The impact of the quality of communication from nephrologists to primary care practitioners: a literature review

Jiwa, Moyez; Chakera, Aron; Ossolinski, Gemma; Hewitt, Vivien

doi:10.1185/03007995.2014.936932

Cited by 5 publications

(3 citation statements)

References 44 publications

(50 reference statements)

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“…Three reviews [161–163] ( n = 44 studies) of moderate- to high-quality evaluated communication as an intervention reporting inconclusive results. One review [161] uniquely assessed whether patients benefit from improved communication between primary healthcare practitioners and nephrologists.…”

Section: Resultsmentioning

confidence: 99%

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Behavior change interventions and policies influencing primary healthcare professionals’ practice—an overview of reviews

et al. 2017

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BackgroundThere is a plethora of interventions and policies aimed at changing practice habits of primary healthcare professionals, but it is unclear which are the most appropriate, sustainable, and effective. We aimed to evaluate the evidence on behavior change interventions and policies directed at healthcare professionals working in primary healthcare centers.MethodsStudy design: overview of reviews.Data source: MEDLINE (Ovid), Embase (Ovid), The Cochrane Library (Wiley), CINAHL (EbscoHost), and grey literature (January 2005 to July 2015).Study selection: two reviewers independently, and in duplicate, identified systematic reviews, overviews of reviews, scoping reviews, rapid reviews, and relevant health technology reports published in full-text in the English language.Data extraction and synthesis: two reviewers extracted data pertaining to the types of reviews, study designs, number of studies, demographics of the professionals enrolled, interventions, outcomes, and authors’ conclusions for the included studies. We evaluated the methodological quality of the included studies using the AMSTAR scale. For the comparative evaluation, we classified interventions according to the behavior change wheel (Michie et al.).ResultsOf 2771 citations retrieved, we included 138 reviews representing 3502 individual studies. The majority of systematic reviews (91%) investigated behavior and practice changes among family physicians. Interactive and multifaceted continuous medical education programs, training with audit and feedback, and clinical decision support systems were found to be beneficial in improving knowledge, optimizing screening rate and prescriptions, enhancing patient outcomes, and reducing adverse events. Collaborative team-based policies involving primarily family physicians, nurses, and pharmacists were found to be most effective. Available evidence on environmental restructuring and modeling was found to be effective in improving collaboration and adherence to treatment guidelines. Limited evidence on nurse-led care approaches were found to be as effective as general practitioners in patient satisfaction in settings like asthma, cardiovascular, and diabetes clinics, although this needs further evaluation. Evidence does not support the use of financial incentives to family physicians, especially for long-term behavior change.ConclusionsBehavior change interventions including education, training, and enablement in the context of collaborative team-based approaches are effective to change practice of primary healthcare professionals. Environmental restructuring approaches including nurse-led care and modeling need further evaluation. Financial incentives to family physicians do not influence long-term practice change.Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-016-0538-8) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

“…One review [161] uniquely assessed whether patients benefit from improved communication between primary healthcare practitioners and nephrologists. The review found little evidence of benefit from enhancing the quality of letters from specialists to primary healthcare practitioners.…”

Section: Resultsmentioning

confidence: 99%

Behavior change interventions and policies influencing primary healthcare professionals’ practice—an overview of reviews

et al. 2017

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“…This body of work largely consists of studies of the extent and consequences of late referral [ 7 ] and of enablers and barriers to collaboration [ 21 22 23 ]. Few studies test coordinated care interventions aimed explicitly at bridging primary care and nephrology via shared care models that go beyond the use of one-way consult letters or notes [ 24 25 26 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing the Delivery of Coordinated Care to Patients with Advanced Chronic Kidney Disease in Ontario, Canada: A Survey of Patients and Healthcare Professionals

Evans

Wheeler

Sati

et al. 2021

International Journal of Integrated Care

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Introduction: Patients with advanced Chronic Kidney Disease (CKD) have complex health needs, and thus require care that is coordinated across professionals and organizations. This study aimed to describe the extent of coordinated care delivery for patients with advanced CKD from the perspectives of both patients and healthcare professionals. Methods:The Coordination Scale of the Patient Assessment of Chronic Illness Care (PACIC-26) survey was administered to a random sample of 14,257 patients on maintenance dialysis or receiving care in end-stage kidney disease preparation clinics in Ontario, Canada. A five-item survey was administered to 596 multidisciplinary nephrology professionals.Results: Among the 1,925 patient respondents, 67% reported they had been referred to an allied health professional; 19% had been encouraged to attend programs in the community; and 34% had been told how their visits with other types of doctors helped their treatment (% reporting "always" or "most of the time"). Patient responses were significantly different by treatment modality/setting, but not by gender or geographic location of treatment facility. Among the 276 professional respondents, 37% reported their patients' care was well-coordinated across settings; 56% reported participating in interdisciplinary care planning discussions; and 53% reported they are aware of appropriate home and community services to support their patients (% reporting "always" or "most of the time"). Conclusion:The results suggest that care for patients with advanced CKD in Ontario is not consistently coordinated. Healthcare professionals may enhance patient perceptions of coordinated care through explicit communication with patients about how the professionals they see and treatments or services they receive influence their overall health and well-being. At a systems level, there is a need to improve professional awareness of and linkages to home-and community-based services.

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Communicating diagnostic certainty of psychogenic nonepileptic seizures — a national study of provider documentation

Altalib

Elzamzamy

Pugh³

et al. 2016

Epilepsy & Behavior

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The impact of the quality of communication from nephrologists to primary care practitioners: a literature review

Cited by 5 publications

References 44 publications

Behavior change interventions and policies influencing primary healthcare professionals’ practice—an overview of reviews

Behavior change interventions and policies influencing primary healthcare professionals’ practice—an overview of reviews

Assessing the Delivery of Coordinated Care to Patients with Advanced Chronic Kidney Disease in Ontario, Canada: A Survey of Patients and Healthcare Professionals

Communicating diagnostic certainty of psychogenic nonepileptic seizures — a national study of provider documentation

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