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An integrated primary care approach for frail community-dwelling older persons: a step forward in improving the quality of care

Overview of attention for article published in BMC Health Services Research, January 2018
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  • Above-average Attention Score compared to outputs of the same age (64th percentile)
  • Average Attention Score compared to outputs of the same age and source

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24 Dimensions

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142 Mendeley
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Title
An integrated primary care approach for frail community-dwelling older persons: a step forward in improving the quality of care
Published in
BMC Health Services Research, January 2018
DOI 10.1186/s12913-017-2827-6
Pubmed ID
Authors

Lotte Vestjens, Jane M. Cramm, Anna P. Nieboer

Abstract

High-quality care delivery for frail older persons, many of whom have multiple complex needs, is among the greatest challenges faced by healthcare systems today. The Chronic Care Model (CCM) may guide quality improvement efforts for primary care delivery to frail older populations. Objectives of this study were to assess the implementation of interventions in CCM dimensions, and to investigate the quality of primary care as perceived by healthcare professionals, in practices following the Finding and Follow-up of Frail older persons (FFF) integrated care approach and those providing usual care. Structured interviews were conducted with general practitioners (GPs) from 11 intervention practices and 4 control practices to assess the implementation of interventions. A longitudinal survey (12-month period, 2 measurement timepoints) was conducted to assess the quality of primary care as perceived by healthcare professionals (intervention and control GP practices) using the Assessment of Chronic Illness Care Short version (ACIC-S). Independent-samples t-tests were used to assess differences in ACIC-S scores between groups. Interviews were conducted with GPs from the intervention practices to gain a deeper understanding of their experiences with the FFF approach. Intervention practices implemented significantly more interventions congruent with (dimensions of) the CCM compared with control GP practices. With respect to the quality of primary care as perceived by healthcare professionals, mean ACIC-S scores for all CCM dimensions and overall mean ACIC-S scores were significantly higher in the intervention group than in the control group at the follow-up timepoint. The number of implemented interventions was associated positively with perceived quality of primary care (ACIC-S scores) at follow-up. Important motives of GPs to implement the FFF approach were the aging of the population and transformations in the primary care sector. Proactive care delivery and multidisciplinary collaboration were considered to be essential. Major challenges to the implementation and embedding of the FFF approach were structural financing and manpower, and the availability of a facilitating information and communication technology system. Our study showed that proactive, integrated care that is based on (elements of) the CCM may be a step forward in improving quality of care for frail older persons.

X Demographics

X Demographics

The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 142 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 142 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 21 15%
Student > Bachelor 19 13%
Student > Ph. D. Student 15 11%
Researcher 13 9%
Unspecified 13 9%
Other 24 17%
Unknown 37 26%
Readers by discipline Count As %
Nursing and Health Professions 34 24%
Medicine and Dentistry 24 17%
Unspecified 13 9%
Psychology 9 6%
Social Sciences 8 6%
Other 13 9%
Unknown 41 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 January 2018.
All research outputs
#8,273,937
of 25,402,889 outputs
Outputs from BMC Health Services Research
#4,125
of 8,646 outputs
Outputs of similar age
#156,763
of 451,337 outputs
Outputs of similar age from BMC Health Services Research
#98
of 165 outputs
Altmetric has tracked 25,402,889 research outputs across all sources so far. This one has received more attention than most of these and is in the 66th percentile.
So far Altmetric has tracked 8,646 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.2. This one has gotten more attention than average, scoring higher than 51% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 451,337 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 64% of its contemporaries.
We're also able to compare this research output to 165 others from the same source and published within six weeks on either side of this one. This one is in the 40th percentile – i.e., 40% of its contemporaries scored the same or lower than it.