Evidence map›Paper›PMID 37770822›Full record

ArticleBMC primary care2023

Policy and practices in primary care that supported the provision and receipt of care for older persons during the COVID-19 pandemic: a qualitative case study in three Canadian provinces.

Jacobi Elliott, Catherine Tong, Susie Gregg, Sara Mallinson, Anik Giguere, Meaghan Brierley, Justine Giosa, Maggie MacNeil, Don Juzwishin, Joanie Sims-Gould and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

12 authors.

Jacobi ElliottLawson Health Research Institute, London, ON, Canada. Jacobi.elliott@sjhc.london.on.ca.
Catherine TongSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
Susie GreggSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
Sara MallinsonAlberta Health Services, Calgary, AB, Canada.
Anik GiguereDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Laval, QC, Canada.
Meaghan BrierleyAlberta Health Services, Calgary, AB, Canada.
Justine GiosaSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
Maggie MacNeilSchool of Nursing, McMaster University, Hamilton, ON, Canada.
Don JuzwishinSchool of Health Information Science, University of Victoria, Victoria, BC, Canada.
Joanie Sims-GouldDepartment of Family Practice, University of British Columbia, Vancouver, BC, Canada.
Kenneth RockwoodDivision of Geriatric Medicine, Dalhousie University, Halifax, NS, Canada.
Paul StoleeSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effects of the COVID-19 pandemic on older adults were felt throughout the health care system, from intensive care units through to long-term care homes. Although much attention has been paid to hospitals and long-term care homes throughout the pandemic, less attention has been paid to the impact on primary care clinics, which had to rapidly change their approach to deliver timely and effective care to older adult patients. This study examines how primary care clinics, in three Canadian provinces, cared for their older adult patients during the pandemic, while also navigating the rapidly changing health policy landscape.

methodsA qualitative case study approach was used to gather information from nine primary care clinics, across three Canadian provinces. Interviews were conducted with primary care providers (n = 17) and older adult patients (n = 47) from October 2020 to September 2021. Analyses of the interviews were completed in the language of data collection (English or French), and then summarized in English using a coding framework. All responses that related to COVID-19 policies at any level were also examined.

resultsTwo main themes emerged from the data: (1) navigating the noise: understanding and responding to public health orders and policies affecting health and health care, and (2) receiving and delivering care to older persons during the pandemic: policy-driven challenges & responses. Providers discussed their experiences wading through the health policy directives, while trying to provide good quality care. Older adults found the public health information overwhelming, but appreciated the approaches adapted by primary care clinics to continue providing care, even if it looked different.

conclusionsCOVID-19 policy and guideline complexities obliged primary care providers to take an important role in understanding, implementing and adapting to them, and in explaining them, especially to older adults and their care partners.

Indexed as

COVID-19AgedAged, 80 and overCanadaHealth PolicyHumansPandemicsPrimary Health CareCOVID-19Health policyOlder adultsPrimary careVirtual care

Identifiers

PMID37770822
PMCPMC10536733

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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.