Evidence map›Paper›PMID 36571391›Full record

ArticleJournal of primary care & community health

Introducing a Clinical Summary Template From the Adult Day Center to Support Decision Making by Primary Care Providers.

Jie Zhong, Jonelle Boafo, Tina R Sadarangani

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Jie ZhongNew York University Rory Meyers College of Nursing, New York, NY, USA.ORCID 0000-0003-1025-7785
Jonelle BoafoNew York University Rory Meyers College of Nursing, New York, NY, USA.
Tina R SadaranganiNew York University Rory Meyers College of Nursing, New York, NY, USA.ORCID 0000-0001-6161-7758

Funding

Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI Heather Gwynn Allore · 2019 to 2026
$125.9M
Leveraging mobile health technology to reduce avoidable healthcare utilization in persons with Alzheimer's Disease and Related Dementias in adult day centersK23AG071948 · NIA · NEW YORK UNIVERSITY · PI SADARANGANI, TINA · 2021 to 2025
$1.1M
Bridging Communication Gaps between Primary Care Providers and Adult Day Service Centers to Reduce Emergency Department Use and Hospitalizations among Persons with DementiaR21AG069801 · NIA · NEW YORK UNIVERSITY · PI SADARANGANI, TINA · 2020 to 2021
$793k
NIA NIH HHS K23 AG071948NIA NIH HHS R21 AG069801NIA NIH HHS U54 AG063546
6 · The paper itself

Abstract

introductionCareMOBI (Mhealth for Organizations to Bolster Interconnectedness) is a mobile application designed to facilitate information exchange between primary care providers (PCPs) and adult day centers (ADCs). A key function of CareMOBI is to synthesize information collected outside of the provider's office (ie,: in the ADC or at home) and distill the most relevant data points into an exportable clinical summary that can help inform clinical decision making by the PCP with information from outside providers who are not formally embedded within health systems. In this study, we used a qualitative approach to understand the acceptability and utility of the clinical summary template within CareMOBI.

methodsPurposive sampling, followed by snowball sampling, was used to recruit PCPs from a variety of primary care practice settings (i.e. home-based, academic). Semi-structured interviews were conducted virtually to elicit feedback on the user-experience after interaction with a prototype template. Interviews were recorded, transcribed, and analyzed using content analysis.

resultsOur sample (n = 10) consisted of physicians and nurse practitioners in a variety of settings. Feedback suggested that the summary template facilitates interdisciplinary, bidirectional, succinct, and relevant information exchange across care teams. The summary template effectively integrates observations and assessments from team members, centralizes them, and allows PCPs to hone in on the most salient components to inform clinical decision making for the geriatric patient. The summary gave PCPs "live texture" about what was happening outside the office and represented a significant improvement over other methodologies of information exchange. Prior to implementation into clinical practice, several refinements are necessary based on feedback including integration into the PCP's workflow.

conclusionsThe template was viewed by PCPs as a concise and actionable record, in contrast to current communication which is characterized as "bloated"-containing too many pages on nonessential information. The summary could potentially save PCP's time in locating and analyzing historical data to enable rapid patient assessment and prompt more ready and informed action.

Indexed as

PhysiciansPhysicians, Primary CareAdultAgedDecision MakingHumansPrimary Health Careadult day carecommunity healthdementiamHealthprimary care

Identifiers

PMID36571391
PMCPMC9806372

What OpenQuestion holds

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LicenceCC BY-NC
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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.