Evidence map›Paper›PMID 36073315›Full record

ReviewHealth expectations : an international journal of public participation in health care and health policy2022

Patient perspectives on primary care for multimorbidity: An integrative review.

Elaine Moody, Ruth Martin-Misener, Larry Baxter, Leah Boulos, Fred Burge, Erin Christian, Brian Condran, Adrian MacKenzie, Elizabeth Michael, Tanya Packer and 3 more

Abstract readReview
In one paragraph

Review in Health expectations : an international journal of public participation in health care and health policy, 2022. 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.

  1. Pooled it
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  10. Perceptions of Hospital Care Quality According to People Living With Multiple Long-Term Conditions: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2025
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  16. Barriers to and enablers of the promotion of patient and family participation in primary healthcare nursing in Brazil, Germany and Spain: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  17. Patient perspectives on primary care for multimorbidity: An integrative review.Health expectations : an international journal of public participation in health care and health policy · 2022
    Review
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  19. Journal of multimorbidity and comorbidity
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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

13 authors.

Elaine MoodySchool of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID 0000-0003-4546-7168
Ruth Martin-MisenerSchool of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.
Larry BaxterSchool of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.
Leah BoulosMaritime SPOR SUPPORT Unit, Halifax, Nova Scotia, Canada.
Fred BurgeDepartment of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Erin ChristianNova Scotia Health, Halifax, Nova Scotia, Canada.
Brian CondranSchool of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.
Adrian MacKenzieNova Scotia Health, Halifax, Nova Scotia, Canada.
Elizabeth MichaelNova Scotia Health, Halifax, Nova Scotia, Canada.
Tanya PackerSchool of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada.
Kylie PeacockSchool of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.
Tara SampalliNova Scotia Health, Halifax, Nova Scotia, Canada.
Grace WarnerSchool of Occupational Therapy, Dalhousie University, Halifax, Nova Scotia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImproving healthcare for people with multiple chronic or ongoing conditions is receiving increased attention, particularly due to the growing number of people experiencing multimorbidity (MM) and concerns about the sustainability of the healthcare system. Primary care has been promoted as an important resource for supporting people with MM to live well with their conditions and to prevent unnecessary use of health care services. However, traditional primary care has been criticized for not centring the needs and preferences of people with MM themselves. Our aim was to conduct a review that centred on the perspective of people with MM in multiple ways, including having patient partners co-lead the design, conduct and reporting of findings, and focusing on literature that reported the perspective of people with MM, irrespective of it being experimental or nonexperimental.

methodsWe searched for published literature in CINAHL with Full Text (EBSCOhost) and MEDLINE All (Ovid). Findings from experimental and nonexperimental studies were integrated into collaboration with patient partners.

resultsTwenty-nine articles were included in the review. Findings are described in five categories: (1) Care that is tailored to my unique situation; (2) meaningful inclusion in the team; (3) a healthcare team that is ready and able to address my complex needs; (4) supportive relationships and (5) access when and where I need it.

conclusionThis review supports a reorientation of primary care systems to better reflect the experiences and perspectives of people with MM. This can be accomplished by involving patient partners in the design and evaluation of primary care services and incentivizing collaboration among health and social supports and services for people with MM. PATIENT OR PUBLIC CONTRIBUTION: Patient partners were involved in the design and conduct of this review, and in the preparation of the manuscript. Their involvement is further elucidated in the manuscript text.

Indexed as

Delivery of Health CareMultimorbidityHumansPatient Care TeamPrimary Health CareSocial Supportchronic diseaseintegrative reviewmultimorbidityprimary care

Identifiers

PMID36073315
PMCPMC9700181

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.