ArticleBMJ open2023
Care coordination across healthcare systems: development of a research agenda, implications for practice, and recommendations for policy based on a modified Delphi panel.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systems Factors Contributing to Racial/Ethnic Disparities in Maternal Health: A Systematic Review.Journal of racial and ethnic health disparities · 2026Pooled it
- End-of-life care for people with severe and persistent mental illness and a life-limiting disease: An umbrella review.European psychiatry : the journal of the Association of European Psychiatrists · 2025Pooled it
- PACE-It: An Integrated Multidisciplinary Technology-Assisted Approach to Person-Centered Care for Individuals with Complex Care Needs.Journal of general internal medicine · 2026Trial
- Physical health screening for people with severe mental disorders: a best practice implementation project.Revista da Escola de Enfermagem da U S P · 2026Article
- Developing a Community of Practice to Provide Care Coordination and Address Health-Related Social Needs for Veterans Receiving Care in Community-Based Settings: Program Development and Survey Study.JMIR formative research · 2025Article
- Unraveling functional neurological disorder in pediatric populations: A systematic review of diagnosis, treatment, and outcomes.World journal of clinical pediatrics · 2025Article
- How to Improve Pancreatic Cancer Network Care Using a Human-Centered Design Sprint.Journal of medical Internet research · 2025Article
- Pathway to developing paediatric non-communicable disease guidelines in Malawi: a scoping review.BMC health services research · 2025Article
- Perceptions about oncological physiotherapy among health and social care professionals and cancer care managers: a co-design approach for implementation strategies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- The state of mental health in Greece: An international comparative analysis using data from the Global Mental Health Countdown 2030.The International journal of social psychiatry · 2025Article
- Dissemination, adaptation, and uptake of patient-facing materials to improve care coordination in primary care.PEC innovation · 2025Article
- Nurses' care coordination competence in mechanically ventilated patients in intensive care units: a cross-sectional study.BMC health services research · 2025Article
- The mental health care system for children and adolescents in Greece: a review and structure assessment.Frontiers in health services · 2024Review
- Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveFor large, integrated healthcare delivery systems, coordinating patient care across delivery systems with providers external to the system presents challenges. We explored the domains and requirements for care coordination by professionals across healthcare systems and developed an agenda for research, practice and policy.
designThe modified Delphi approach convened a 2-day stakeholder panel with moderated virtual discussions, preceded and followed by online surveys.
settingThe work addresses care coordination across healthcare systems. We introduced common care scenarios and differentiated recommendations for a large (main) healthcare organisation and external healthcare professionals that contribute additional care.
participantsThe panel composition included health service providers, decision makers, patients and care community, and researchers. Discussions were informed by a rapid review of tested approaches to fostering collaboration, facilitating care coordination and improving communication across healthcare systems. OUTCOME MEASURES: The study planned to formulate a research agenda, implications for practice and recommendations for policy.
resultsFor research recommendations, we found consensus for developing measures of shared care, exploring healthcare professionals' needs in different care scenarios and evaluating patient experiences. Agreed practice recommendations included educating external professionals about issues specific to the patients in the main healthcare system, educating professionals within the main healthcare system about the roles and responsibilities of all involved parties, and helping patients better understand the pros and cons of within-system and out-of-system care. Policy recommendations included supporting time for professionals with high overlap in patients to engage regularly and sustaining support for care coordination for high-need patients.
conclusionsRecommendations from the stakeholder panel created an agenda to foster further research, practice and policy innovations in cross-system care coordination.
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What OpenQuestion holds
Registered trials
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.