FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2896609739> ?p ?o ?g. }

• W2896609739 abstract "Introduction : Multispecialty Community Providers (MCPS) aim to provide horizontal coordination of care via networks of primary care providers (general practice, community health services, mental health, ambulance, etc.) and non-health services (e.g. voluntary sector, social services etc.). MCPs are also expected to improve the quality, continuity and coordination of care for people with chronic health problems. Our Realist Synthesis identified policy assumptions about how MCPs are thought to achieve outcomes and the extent to which these were supported by evidence. Improvements to patient experiences of care was also an expected outcome of MCP care. We explored the evidence for this outcome. Theory/Methods : Three stage synthesis: 1) Review of policy material to identify the underlying programme theory (PT) for MCPs. This work surfaced policy makers assumptions about how MCPs would achieve their outcomes. These were elicited from policy documents and ‘think-tanks’ with stakeholders. We searched Health Management Information Consortium (HMIC) database, and the King’s Fund database. The elaboration of the policy-makers’ assumptions about MCPs provided search terms for the second stage.  2) A systematic literature review and synthesis of secondary evidence mapped to the initial PT. We searched for evidence of the ‘causal links’ in the initial PT by searching databases: MEDLINE, PsycINFO, CINAHL, and ASSIA. 1319 titles/abstracts reviewed in two rounds, and 116 selected for full-text data extraction. Secondary data were extracted and synthesised into a framework reflecting causal links in the initial PT. We used the Mixed Methods Appraisal (MMAT) and the Assessment of Multiple Systematic Reviews (AMSTAR) tools to assess quality and validity. 3) Comparison (and reformulation) of original PT based on secondary evidence and identification and focus on all studies measuring patient experience as an outcome (e.g. goal setting, care planning at a patient level etc.). Results : We found supporting evidence that if MCPs implement care planning at a patient level then patient experiences of care improve. The evidence was less strong for improvements in patient experience as a consequence of diversion from in-patient care. MDTs and boundary spanning roles helped improve patient experience. There was emerging evidence that MDTs and boundary spanning roles facilitated the delivery of person centred care by improvements in care planning and access to services. Discussion : Individuals with complex needs or those with long term conditions commonly report poor experiences of care (5, 6), particularly care from multiple organisations (7). Our review suggests that MCPs can improve patient experiences of care by providing tailored and accessible coordinated care. Conclusions : Patients’ experiences of care have the potential to improve if care planning at a patient level becomes prevalent and delivered through MDTs and/or professionals with boundary spanning roles.  Lessons learned : MDTs and boundary spanning roles are potential mechanisms to improve the experiences of care. Limitations : Due to the large volume of material we only included studies published 2014-2016; reviews covered earlier periods. Suggestions for future research : Changes in organisational culture was a potential mechanism associated with improvements in patient experience. Primary research that explore how this works would help unpack this newly identified mechanism." @default.
• W2896609739 created "2018-10-26" @default.
• W2896609739 creator A5004599232 @default.
• W2896609739 creator A5008760864 @default.
• W2896609739 creator A5035218377 @default.
• W2896609739 creator A5041044596 @default.
• W2896609739 creator A5049864519 @default.
• W2896609739 creator A5052945631 @default.
• W2896609739 creator A5069624713 @default.
• W2896609739 date "2018-10-23" @default.
• W2896609739 modified "2023-09-23" @default.
• W2896609739 title "Patient Experiences of Care from Multi-Speciality Community Providers: Findings from a Realist Synthesis of International Evidence" @default.
• W2896609739 doi "https://doi.org/10.5334/ijic.s2032" @default.
• W2896609739 hasPublicationYear "2018" @default.
• W2896609739 type Work @default.
• W2896609739 sameAs 2896609739 @default.
• W2896609739 citedByCount "0" @default.
• W2896609739 crossrefType "journal-article" @default.
• W2896609739 hasAuthorship W2896609739A5004599232 @default.
• W2896609739 hasAuthorship W2896609739A5008760864 @default.
• W2896609739 hasAuthorship W2896609739A5035218377 @default.
• W2896609739 hasAuthorship W2896609739A5041044596 @default.
• W2896609739 hasAuthorship W2896609739A5049864519 @default.
• W2896609739 hasAuthorship W2896609739A5052945631 @default.
• W2896609739 hasAuthorship W2896609739A5069624713 @default.
• W2896609739 hasBestOaLocation W28966097391 @default.
• W2896609739 hasConcept C138816342 @default.
• W2896609739 hasConcept C15744967 @default.
• W2896609739 hasConcept C159110408 @default.
• W2896609739 hasConcept C160735492 @default.
• W2896609739 hasConcept C17744445 @default.
• W2896609739 hasConcept C189708586 @default.
• W2896609739 hasConcept C199539241 @default.
• W2896609739 hasConcept C27415008 @default.
• W2896609739 hasConcept C2777466982 @default.
• W2896609739 hasConcept C2779473830 @default.
• W2896609739 hasConcept C2779549880 @default.
• W2896609739 hasConcept C2780877353 @default.
• W2896609739 hasConcept C2781145037 @default.
• W2896609739 hasConcept C41008148 @default.
• W2896609739 hasConcept C56739046 @default.
• W2896609739 hasConcept C71924100 @default.
• W2896609739 hasConceptScore W2896609739C138816342 @default.
• W2896609739 hasConceptScore W2896609739C15744967 @default.
• W2896609739 hasConceptScore W2896609739C159110408 @default.
• W2896609739 hasConceptScore W2896609739C160735492 @default.
• W2896609739 hasConceptScore W2896609739C17744445 @default.
• W2896609739 hasConceptScore W2896609739C189708586 @default.
• W2896609739 hasConceptScore W2896609739C199539241 @default.
• W2896609739 hasConceptScore W2896609739C27415008 @default.
• W2896609739 hasConceptScore W2896609739C2777466982 @default.
• W2896609739 hasConceptScore W2896609739C2779473830 @default.
• W2896609739 hasConceptScore W2896609739C2779549880 @default.
• W2896609739 hasConceptScore W2896609739C2780877353 @default.
• W2896609739 hasConceptScore W2896609739C2781145037 @default.
• W2896609739 hasConceptScore W2896609739C41008148 @default.
• W2896609739 hasConceptScore W2896609739C56739046 @default.
• W2896609739 hasConceptScore W2896609739C71924100 @default.
• W2896609739 hasLocation W28966097391 @default.
• W2896609739 hasLocation W28966097392 @default.
• W2896609739 hasOpenAccess W2896609739 @default.
• W2896609739 hasPrimaryLocation W28966097391 @default.
• W2896609739 hasRelatedWork W1676173613 @default.
• W2896609739 hasRelatedWork W2132247281 @default.
• W2896609739 hasRelatedWork W2202395460 @default.
• W2896609739 hasRelatedWork W2522776109 @default.
• W2896609739 hasRelatedWork W2537576125 @default.
• W2896609739 hasRelatedWork W2886977487 @default.
• W2896609739 hasRelatedWork W2896385384 @default.
• W2896609739 hasRelatedWork W2908231965 @default.
• W2896609739 hasRelatedWork W2913695460 @default.
• W2896609739 hasRelatedWork W3159222821 @default.
• W2896609739 isParatext "false" @default.
• W2896609739 isRetracted "false" @default.
• W2896609739 magId "2896609739" @default.
• W2896609739 workType "article" @default.