Evidence map›Paper›PMID 38733139›Full record

ArticlePalliative medicine2024

Integration of primary care and palliative care services to improve equality and equity at the end-of-life: Findings from realist stakeholder workshops.

Sarah Mitchell, Nicola Turner, Kate Fryer, Justin Aunger, Jude Beng, Emilie Couchman, Isabel Leach, Joanne Bayly, Clare Gardiner, Katherine E Sleeman and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Palliative medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. BMJ open · 2026
    Article
  4. Review
  5. 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

11 authors.

Sarah MitchellDivision of Primary Care, Palliative Care and Public Health, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.ORCID 0000-0002-1477-7860
Nicola TurnerUniversity of Nottingham School of Health Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, UK.
Kate FryerAcademic Unit of Primary Medical Care, University of Sheffield, Sheffield, UK.
Justin AungerNIHR Midlands Patient Safety Research Collaboration, Murray Learning Centre, University of Birmingham, Birmingham, UK.
Jude BengAcademic Unit of Primary Medical Care, University of Sheffield, Sheffield, UK.
Emilie CouchmanHealth Sciences School, University of Sheffield, Sheffield, UK.
Isabel LeachAcademic Unit of Primary Medical Care, University of Sheffield, Sheffield, UK.
Joanne BaylySt Barnabas Hospices, Worthing, UK.ORCID 0000-0001-9478-8932
Clare GardinerHealth Sciences School, University of Sheffield, Sheffield, UK.ORCID 0000-0003-1785-7054
Katherine E SleemanCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Kings College London, London, UK.ORCID 0000-0002-9777-4373
Catherine J EvansCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Kings College London, London, UK.ORCID 0000-0003-0034-7402

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInequalities in access to palliative and end of life care are longstanding. Integration of primary and palliative care has the potential to improve equity in the community. Evidence to inform integration is scarce as research that considers integration of primary care and palliative care services is rare.

aimTo address the questions: 'how can inequalities in access to community palliative and end of life care be improved through the integration of primary and palliative care, and what are the benefits?'

designA theory-driven realist inquiry with two stakeholder workshops to explore how, when and why inequalities can be improved through integration. Realist analysis leading to explanatory context(c)-mechanism(m)-outcome(o) configurations(c) (CMOCs).

findingsA total of 27 participants attended online workshops (July and September 2022): patient and public members (

conclusionsIntegration to address inequalities needs recognition of current barriers. Integration grounded in trust, faith and confidence can lead to a cycle of positive patient, carer and professional experience. Prioritising inequalities as whole system concern is required for future service delivery and research.

Indexed as

Palliative CarePrimary Health CareTerminal CareAdultDelivery of Health Care, IntegratedFemaleHealthcare DisparitiesHealth Services AccessibilityHumansMaleMiddle Agedgeneral practicehealth care facilitiesmanpowerPalliative careprimary carerealist researchservicesterminal care

Identifiers

PMID38733139
PMCPMC11448105

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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.