Evidence map›Paper›PMID 37046293›Full record

ArticleBMC health services research2023

Perceptions of the primary health care team about the implementation of integrated care of patients with type 2 diabetes and hypertension in Slovenia: qualitative study.

Nataša Stojnić, Zalika Klemenc-Ketiš, Majda Mori Lukančič, Črt Zavrnik, Antonija Poplas Susič

Open access · goldAbstract read
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 5 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

5 authors at 2 institutions in 1 country.

Nataša StojnićCommunity Health Centre Ljubljana, Ljubljana, Slovenia. natasa.stojnic@zd-lj.si.
Zalika Klemenc-KetišCommunity Health Centre Ljubljana, Ljubljana, Slovenia.
Majda Mori LukančičCommunity Health Centre Ljubljana, Ljubljana, Slovenia.
Črt ZavrnikCommunity Health Centre Ljubljana, Ljubljana, Slovenia.
Antonija Poplas SusičCommunity Health Centre Ljubljana, Ljubljana, Slovenia.
Community Health Centre Ljubljana · SIUniversity of Ljubljana · SI

Funding

Horizon 2020 Framework Programme 825432
6 · The paper itself

Abstract

backgroundIntegrated care involves good coordination, networking, and communication within health care services and externally between providers and patients or informal caregivers. It affects the quality of services, is more cost-effective, and contributes to greater satisfaction among individuals and providers of integrated care. In our study, we examined the implementation and understanding of integrated care from the perspective of providers - the health care team - and gained insights into the current situation.

methodsEight focus groups were conducted with health care teams, involving a total of 48 health care professionals, including family physicians, registered nurses, practice nurses, community nurses, and registered nurses working in a health education center. Prior to conducting the focus groups, a thematic guide was developed based on the literature and contextual knowledge with the main themes of the integrated care package. The analysis was conducted using the NVivo program.

resultsWe identified 12 main themes with 49 subthemes. Health care professionals highlighted good accessibility and the method of diagnostic screening integrated with preventive examinations as positive aspects of the current system of integrated care in Slovenia. They mentioned the good cooperation within the team, with the involvement of registered nurses and community nurses being a particular advantage. Complaints were made about the high workload and the lack of workforce. They feel that patients do not take the disease seriously enough and that patients as teachers could be useful.

conclusionPrimary care teams described the importance of implementing integrated care for diabetes and hypertension patients at four levels: Patient, community, care providers, and state. Primary care teams also recognized the importance of including more professionals from different health care settings on their team.

Indexed as

Delivery of Health Care, IntegratedDiabetes Mellitus, Type 2HumansPatient Care TeamPrimary Health CareQualitative ResearchSloveniaHealth care team, interdisciplinary primary care, qualitative researchHypertensionIntegrated health care systemtype-2-diabetes

Identifiers

PMID37046293
PMCPMC10091568
OpenAlexW4365145224

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.