Evidence map›Paper›PMID 34915759›Full record

ArticlePalliative medicine2022

Service change and innovation in community end-of-life care during the COVID-19 pandemic: Qualitative analysis of a nationwide primary care survey.

Sarah Mitchell, Madeleine Harrison, Phillip Oliver, Clare Gardiner, Helen Chapman, Dena Khan, Kirsty Boyd, Jeremy Dale, Stephen Barclay, Catriona R Mayland

Abstract read
In one paragraph

Article in Palliative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

10 authors.

Sarah MitchellUniversity of Sheffield, Sheffield, UK.ORCID 0000-0002-1477-7860
Madeleine HarrisonUniversity of Sheffield, Sheffield, UK.ORCID 0000-0001-9874-921X
Phillip OliverUniversity of Sheffield, Sheffield, UK.
Clare GardinerUniversity of Sheffield, Sheffield, UK.ORCID 0000-0003-1785-7054
Helen ChapmanSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Dena KhanPatient and Public Involvement Representative, Birmingham, England, UK.
Kirsty BoydUniversity of Edinburgh, Edinburgh, UK.
Jeremy DaleUniversity of Warwick, Coventry, England, UK.
Stephen BarclayUniversity of Cambridge, Cambridge, UK.
Catriona R MaylandUniversity of Sheffield, Sheffield, UK.ORCID 0000-0002-1440-9953

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary healthcare teams (general practice and community nursing services) within the United Kingdom provided the majority of community end-of-life care during COVID-19, alongside specialist palliative care services. As international healthcare systems move to a period of restoration following the first phases of the pandemic, the impact of rapidly-implemented service changes and innovations across primary and specialist palliative care services must be understood.

aimTo provide detailed insights and understanding into service changes and innovation that occurred in UK primary care to deliver end-of-life care during the first phase of the COVID-19 pandemic.

designCross-sectional online survey. Responses were analysed using descriptive statistics and thematic analysis. SETTING/

participantsUnited Kingdom survey of general practitioners and community nurses, circulated via regional and national professional networks.

resultsA total of 559 valid responses were received from 387 community nurses, 156 general practitioners and 16 'other'. Over a third of respondents (

conclusionOpportunity has arisen to incorporate cross-boundary service changes and innovations, implemented rapidly at the time of crisis, into future service delivery. Future research should focus on which service changes and innovations provide the most benefits, who for and how, within the context of increased patient need and complexity.

Indexed as

COVID-19Terminal CareCross-Sectional StudiesHumansPandemicsPrimary Health CareSARS-CoV-2Surveys and QuestionnairesCOVID-19end-of-life caregeneral practicepalliative careprimary care nursingPrimary health care

Identifiers

PMID34915759
PMCPMC8796165

What OpenQuestion holds

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LicenceCC BY
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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.