ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1996
A stakeholder analysis of developments at the primary and secondary care interface.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [A systematic review of therapy coordination between primary and specialist care].Atencion primaria · 2007Pooled it
- Prescribing at the interface between primary and secondary care in the UK. Towards joint formularies?PharmacoEconomics · 1999Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe interface between primary and secondary care has become a major focus of health policy debate, but the differing perspectives of stakeholders on recent developments in policy and practice have seldom been researched.
aimTo examine stakeholder perspectives on the extent of developments at the primary and secondary care interface, and the barriers and opportunities for future development.
methodThis qualitative study was based on semi-structured interviews with a purposive sample of 27 primary and secondary care stakeholders in Southampton and South West Hampshire in 1994. Respondents were asked to identify developments in seven areas: direct access, consultant outreach, shifted services, substituted services, shared care, workload shifts and communication.
resultsKey issues were identified relating to the cultures of primary and secondary care, communication and work-load. Most respondents described an important shift in power from consultants to GPs. Although respondents identified several useful developments at the interface, including improvements in communication and increased direct access facilities, there were relatively few reports of shifts in resources and services to primary care. Respondents identified important continuing barriers to change, including the attitudes of consultants and the individualistic culture of GPs.
conclusionPolicies to "shift the balance' and to further "a primary care-led NHS (National Health Service)' need to address the cultural and political factors which respondents identified as barriers to primary care development.
Indexed as
Identifiers
8978115PMC1239823What OpenQuestion holds
Registered trials
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.