Evidence map›Paper›PMID 15713170›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2005

Physicians' opinions on patients' requests for specific treatments and examinations.

Hanna K Toiviainen, Lauri Vuorenkoski, Elina Hemminki

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. A survey of neurologists on bothersome patient behaviors.MedGenMed : Medscape general medicine · 2006
    Article
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

3 authors.

Hanna K ToiviainenSTAKES National Research and Development Centre for Welfare and Health, Health and Social Services, Helsinki, Finland. hanna.toiviainen@stakes.fi
Lauri Vuorenkoski
Elina Hemminki

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe number of technologies used in health care is growing, patients' educational level has risen, health and drug information is increasingly available and patients today are actively looking for information from different sources. The aim of the study was to investigate physicians' opinions on patients' requests for specific treatments and examinations.

designThe data were gathered as part of an annual physician's survey sent to all Finnish physicians (n=16,698) by the Finnish Medical Association in March 2002. The response rate was 85% (n=14,157). Physicians involved in clinical work were selected for this study (n=12,255).

resultsHalf (53%, n=6,521) of the clinicians reported either 'very often', or 'often' receiving requests from patients for specific treatments or examinations, and of them, 76% (n=4,972) reported an increase in such requests. The younger clinicians received more often patient requests. Women physicians, those working in health centres, and non-specialized clinicians reported more experience of, and an increase in patients making requests. Of those clinicians who received patient requests 'very often' or 'often', 24% (n=1,595) considered such requests as having a positive, and 43% (n=2,808) a negative, effect on patient care and interaction; clinicians who did not receive many patient requests had similar opinions. Older, men, those working in private practice and specialized clinicians had a more positive attitude towards such requests than other clinicians. The reasons given for the positive and negative opinions were varied.

conclusionsActive patients (consumer patients) are a reality in the Finnish health care system. Physicians have varying opinions on this phenomenon.

Indexed as

Physical ExaminationPhysician-Patient RelationsTherapeuticsAdultFemaleFinlandHumansMaleMiddle AgedPhysicians

Identifiers

PMID15713170
PMCPMC5060275

What OpenQuestion holds

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Registered trials

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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.