Evidence map›Paper›PMID 36690992›Full record

ArticleBMC health services research2023

Family physicians collaborating for health system integration: a scoping review.

Colleen Grady, Han Han, Da Hye Kim, Angela M Coderre-Ball, Nadia Alam

Abstract readScoping Review
In one paragraph

Article in BMC health services research, 2023. 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

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

5 authors.

Colleen GradyCentre for Studies in Primary Care, Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada. colleen.grady@queensu.ca.
Han HanCentre for Studies in Primary Care, Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada.
Da Hye KimSchool of Medicine, Queen's University, Kingston, Canada.
Angela M Coderre-BallCentre for Studies in Primary Care, Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, ON, K7L 5E9, Canada.
Nadia AlamHalton Healthcare, Toronto, Canada.

Funding

Ontario Ministry of Health and Long-Term Care MOHLTC-INSPIRE-PHC as an Applied Health Research Question
6 · The paper itself

Abstract

backgroundIn Canada, Ontario Health Teams (OHTs) are a new model for integrated healthcare. Core to OHTs are family physicians (FPs) and their ability to collaborate with other FPs and healthcare providers. Whereas the factors for intra-organizational collaboration have been well-studied, inter-organizational collaboration between FPs and other healthcare organizations as an integrated care network, are less understood. This paper aims to explore the structural factors, processes, and theoretical frameworks that support FPs' collaboration for integrated healthcare.

methodsA scoping review was undertaken based on Joanna Briggs Institute (JBI) methodology for scoping review and using the Preferred Reporting Items for Systematic Review and Meta-Analysis for Scoping Review (PRISMA_ScR) checklist. A search for academic and relevant grey literature published between 2000-2021 was conducted across databases (MEDLINE, EMBASE, EBSCOhost).Thematic analysis was used to identify the key findings of the selected studies.

resultsThirty-two studies were included as eligible for this review. Three structural components were identified as critical to FPs' successful participation in inter-organizational partnerships: (1) shared vision/values, (2) leadership by FPs, and (3) defined decision-making procedures. Also, three processes were identified: (1) effective communication, (2) a collective sense of motivation for change, and (3) relationships built on trust. Three theoretical frameworks provided insight into collaborative initiatives: (1) Social Identity Approach, (2) framework of interprofessional collaboration, and (3) competing values framework.

conclusionFPs hold unique positions in healthcare and this review is the first to synthesize the best evidence for building collaborations between FPs and other healthcare sectors. These findings will inform collaboration strategies for healthcare integration, including with OHTs.

Indexed as

Delivery of Health CarePhysicians, FamilyHealth FacilitiesHumansOntarioPopulation GroupsFamily physicianIntegrated careInter-organizational collaborationProcessesStructure

Identifiers

PMID36690992
PMCPMC9869511

What OpenQuestion holds

Textmetadata
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.