Evidence map›Paper›PMID 39929510›Full record

ArticleBMJ open2025

Obstacles and opportunities for care collaboration through the utilisation of a preventive care process for frail older adults: a study protocol for a mixed methods study design.

Martina Karin Boström, Åsa Larsson Ranada, Helle Wijk, Pia Skott, Anette Erichsen, Elisabet Rothenberg

Abstract read
In one paragraph

Article in BMJ open, 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

6 authors.

Martina Karin BoströmDepartment of Quality Improvement and Leadership, Jönköping Academy For Improvement of Health and Welfare, Jönköping University Hälsohögskolan, Jonkoping, Sweden martina.bostrom@rjl.se.ORCID 0000-0003-1464-0626
Åsa Larsson RanadaDepartment of Health, Medicine and Caring Sciences, Linkoping University Department of Health Medicine and Caring Sciences, Linkoping, Sweden.ORCID 0000-0002-0761-1942
Helle WijkUniversity of Gothenburg, Goteborg, Sweden.
Pia SkottPublic Dental Services, Department of Orofacial Medicine, Stockholm University, Stockholm, Sweden.
Anette ErichsenInstitutionen för vårdvetenskap och hälsa, University of Gothenburg, Goteborg, Sweden.
Elisabet RothenbergHealth Sciences, Kristianstad University, Kristianstad, Sweden.ORCID 0000-0002-3692-7014

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrail older adults constitute a significant vulnerable group with complex healthcare needs requiring collaboration between various care providers and professions. Despite this requirement, there are considerable knowledge gaps in how to achieve effective collaboration. Preventive measures such as addressing pressure ulcers, falls, malnutrition and poor oral health often receive low priority compared with treating diseases or injuries. This study aims to enhance our understanding of how care collaboration in the preventive care process (PcP) using the Senior alert (SA) register could improve patient safety and equality of care for frail older adults in Sweden.

methodsThis study, conducted over 4 years, employs an explanatory mixed methods design, divided into three phases. The study protocol comprises the two first phases. PHASE 1 QUANTITATIVE: Data from SA (2019-2021) will be analysed to compare municipalities regarding the quality of registration in the PcP. Municipalities with high and low compliance indices will be identified and analysed together with data on demographics, socioeconomics and organisation from Statistics Sweden. PHASE 2 QUALITATIVE: Focus group interviews will be conducted in residential care units in the municipalities identified in phase 1 with interprofessional teams and older persons/next of kin. Additionally, 30 semi-structured individual interviews with residential care managers and other relevant stakeholders will explore obstacles and opportunities for effective care collaboration. DISCUSSION: We foresee that the results will contribute to the development of a model for effective PcP and care collaboration that can be used to improve patient safety and quality of care for frail older adults. This model can be tested and upscaled to achieve a more effective and equitable healthcare system. ETHICS AND DISSEMINATION: The study has been approved by the Swedish ethical review authority. Dissemination plans involve publications, data deposition and engagement with healthcare stakeholders to ensure the practical application of the findings.

Indexed as

Frail ElderlyPreventive Health ServicesAgedAged, 80 and overCooperative BehaviorFocus GroupsHumansQualitative ResearchResearch DesignSwedenAgedHealth policyHealth Services for the AgedQuality in healthcareREGISTRIES

Identifiers

PMID39929510
PMCPMC11815419

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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.