Evidence map›Paper›PMID 34963759›Full record

ArticleInternational journal of integrated care

Consensus on Integrated Care for Older People Among Dutch Experts: A Delphi Study.

Anam Ahmed, Maria Etc van den Muijsenbergh, Hubertus Jm Vrijhoef

Abstract 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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3 · Its place in the literature

Who cites it

3 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

3 authors.

Anam AhmedPanaxea b.v., Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-3452-262X
Maria Etc van den MuijsenberghDepartment of Primary and Community Care, Radboud University Medical Centre, Nijmegen, the Netherlands.ORCID https://orcid.org/0000-0002-4994-4008
Hubertus Jm VrijhoefPanaxea b.v., Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-5539-4671

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn a previous rapid realist review (RRR), an initial programme theory (PT) was established giving insight into the interrelatedness of context items, mechanisms, programme-activities, and outcomes that influence integrated care programmes (ICPs) for community-dwelling frail older people. As ICPs need to be tailored to their local setting, the objective of this study is to assess consensus on the relevance of the items identified in the RRR for the Dutch setting, and refine the PT, where appropriate.

methodsA two-round e-Delphi study was carried out among Dutch experts to determine the relevance of 71 items.

resultsConsensus on relevance was reached on 57 out of 71 items (80%). Items added to refine the PT included: increasing number of older people, decreasing access to hospital beds, well-designed ICP implementation processes, case management, having a clear portfolio of patients, the role of the government, aligning existing health and social care systems, management and monitoring of care activities, strong relationship between older person and healthcare providers (HCP), and providing continuous feedback to HCPs. CONCLUSION AND DISCUSSION: The initial PT was refined for the Dutch setting. Items on which no consensus was found, need to be further investigated on the reason behind it.

Indexed as

Delphiintegrated careolder peoplerealist research

Identifiers

PMID34963759
PMCPMC8663748

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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.