Primary care family physicians’ experiences with clinical integration in qualitative and mixed reviews: a systematic review protocol
Introduction Clinical (service) integration in primary care settings describes how comprehensive care is coordinated by family physicians (FPs) over time across healthcare contexts to meet patient care needs. To improve care integration and healthcare service planning, a systematic approach to under...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-07-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/7/e067576.full |
| _version_ | 1827173104849256448 |
|---|---|
| author | David Hall Craig Mitton Diane Lacaille Howard Chang Iraj Poureslami Christie Newton L Olivia Tseng Esther J Lee Krisztina Vasarhelyi |
| author_facet | David Hall Craig Mitton Diane Lacaille Howard Chang Iraj Poureslami Christie Newton L Olivia Tseng Esther J Lee Krisztina Vasarhelyi |
| author_sort | David Hall |
| collection | DOAJ |
| description | Introduction Clinical (service) integration in primary care settings describes how comprehensive care is coordinated by family physicians (FPs) over time across healthcare contexts to meet patient care needs. To improve care integration and healthcare service planning, a systematic approach to understanding its numerous influencing factors is paramount. The objective of this study is to generate a comprehensive map of FP-perceived factors influencing clinical integration across diseases and patient demographics.Methods and analysis We developed the protocol with the guidance of the Joanna Briggs Institute systematic review methodology framework. An information specialist built search strategies for MEDLINE, EMBASE and CINAHL databases using keywords and MeSH terms iteratively collected from a multidisciplinary team. Two reviewers will work independently throughout the study process, from article selection to data analysis. The identified records will be screened by title and abstract and reviewed in the full text against the criteria: FP in primary care (population), clinical integration (concept) and qualitative and mixed reviews published in 2011–2021 (context). We will first describe the characteristics of the review studies. Then, we will extract qualitative, FP-perceived factors and group them by content similarities, such as patient factors. Lastly, we will describe the types of extracted factors using a custom framework.Ethics and dissemination Ethics approval is not required for a systematic review. The identified factors will help generate an item bank for a survey that will be developed in the Phase II study to ascertain high-impact factors for intervention(s), as well as evidence gaps to guide future research. We will share the study findings with various knowledge users to promote awareness of clinical integration issues through multiple channels: publications and conferences for researchers and care providers, an executive summary for clinical leaders and policy-makers, and social media for the public. |
| first_indexed | 2024-03-12T15:22:30Z |
| format | Article |
| id | doaj.art-1de84f50c9ec4fc8b67bf06dae9f2341 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-03-21T03:34:21Z |
| publishDate | 2023-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-1de84f50c9ec4fc8b67bf06dae9f23412024-07-31T11:20:10ZengBMJ Publishing GroupBMJ Open2044-60552023-07-0113710.1136/bmjopen-2022-067576Primary care family physicians’ experiences with clinical integration in qualitative and mixed reviews: a systematic review protocolDavid Hall0Craig Mitton1Diane Lacaille2Howard Chang3Iraj Poureslami4Christie Newton5L Olivia Tseng6Esther J Lee7Krisztina Vasarhelyi8Department of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, CanadaCentre for Clinical Epidemiology and Evaluation (C2E2), Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada2Division of Rheumatology, Department of Medicine, University of British Columbia (UBC)Department of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, CanadaRespiratory Medicine Division, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, CanadaDepartment of Family Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, CanadaComplex Care Program, BC Children`s Hospital, Vancouver, British Columbia, CanadaSimon Fraser University, Vancouver, British Columbia, CanadaIntroduction Clinical (service) integration in primary care settings describes how comprehensive care is coordinated by family physicians (FPs) over time across healthcare contexts to meet patient care needs. To improve care integration and healthcare service planning, a systematic approach to understanding its numerous influencing factors is paramount. The objective of this study is to generate a comprehensive map of FP-perceived factors influencing clinical integration across diseases and patient demographics.Methods and analysis We developed the protocol with the guidance of the Joanna Briggs Institute systematic review methodology framework. An information specialist built search strategies for MEDLINE, EMBASE and CINAHL databases using keywords and MeSH terms iteratively collected from a multidisciplinary team. Two reviewers will work independently throughout the study process, from article selection to data analysis. The identified records will be screened by title and abstract and reviewed in the full text against the criteria: FP in primary care (population), clinical integration (concept) and qualitative and mixed reviews published in 2011–2021 (context). We will first describe the characteristics of the review studies. Then, we will extract qualitative, FP-perceived factors and group them by content similarities, such as patient factors. Lastly, we will describe the types of extracted factors using a custom framework.Ethics and dissemination Ethics approval is not required for a systematic review. The identified factors will help generate an item bank for a survey that will be developed in the Phase II study to ascertain high-impact factors for intervention(s), as well as evidence gaps to guide future research. We will share the study findings with various knowledge users to promote awareness of clinical integration issues through multiple channels: publications and conferences for researchers and care providers, an executive summary for clinical leaders and policy-makers, and social media for the public.https://bmjopen.bmj.com/content/13/7/e067576.full |
| spellingShingle | David Hall Craig Mitton Diane Lacaille Howard Chang Iraj Poureslami Christie Newton L Olivia Tseng Esther J Lee Krisztina Vasarhelyi Primary care family physicians’ experiences with clinical integration in qualitative and mixed reviews: a systematic review protocol BMJ Open |
| title | Primary care family physicians’ experiences with clinical integration in qualitative and mixed reviews: a systematic review protocol |
| title_full | Primary care family physicians’ experiences with clinical integration in qualitative and mixed reviews: a systematic review protocol |
| title_fullStr | Primary care family physicians’ experiences with clinical integration in qualitative and mixed reviews: a systematic review protocol |
| title_full_unstemmed | Primary care family physicians’ experiences with clinical integration in qualitative and mixed reviews: a systematic review protocol |
| title_short | Primary care family physicians’ experiences with clinical integration in qualitative and mixed reviews: a systematic review protocol |
| title_sort | primary care family physicians experiences with clinical integration in qualitative and mixed reviews a systematic review protocol |
| url | https://bmjopen.bmj.com/content/13/7/e067576.full |
| work_keys_str_mv | AT davidhall primarycarefamilyphysiciansexperienceswithclinicalintegrationinqualitativeandmixedreviewsasystematicreviewprotocol AT craigmitton primarycarefamilyphysiciansexperienceswithclinicalintegrationinqualitativeandmixedreviewsasystematicreviewprotocol AT dianelacaille primarycarefamilyphysiciansexperienceswithclinicalintegrationinqualitativeandmixedreviewsasystematicreviewprotocol AT howardchang primarycarefamilyphysiciansexperienceswithclinicalintegrationinqualitativeandmixedreviewsasystematicreviewprotocol AT irajpoureslami primarycarefamilyphysiciansexperienceswithclinicalintegrationinqualitativeandmixedreviewsasystematicreviewprotocol AT christienewton primarycarefamilyphysiciansexperienceswithclinicalintegrationinqualitativeandmixedreviewsasystematicreviewprotocol AT loliviatseng primarycarefamilyphysiciansexperienceswithclinicalintegrationinqualitativeandmixedreviewsasystematicreviewprotocol AT estherjlee primarycarefamilyphysiciansexperienceswithclinicalintegrationinqualitativeandmixedreviewsasystematicreviewprotocol AT krisztinavasarhelyi primarycarefamilyphysiciansexperienceswithclinicalintegrationinqualitativeandmixedreviewsasystematicreviewprotocol |