Evidence map›Paper›PMID 38459411›Full record

ArticleJournal of general internal medicine2024

How Primary Care Clinicians Process Patient Death: Logistics, Emotions, and Opportunities for Structural Support.

Jessica Alcalay Erickson, Bridget C O'Brien, Sarah Nouri

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Should Primary Care Be Covered by Insurance?Journal of general internal medicine · 2025
    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

3 authors.

Jessica Alcalay EricksonDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA. Jessica.erickson@ucsf.edu.
Bridget C O'BrienDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.
Sarah NouriDivision of Palliative Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.

Funding

CARES: A Caregiver-Facing Digital Symptom Assessment Tool for Marginalized Older Adults with Serious IllnessK76AG088348 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sarah Nouri · 2024 to 2026
$728k
NIA NIH HHS K76 AG088348
6 · The paper itself

Abstract

backgroundNavigating the logistics and emotional processing of a patient's death is an inevitable part of many physicians' roles. While research has primarily examined how inpatient clinicians cope with patient loss, little work has explored how primary care clinicians (PCCs) handle patient death in the outpatient setting, and what support resources could help PCCs process loss.

objectiveTo explore PCCs' experiences with the logistics and emotional processing of patient deaths and suggestions for supportive resources.

designQualitative study using semi-structured interviews conducted between March and May 2023.

participantsRecruitment emails were sent to 136 PCCs (physicians and nurse practitioners) at three San Francisco academic primary care clinics. Twelve clinicians participated in the study. APPROACH: This study used a template analysis approach. Interview transcripts were analyzed in an iterative fashion to identify themes for how PCCs navigate patient death.

resultsParticipants (n=12) described outpatient death notification as inconsistent, delayed, and rife with uncertainty regarding subsequent actions. They felt various emotions, notably sadness and guilt, especially with deaths of young, vulnerable patients or those from preventable illnesses. Participants identified strategies for emotional processing and recommended improvements including clear procedural guidance, peer debriefings, and formal acknowledgements of deceased patients.

conclusionsInterviewing PCCs about their experiences following a patient death revealed key themes in logistical and emotional processing, and clinic resource recommendations to better support PCCs. Given the distinct characteristics of primary care-such as enduring patient relationships, greater isolation in ambulatory settings compared to inpatient environments, and rising burnout rates-enhancing guidance and support for PCCs is crucial to mitigate administrative burdens and grief after patient loss.

Indexed as

EmotionsQualitative ResearchAdultAttitude of Health PersonnelAttitude to DeathFemaleHumansMaleMiddle AgedPhysicians, Primary CarePrimary Health CareSan Franciscoemotional processinglogisticspatient deathprimary caresupport

Identifiers

PMID38459411
PMCPMC11347538

What OpenQuestion holds

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LicenceCC BY
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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.