Evidence map›Paper›PMID 37433736›Full record

ArticleBMJ open2023

Primary care family physicians' experiences with clinical integration in qualitative and mixed reviews: a systematic review protocol.

L Olivia Tseng, Christie Newton, David Hall, Esther J Lee, Howard Chang, Iraj Poureslami, Krisztina Vasarhelyi, Diane Lacaille, Craig Mitton

Abstract read
In one paragraph

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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

L Olivia TsengDepartment of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada otseng@alumni.ubc.ca.ORCID 0000-0002-7987-4338
Christie NewtonDepartment of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.
David HallDepartment of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.
Esther J LeeComplex Care Program, BC Children's Hospital, Vancouver, British Columbia, Canada.
Howard ChangDepartment of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada.
Iraj PoureslamiRespiratory Medicine Division, University of British Columbia, Vancouver, British Columbia, Canada.
Krisztina VasarhelyiDepartment of Family & Community Practice, Vancouver Coastal Health Authority (VCHA), Vancouver, British Columbia, Canada.
Diane LacailleArthritis Research Canada, Vancouver, British Columbia, Canada.
Craig MittonCentre for Clinical Epidemiology and Evaluation (C2E2), Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada.

Funding

CIHR
6 · The paper itself

Abstract

introductionClinical (service) integration in primary care settings describes how comprehensive care is coordinated by family physicians (FPs) over time across healthcare contexts to meet patient care needs. To improve care integration and healthcare service planning, a systematic approach to understanding its numerous influencing factors is paramount. The objective of this study is to generate a comprehensive map of FP-perceived factors influencing clinical integration across diseases and patient demographics. METHODS AND ANALYSIS: We developed the protocol with the guidance of the Joanna Briggs Institute systematic review methodology framework. An information specialist built search strategies for MEDLINE, EMBASE and CINAHL databases using keywords and MeSH terms iteratively collected from a multidisciplinary team. Two reviewers will work independently throughout the study process, from article selection to data analysis. The identified records will be screened by title and abstract and reviewed in the full text against the criteria: FP in primary care (population), clinical integration (concept) and qualitative and mixed reviews published in 2011-2021 (context). We will first describe the characteristics of the review studies. Then, we will extract qualitative, FP-perceived factors and group them by content similarities, such as patient factors. Lastly, we will describe the types of extracted factors using a custom framework. ETHICS AND DISSEMINATION: Ethics approval is not required for a systematic review. The identified factors will help generate an item bank for a survey that will be developed in the Phase II study to ascertain high-impact factors for intervention(s), as well as evidence gaps to guide future research. We will share the study findings with various knowledge users to promote awareness of clinical integration issues through multiple channels: publications and conferences for researchers and care providers, an executive summary for clinical leaders and policy-makers, and social media for the public.

Indexed as

Academies and InstitutesPhysicians, FamilyAdministrative PersonnelClinical Trials, Phase II as TopicComprehensive Health CareHumansPrimary Health CareSystematic Reviews as Topicbarriers and facilitatorsClinical integrationfamily physiciansprimary careservice integrationsystematic review

Identifiers

PMID37433736
PMCPMC10347507

What OpenQuestion holds

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LicenceCC BY-NC
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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.