Evidence map›Paper›PMID 34823495›Full record

ArticleBMC family practice2021

A qualitative study of high-performing primary care practices during the COVID-19 pandemic.

Stephanie L Albert, Margaret M Paul, Ann M Nguyen, Donna R Shelley, Carolyn A Berry

Abstract read
In one paragraph

Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Stephanie L AlbertDepartment of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, 2nd Floor, New York, NY, 10016, USA. stephanie.albert@nyulangone.org.
Margaret M PaulDepartment of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, 2nd Floor, New York, NY, 10016, USA.
Ann M NguyenCenter for State Health Policy, Rutgers, The State University of New Jersey, 112 Paterson Street, New Brunswick, NJ, 08901, USA.
Donna R ShelleyGlobal Center for Implementation Science, Department of Policy and Public Health Management, New York University School of Global Public Health, 665 Broadway, 8th Floor, New York, NY, 10012, USA.
Carolyn A BerryDepartment of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, 2nd Floor, New York, NY, 10016, USA.

Funding

Measure development to accelerate the translation of evidence based clinical guidelines into practiceU01TR002008 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BERRY, CAROLYN ANNE, SHELLEY, DONNA R · 2017 to 2020
$5.7M
NCATS NIH HHS U01 TR002008
6 · The paper itself

Abstract

backgroundPrimary care practices have remained on the frontline of health care service delivery throughout the COVID-19 pandemic. The purpose of our study was to understand the early pandemic experience of primary care practices, how they adapted care processes for chronic disease management and preventive care, and the future potential of these practices' service delivery adaptations.

methodsWe interviewed 44 providers and staff at 22 high-performing primary care practices located throughout the United States between March and May 2020. Interviews were transcribed and coded using a modified rapid assessment process due to the time-sensitive nature of the study.

resultsPractices reported employing a variety of adaptations to care during the COVID-19 pandemic including maintaining safe and socially distanced access through increased use of telehealth visits, using disease registries to identify and proactively outreach to patients, providing remote patient education, and incorporating more home-based monitoring into care. Routine screening and testing slowed considerably, resulting in concerns about delayed detection. Patients with fewer resources, lower health literacy, and older adults were the most difficult to reach and manage during this time.

conclusionOur findings indicate that primary care structures and processes developed for remote chronic disease management and preventive care are evolving rapidly. Emerging adapted care processes, most notably remote provision of care, are promising and may endure beyond the pandemic, but issues of equity must be addressed (e.g., through payment reform) to ensure vulnerable populations receive the same benefit.

Indexed as

COVID-19TelemedicineAgedHumansPandemicsPrimary Health CareSARS-CoV-2United StatesChronic diseaseCOVID-19Preventive carePrimary careQualitative

Identifiers

PMID34823495
PMCPMC8614080

What OpenQuestion holds

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Registered trials

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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.