Evidence map›Paper›PMID 34690619›Full record

ArticleInternational journal of integrated care

Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia.

Zalika Klemenc-Ketis, Nataša Stojnić, Črt Zavrnik, Nina Ružić Gorenjec, Katrien Danhieux, Majda Mori Lukančič, Antonija Poplas Susič

Open access · goldAbstract read
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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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

7 authors at 4 institutions in 3 countries.

Zalika Klemenc-KetisLjubljana Community Health Centre, Metelkova 9, 1000 Ljubljana, Slovenia.ORCID https://orcid.org/0000-0002-0270-1754
Nataša StojnićLjubljana Community Health Centre, Metelkova 9, 1000 Ljubljana, Slovenia.
Črt ZavrnikLjubljana Community Health Centre, Metelkova 9, 1000 Ljubljana, Slovenia.ORCID https://orcid.org/0000-0003-0654-452X
Nina Ružić GorenjecLjubljana Community Health Centre, Metelkova 9, 1000 Ljubljana, Slovenia.ORCID https://orcid.org/0000-0001-8505-1437
Katrien DanhieuxDepartment of Primary & Interdisciplinary Care Antwerp, University of Antwerp, Belgium.ORCID https://orcid.org/0000-0001-6064-5335
Majda Mori LukančičLjubljana Community Health Centre, Metelkova 9, 1000 Ljubljana, Slovenia.
Antonija Poplas SusičLjubljana Community Health Centre, Metelkova 9, 1000 Ljubljana, Slovenia.ORCID https://orcid.org/0000-0002-4328-3333
Community Health Centre Ljubljana · SIInstitute for Medical Informatics and Biostatistics · CHUniversity of Antwerp · BEUniversity of Maribor · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionResearch on models of integrated health care for hypertension and diabetes is one of the priority issues in the world. There is a lack of knowledge about how integrated care is implemented in practice. Our study assessed its implementation in six areas: identification of patients, treatment, health education, self-management support, structured collaboration and organisation of care.

methodsThis was a mixed methods study based on a triangulation method using quantitative and qualitative data. It took place in different types of primary health care organisations, in one urban and two rural regions of Slovenia. The main instrument for data collection was the Integrated Care Package (ICP) Grid, assessed through four methods: 1) a document analysis (of a current health policy and available protocols; 2) observation of the infrastructure of health centres, organisation of work, patient flow, interaction of patients with health professionals; 3) interview with key informants and 4) review of medical documentation of selected patients.

resultsThe implementation of the integrated care in Slovenia was assessed with the overall ICP score of 3.7 points (out of 5 possible points). The element Identification was almost fully implemented, while the element Self-management support was weakly implemented. DISCUSSION: The implementation of the integrated care of patients with diabetes and/or hypertension in Slovenian primary health care organisations achieved high levels of implementation. However, some week points were identified.

conclusionIntegrated care of the chronic patients in Slovenia is already provided at high levels, but the area of self-management support could be improved.

Indexed as

delivery of health careintegratedprimary careself-care

Identifiers

PMID34690619
PMCPMC8485865
OpenAlexW3204124389

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.