Evidence map›Paper›PMID 34249162›Full record

ArticleZdravstveno varstvo2021

Scaling-up an Integrated Care for Patients with Non-communicable Diseases: An Analysis of Healthcare Barriers and Facilitators in Slovenia and Belgium.

Črt Zavrnik, Katrien Danhieux, Miriam Hurtado Monarres, Nataša Stojnić, Majda Mori Lukančič, Monika Martens, Zalika Klemenc-Ketiš, Edwin Wouters, Josefien van Olmen, Antonija Poplas-Susič

Open access · diamondAbstract read
In one paragraph

Article in Zdravstveno varstvo, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. 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 at 4 institutions in 2 countries.

Črt ZavrnikCommunity Health Centre Ljubljana, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Katrien DanhieuxInstitute of Tropical Medicine Antwerp, Antwerp Belgium.
Miriam Hurtado MonarresCommunity Health Centre Ljubljana, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Nataša StojnićCommunity Health Centre Ljubljana, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Majda Mori LukančičCommunity Health Centre Ljubljana, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Monika MartensInstitute of Tropical Medicine Antwerp, Antwerp Belgium.
Zalika Klemenc-KetišCommunity Health Centre Ljubljana, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Edwin WoutersInstitute of Tropical Medicine Antwerp, Antwerp Belgium.
Josefien van OlmenInstitute of Tropical Medicine Antwerp, Antwerp Belgium.
Antonija Poplas-SusičCommunity Health Centre Ljubljana, Primary Healthcare Research and Development Institute, Metelkova 9, 1000 Ljubljana, Slovenia.
Community Health Centre Ljubljana · SIInstituut voor Tropische Geneeskunde · BEUniversity of Ljubljana · SIUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough the concept of integrated care for non-communicable diseases was introduced at the primary level to move from disease-centered to patient-centered care, it has only been partially implemented in European countries. The aim of this study was to identify and compare identified facilitators and barriers to scale-up this concept between Slovenia and Belgium.

methodsThis was a qualitative study. Fifteen focus groups and fifty-one semi-structured interviews were conducted with stakeholders at the micro, meso and macro levels. In addition, data from two previously published studies were used for the analysis. Data collection and analysis was initially conducted at country level. Finally, the data was evaluated by a cross-country team to assess similarities and differences between countries.

resultsFour topics were identified in the study: patient-centered care, teamwork, coordination of care and task delegation. Despite the different contexts, true teamwork and patient-centered care are limited in both countries by hierarchies and a very heavily skewed medical approach. The organization of primary healthcare in Slovenia probably facilitates the coordination of care, which is not the case in Belgium. The financing and organization of primary practices in Belgium was identified as a barrier to the implementation of task delegation between health professionals.

conclusionsThis study allowed formulating some important concepts for future healthcare for non-communicable diseases at the level of primary healthcare. The results could provide useful insights for other countries with similar health systems.

Indexed as

integrated healthcarenoncommunicable diseasespatient-centered careprimary healthcarescale-up

Identifiers

PMID34249162
PMCPMC8256765
OpenAlexW3175789289

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.