Evidence map›Paper›PMID 15327462›Full record

SynthesisHealth expectations : an international journal of public participation in health care and health policy2004

A systematic review of the research on communication between patients and health care professionals about medicines: the consequences for concordance.

Fiona A Stevenson, Kate Cox, Nicky Britten, Yenal Dundar

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Health expectations : an international journal of public participation in health care and health policy, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 131 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 8 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

131 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Exploring Communication Dynamics Between Patients and Healthcare Providers in Oncology: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025
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  4. Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument.Health expectations : an international journal of public participation in health care and health policy · 2015
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  8. A systematic review of the research on communication between patients and health care professionals about medicines: the consequences for concordance.Health expectations : an international journal of public participation in health care and health policy · 2004
    Pooled it
  9. Concordance of patient- and clinician-reported outcomes of acute radiation dermatitis in breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  14. Communication and patient participation influencing patient recall of treatment discussions.Health expectations : an international journal of public participation in health care and health policy · 2017
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71 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fiona A StevensonDepartment of Primary Care and Population Sciences, Royal Free and University College School of Medicine, Hampstead, London, UK. f.stevenson@pcps.ucl.ac.uk
Kate Cox
Nicky Britten
Yenal Dundar

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe draw on a systematic review of research on two-way communication between patients and health practitioners about medicines in order to determine the extent to which concordance is, or is not, being put into practice. DATA SOURCES: Six electronic databases were searched using the following categories of search terms: health care professionals, patients/consumers, medicine-taking/prescribing and communication. Articles were also identified from handsearches of journals, article reference lists and the Concordance website. REVIEW

methodsStudies published between 1991 and 2000 were included. Studies were not excluded on the basis of design, methods or language employed. Abstracts of identified articles were assessed by at least two reviewers and the full articles were assessed by one reviewer and checked by at least one other reviewer. Data on the design, analysis and relevant findings were extracted.

resultsA total of 11 801 abstracts were reviewed and 470 full articles were retrieved. Of the 134 articles subsequently included, 116 were descriptive studies. All but 10 of the papers were written in English. There were mixed findings about the extent to which patients feel that their beliefs, experience and preferences about medicines can be shared. Doctors tend to dominate discussions in consultations, although patient participation is associated with positive outcomes. Health care professionals' behaviour can impede as well as enhance patient involvement.

conclusionsThere is little research that examines fundamental issues for concordance such as whether an exchange of views takes place. It is possible that interventions are needed to facilitate the development of concordance in practice.

Indexed as

Drug TherapyProfessional-Patient RelationsHumans

Identifiers

PMID15327462
PMCPMC5060245

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.