Evidence map›Paper›PMID 40621439›Full record

ArticleInternational journal of integrated care

Regional Integrated Cardiovascular Risk Management Care Pathway in the Netherlands: Benefits and Working Mechanisms.

Relinde J de Koeijer, Marcella E de Geest, Gideon R Hajer, Fabrice M A C Martens

Abstract read
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

4 authors.

Relinde J de KoeijerInstitute of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, NL.ORCID https://orcid.org/0000-0001-5451-8110
Marcella E de GeestCentre for Cardiovascular Disease Salland, Deventer Hospital, Deventer, NL.
Gideon R Hajer *Department of Internal Medicine and Centre for Cardiovascular Disease Salland, Deventer Hospital, Deventer, NL.
Fabrice M A C Martens *Department of Cardiology, Deventer Hospital, Deventer, NL.ORCID https://orcid.org/0000-0002-0977-7276

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Integrated cardiovascular risk management care pathways are initiated nationwide to decrease the morbidity, mortality, and costs of cardiovascular diseases. However, evidence on cardiovascular risk management care pathways is needed to support broader scaling up of these initiatives. Aim: To evaluate a Dutch cardiovascular risk management care pathway to identify benefits for patients and professionals and determine working mechanisms for upscaling integrated care initiatives. Methods: Process and clinical indicators: retrospective cohort design combined with quasi-experimental time-series design with longitudinal data (2014 to 2019, n = 3779) examined using an ANOVA with contrasts. Team indicator: a survey. Working mechanisms: multidisciplinary focus groups and interviews with patients. Results: Process, team, and clinical indicators showed that cardiovascular risk management care pathway is beneficial for enhancing quality of care and inter-professional collaboration. Six working mechanisms were identified: boundary spanners, boundary objects, network platform, continuous learning and improvement, mixed-methods evaluation, and multilevel connection for upscaling. Conclusion: Vertical integration formalized in a care pathway benefits both patients and professionals in primary and secondary care settings. Also, evaluation with multiple research methods enables a more comprehensive understanding of the context in which care pathways are implemented and working mechanisms, which is essential for scaling up integrated care initiatives.

Indexed as

benefitsCardiovascular Risk Managementcare pathwayevaluationintegrated careworking mechanisms

Identifiers

PMID40621439
PMCPMC12227094

What OpenQuestion holds

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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.