Evidence map›Paper›PMID 39415503›Full record

ArticleJournal of evaluation in clinical practice2025

Identifying potential outcomes of patient engagement in primary care quality improvement: a modified Delphi study.

Nancy Pandhi, Nora Jacobson, Madison Crowder, Andrew Quanbeck, Sarah Davis

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2025. 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

5 authors.

Nancy PandhiDepartment of Family and Community Medicine, University of New Mexico, Albuquerque, New Mexico, USA.
Nora JacobsonInstitute for Clinical and Translational Research, University of Wisconsin, Madison, Wisconsin, USA.
Madison CrowderPsychological Services Center, Xavier University, Cincinnati, Ohio, USA.
Andrew QuanbeckDepartment of Family and Community Medicine, University of Wisconsin, Madison, Wisconsin, USA.
Sarah DavisPrimary Care Academics Transforming Healthcare Collaborative, UW Health, Madison, Wisconsin, USA.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
UNM HSC Clinical and Translational Science CenterUL1TR001449 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CAMPEN, MATTHEW J, PANDHI, NANCY · 2015 to 2024
$36.9M
National Center for Advancing Clinical and Translational Science UL1TR001449National Center for Advancing Clinical and Translational Science UL1TR002373NCATS NIH HHS UL1 TR001449NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

rationaleA barrier to dedicating resources towards patient engagement in primary care quality improvement is the lack of clearly identified outcomes that might result from these initiatives. AIMS AND

objectivesWe sought to identify these potential outcomes at three healthcare levels as defined by the Institute of Medicine: 1) Micro/Direct Care; 2) Meso/Microsystem; and 3) Macro/Clinic/System using a Modified Delphi technique.

methodTwo focus groups of patients and primary care clinician leaders generated a first set of outcomes. These outcomes were then vetted and expanded through three web-based surveys sent to twelve national experts. Experts indicated the level of agreement with prior elicited outcomes and generated potential new outcomes.

resultsIncluded outcomes achieved at least 80% agreement. The final list of 46 consensus-derived outcomes was categorized across levels. 22 were at the Micro-level, 9 were at the Meso-level, and 15 were at the Macro-level.

conclusionOur findings suggest outcomes across all health system levels have the potential for progress when patients are engaged in primary care quality improvement initiatives. Future programs should consider validating and measuring these outcomes as part of their interventions.

Indexed as

Outcome Assessment, Health CarePatient ParticipationPrimary Health CareQuality ImprovementDelphi TechniqueFocus GroupsHumansoutcome assessmentpatient engagementpractice redesignprimary carequality improvement

Identifiers

PMID39415503
PMCPMC12021310

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.