Evidence map›Paper›PMID 40677602›Full record

ArticleLearning health systems2025

Exploring implementation of interventions to facilitate integration in fragmented healthcare systems.

Cassandra Bragdon, Rachel Siden, Marcy Winget, Sonia Rose Harris, Rebecca Carey, Justin Ko, Alpa Vyas, Cati Brown-Johnson

Abstract read
In one paragraph

Article in Learning health systems, 2025. 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. 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

8 authors.

Cassandra BragdonEvaluation Sciences Unit, Department of Medicine Stanford University School of Medicine, Stanford University Palo Alto California USA.ORCID https://orcid.org/0009-0009-9269-5738
Rachel SidenEvaluation Sciences Unit, Department of Medicine Stanford University School of Medicine, Stanford University Palo Alto California USA.
Marcy WingetEvaluation Sciences Unit, Department of Medicine Stanford University School of Medicine, Stanford University Palo Alto California USA.
Sonia Rose HarrisSchool of Social Work University of Minnesota Saint Paul Minnesota USA.
Rebecca CareyAmbulatory Services, Stanford Medicine Children's Health Stanford Medicine Palo Alto California USA.
Justin KoOffice of Patient Experience Stanford Health Care Palo Alto California USA.
Alpa VyasOffice of Patient Experience Stanford Health Care Palo Alto California USA.
Cati Brown-JohnsonEvaluation Sciences Unit, Department of Medicine Stanford University School of Medicine, Stanford University Palo Alto California USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Stanford Medicine is working to better coordinate care across the Stanford healthcare system, as well as improve patient and provider experiences in seeking and receiving care. This study aimed to explore the complexities of moving from a fragmented to an integrated academic healthcare system and to identify and explain factors (e.g., facilitators and barriers) of the implementation of three interventions meant to improve patient experience, reduce staff burden, and integrate health care systems across faculty and community settings. Methods: We conducted qualitative semi-structured interviews via Zoom with faculty and community physicians. Interviews were audio-recorded, professionally transcribed, and analyzed using the Consolidated Framework for Implementation Research (CFIR) and open coding. Using consensus coding approaches, researchers met regularly to discuss themes and adaptations to CFIR. Results: We analyzed transcripts from interviews with physicians ( Conclusions: Our results illustrate the challenges and opportunities of moving from a fragmented to an integrated healthcare system and emphasize the importance of building shared culture, collaboration, and coordinated actions across and within an integrated healthcare network.

Indexed as

evaluationimplementation scienceintegrated care systemspatient experiencequalitativequality improvement

Identifiers

PMID40677602
PMCPMC12264391

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.