Evidence map›Paper›PMID 42731825›Full record

ArticleBMJ open2026

Qualitative study to explore which components of home-based primary care may reduce emergency department visits among older adults.

Hanna Bring, Monica Bergqvist, Lars L Gustafsson, Karin Modig, Pia Bastholm-Rahmner, Katharina Schmidt-Mende

Abstract read
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Hanna BringDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Huddinge, Sweden hanna.bring@ki.se.ORCID http://orcid.org/0009-0001-3665-9275
Monica BergqvistAcademic Primary Care Centre, Stockholm, Sweden.
Lars L GustafssonDivision of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-0063-552X
Karin ModigInstitute of Environmental Medicine, Unit of Epidemiology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-5151-4867
Pia Bastholm-RahmnerDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Huddinge, Sweden.
Katharina Schmidt-MendeDepartment of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Huddinge, Sweden.ORCID http://orcid.org/0000-0003-0446-8930

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHome-based primary care has been suggested to reduce emergency department visits among vulnerable older adults but how it should be organised to achieve this effect is unclear. This study aimed to increase the understanding of how older adults receiving home-based primary care and their family caregivers' experience care during the period prior to an emergency department visit and to identify components of home-based primary care delivery that could help reduce such visits.

designQualitative study using semi-structured interviews with older adults receiving home-based primary care who had recently visited the emergency department, along with their family caregivers. Interviews were analysed using inductive thematic analysis.

settingInterviews were conducted in the homes of informants receiving home-based primary care in Region Stockholm, Sweden, 2022-2023.

participantsFourteen adults aged ≥65 years receiving home-based primary care who had visited an emergency department within the past 3 months were interviewed; seven interviews also included a family member.

resultsAn overarching theme,

conclusionTrust in both home-based primary care in general and in individual healthcare professionals is crucial in reducing emergency department visits among older adults receiving home-based primary care. Trust may be strengthened by accessible and competent care, familiarity with both general practitioners and the responsible nurse and working as a collaborative team.

Indexed as

Emergency Room VisitsEmergency Service, HospitalHome Care ServicesPrimary Health CareAccess to Primary CareAgedAged, 80 and overCaregiversFemaleHumansInterviews as TopicMaleQualitative ResearchSwedenTrustEmergency Service, HospitalFrail ElderlyPhysiciansPrimary Health Care

Identifiers

PMID42731825
PMCPMC13583700

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.