Evidence map›Paper›PMID 36171040›Full record

ArticleBMJ open2022

Strengthening Care for Children (SC4C): protocol for a stepped wedge cluster randomised controlled trial of an integrated general practitioner-paediatrician model of primary care.

Sonia Khano, Lena Sanci, Susan Woolfenden, Yvonne Zurynski, Kim Dalziel, Siaw-Teng Liaw, Douglas Boyle, Gary L Freed, Cecilia Moore, Michael Hodgins and 6 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

16 authors at 8 institutions in 2 countries.

Sonia KhanoHealth Services, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Lena SanciDepartment of General Practice, University of Melbourne, Melbourne, Victoria, Australia.
Susan WoolfendenCommunity Paediatrics, Sydney Local Health District, Sydney, New South Wales, Australia.
Yvonne ZurynskiAustralian Institute of Health Innnovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0001-7744-8717
Kim DalzielSchool of Population and Global Health, The University of Melbourne, Carlton, Victoria, Australia.
Siaw-Teng LiawSchool of Public Health and Community Medicine, UNSW Australia, Fairfield, New South Wales, Australia.ORCID 0000-0001-5989-3614
Douglas BoyleDepartment of General Practice, University of Melbourne, Carlton, Victoria, Australia.
Gary L FreedDepartment of Pediatrics, University of Michigan, Ann Arbor, Michigan, USA.
Cecilia MooreClinical Sciences and Biostatistics Unit, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Michael HodginsUniversity of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0001-9177-3428
Jane LeHealth Services, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Tammy Meyers MorrisUniversity of New South Wales, Sydney, New South Wales, Australia.
Stephanie GermanoNorth Western Melbourne Primary Health Network, Melbourne, Victoria, Australia.
Karen WheelerCentral and Eastern Sydney Primary Health Network, Sydney, New South Wales, Australia.
Raghu LingamUniversity of New South Wales, Sydney, New South Wales, Australia.
Harriet HiscockHealth Services, Murdoch Children's Research Institute, Parkville, Victoria, Australia harriet.hiscock@rch.org.au.ORCID 0000-0003-3017-2770
UNSW Sydney · AUMurdoch Children's Research Institute · AUThe University of Melbourne · AUMacquarie University · AURoyal Children's Hospital · AUSouth Eastern Sydney Local Health District · AUUniversity of Michigan · USWestern Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAustralia's current healthcare system for children is neither sustainable nor equitable. As children (0-4 years) comprise the largest proportion of all primary care-type emergency department presentations, general practitioners (GPs) report feeling undervalued as an integral member of a child's care, and lacking in opportunities for support and training in paediatric conditions. This Strengthening Care for Children (SC4C) randomised trial aims to evaluate a novel, integrated GP-paediatrician model of care, that, if effective, will improve GP quality of care, reduce burden to hospital services and ensure children receive the right care, at the right time, closer to home. METHODS AND ANALYSIS: SC4C is a stepped wedge cluster randomised controlled trial (RCT) of 22 general practice clinics in Victoria and New South Wales, Australia. General practice clinics will provide control period data before being exposed to the 12-month intervention which will be rolled out sequentially each month (one clinic per state) until all 22 clinics receive the intervention. The intervention comprises weekly GP-paediatrician co-consultation sessions; monthly case discussions; and phone and email paediatrician support, focusing on common paediatric conditions. The primary outcome of the trial is to assess the impact of the intervention as measured by the proportion of children's (0-<18 years) GP appointments that result in a hospital referral, compared with the control period. Secondary outcomes include GP quality of care; GP experience and confidence in providing paediatric care; family trust in and preference for GP care; and the sustainability of the intervention. An implementation evaluation will assess the model to inform acceptability, adaptability, scalability and sustainability, while a health economic evaluation will measure the cost-effectiveness of the intervention. ETHICS AND DISSEMINATION: Human research ethics committee (HREC) approval was granted by The Royal Children's Hospital Ethics Committee in August 2020 (Project ID: 65955) and site-specific HRECs. The investigators (including Primary Health Network partners) will communicate trial results to stakeholders and participating GPs and general practice clinics via presentations and publications. TRIAL REGISTRATION NUMBER: Australia New Zealand Clinical Trials Registry 12620001299998.

Indexed as

General PractitionersChildCost-Benefit AnalysisHumansPediatriciansPrimary Health CareRandomized Controlled Trials as TopicVictoriaCommunity child healthPAEDIATRICSPRIMARY CAREPUBLIC HEALTH

Identifiers

PMID36171040
PMCPMC9644360
OpenAlexW4297513383

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.