflicting financial incentives. These barriers pose true challenges to effective, sustainable PCC implementation at the patient, organizational, and national levels. Further improvement of primary care delivery to patients with multimorbidity is needed to overcome these barriers.

Indexed as

MultimorbidityPatient-Centered CareDelivery of Health CareHumansNetherlandsPrimary Health CareQualitative Researchcare deliverygeneral practicemultimorbiditypatient-centered careprimary carequalitative studysemi-structured interview

Identifiers

PMID34199866
PMCPMC8200113

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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.