Evidence map›Paper›PMID 38161844›Full record

ArticleCureus2023

Readiness for Integrated Care of Older People: A Cross-Sectional Study in Mexico.

Juan Pablo Gutierrez, Arturo Avila-Avila, Eduardo Sosa-Tinoco, Luis Miguel Gutierrez-Robledo, Sergio Flores-Hernández, Samuel E Gutierrez-Barreto

Abstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Juan Pablo GutierrezEpidemiology and Public Health, Center for Policy, Population and Health Research, National Autonomous University of Mexico, Mexico City, MEX.
Arturo Avila-AvilaGeriatrics, National Institute of Geriatrics, Mexico City, MEX.
Eduardo Sosa-TinocoGeriatrics, National Institute of Geriatrics, Mexico City, MEX.
Luis Miguel Gutierrez-RobledoGeriatrics, National Institute of Geriatrics, Mexico City, MEX.
Sergio Flores-HernándezGeriatrics, Health Systems Research Center, National Institute of Public Health, Mexico City, MEX.
Samuel E Gutierrez-BarretoMedical and Health Sciences, National Autonomous University of Mexico, Mexico City, MEX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the readiness of the Mexican healthcare system to implement the integrated care for older people (ICOPE) approach into an existing healthcare model.

methodsWe conducted a cross-sectional study with data from 2473 healthcare workers analyzed using the model for understanding success in quality (MUSIQ) framework to gather data from healthcare professionals. Their perceptions regarding the readiness for ICOPE were assessed across five dimensions: team, microsystem, infrastructure, organization, and external environment.

resultsOnly 717 (29%) of the participants believed ICOPE could be successfully implemented in Mexico without any modifications. A total of 1261 (51%) participants rated the readiness of ICOPE with some barriers. The main barriers were reallocating resources and the external environment. OBSERVATION: Mexico's healthcare system faces barriers to innovation that could hinder the successful integration of the ICOPE approach. A systematic identification of these barriers provides an opportunity to suggest adaptations and refinements to increase the probability of success. Using the contextual factors identified as facilitators and the proposal of interventions such as the ICOPE app could improve the chances of success.

conclusionThe participants of this study evaluated ICOPE as ready to implement, with some contextual barriers. The readiness evaluation supports the stakeholders' and policymakers' decisions in implementing and monitoring the program in a natural setting. Evaluating the readiness of the intervention increases the possibility of aligning the innovation with contextual factors, increasing the chances of its successful adoption and implementation.

Indexed as

health program evaluationicopemusiqolder aged peoplequality improvement (qi)

Identifiers

PMID38161844
PMCPMC10756163

What OpenQuestion holds

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LicenceCC BY
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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.