Evidence map›Paper›PMID 12795729›Full record

Trial reportJournal of general internal medicine2003

Patient choice. A randomized controlled trial of provider selection.

John Hsu, Julie Schmittdiel, Edward Krupat, Terry Stein, David Thom, Bruce Fireman, Joe Selby

Abstract readClinical TrialComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Patient-centered communication: do patients really prefer it?Journal of general internal medicine · 2004
    Trial
  5. Review
  6. Article
  7. Article
  8. Older patients and their GPs: shared decision making in enhancing trust.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Virtual physicians, health systems, and the healing relationship.Journal of general internal medicine · 2003
    Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

John HsuKaiser Permanente Division of Research (JH, TS, BF, JS), Oakland, Calif.,USA. jth@dor.kaiser.org
Julie Schmittdiel
Edward Krupat
Terry Stein
David Thom
Bruce Fireman
Joe Selby

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of an intervention designed to help patients choose a new primary care provider (PCP) compared with the usual method of assigning patients to a new PCP.

designRandomized controlled trial conducted between November 1998 and June 2000.

interventionProvision of telephone or web-based provider-specific information to aid in the selection of a provider.

settingMedical center within a large HMO. PATIENTS: One thousand and ninety patients who were >/=30 years old, whose previous PCP had retired and who responded to a mailed questionnaire 1 year after linkage with a new PCP. MEASUREMENTS AND MAIN

resultsThe questionnaire assessed perceptions of choice, satisfaction, trust, and retention of the PCP. During the intervention period, 85% of subjects obtained a new PCP. Intervention subjects were more likely to perceive that they chose their PCP (78% vs 22%; P <.001), to retain their PCP at 1 year (93% vs 69%; P <.001), and to report greater overall satisfaction with the PCP (67% vs 57%; P <.01), compared to control subjects who were assigned to a PCP. The intervention subjects also reported greater trust in their PCP on most measures, but these differences did not remain statistically significant after adjustments for patient age, gender, ethnicity, education, and health status.

conclusionsEncouraging patients to choose their PCP can result in mutually beneficial outcomes for both patients and providers, such as greater overall satisfaction and duration of the relationship. Further research is needed to identify the types of information most useful in making this choice and to understand the relevant underlying patient expectations.

Indexed as

Choice BehaviorPhysician-Patient RelationsPhysicians, FamilyFemaleHealth Care SurveysHumansMaleMiddle AgedPatient SatisfactionPerceptionTrust

Identifiers

PMID12795729
PMCPMC1494866

What OpenQuestion holds

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Registered trials

None linked

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.