Evidence map›Paper›PMID 34853107›Full record

Trial reportBMJ open2021

Primary care physician involvement during hospitalisation: a qualitative analysis of perspectives from frequently hospitalised patients.

Erin Yildirim Rieger, Josef N S Kushner, Veena Sriram, Abbie Klein, Lauren O Wiklund, David O Meltzer, Joyce W Tang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

7 authors.

Erin Yildirim RiegerPritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.ORCID 0000-0002-0888-5056
Josef N S KushnerDepartment of Medicine, Lenox Hill Hospital, New York City, New York, USA.
Veena SriramSchool of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0001-7235-253X
Abbie KleinDepartment of Medicine, University of Chicago, Chicago, Illinois, USA.ORCID 0000-0002-1077-1269
Lauren O WiklundDepartment of Psychology, Michigan State University, East Lansing, Michigan, USA.ORCID 0000-0001-9997-0813
David O MeltzerDepartment of Medicine, University of Chicago, Chicago, Illinois, USA.ORCID 0000-0002-6728-8729
Joyce W TangDepartment of Medicine, University of Chicago, Chicago, Illinois, USA jtang@bsd.uchicago.edu.ORCID 0000-0003-4792-924X

Funding

Short Term Aging-Related Research ProgramT35AG029795 · NIA · UNIVERSITY OF CHICAGO · PI Vineet Arora, DAVID O MELTZER · 2008 to 2026
$1.4M
NIA NIH HHS T35 AG029795
6 · The paper itself

Abstract

objectiveTo explore frequently hospitalised patients' experiences and preferences related to primary care physician (PCP) involvement during hospitalisation across two care models.

designQualitative study embedded within a randomised controlled trial. Semistructured interviews were conducted with patients. Transcripts were analysed using qualitative template analysis.

settingIn the Comprehensive Care Programme (CCP) Study, in Illinois, USA, Medicare patients at increased risk of hospitalisation are randomly assigned to: (1) care by a CCP physician who serves as a PCP across both inpatient and outpatient settings or (2) care by a PCP as outpatient and by hospitalists as inpatients (standard care).

participantsTwelve standard care and 12 CCP patients were interviewed.

resultsThemes included: (1) Positive attitude towards PCP; (2) Longitudinal continuity with PCP valued; (3) Patient preference for PCP involvement in hospital care; (4) Potential for in-depth involvement of PCP during hospitalisation often unrealised (involvement rare in standard care; in CCP, frequent interaction with PCP fostered patient involvement in decision making); and (5) PCP collaboration with hospital-based providers frequently absent (no interaction for standard care patients; CCP patients emphasising PCP's role in interdisciplinary coordination).

conclusionFrequently hospitalised patients value PCP involvement in the hospital setting. CCP patients highlighted how an established relationship with their PCP improved interdisciplinary coordination and engagement with decision making. Inpatient-outpatient relational continuity may be an important component of programmes for frequently hospitalised patients. Opportunities for enhancing PCP involvement during hospitalisation should be considered.

Indexed as

HospitalistsPhysicians, Primary CareAgedHospitalizationHumansMedicarePatient ParticipationUnited Statesinternal medicineorganisation of health servicesprimary carequalitative research

Identifiers

PMID34853107
PMCPMC8638455

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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.