Evidence map›Paper›PMID 17166263›Full record

ArticleBMC family practice2006

Why do patients want to have their blood tested? A qualitative study of patient expectations in general practice.

Marloes A van Bokhoven, Marjolein C H Pleunis-van Empel, Hèlen Koch, Richard P T M Grol, Geert-Jan Dinant, Trudy van der Weijden

Abstract read
In one paragraph

Article in BMC family practice, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Strategies to reduce the use of low-value medical tests in primary care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
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  12. Article
  13. 'Primary health care research & development · 2023
    Article
  14. Blood tests in primary care: A qualitative study of communication and decision-making between doctors and patients.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  15. Article
  16. Observational
  17. Observational
  18. Shared decision making about blood tests: secondary analysis of video-recorded primary care consultations.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Article
  19. Article
  20. 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

6 authors.

Marloes A van BokhovenUniversity of Maastricht, Care and Public Health Research Institute, Department of General Practice/Centre for Quality of Care Research, Maastricht, The Netherlands. loes.vanbokhoven@hag.unimaas.nl
Marjolein C H Pleunis-van Empel
Hèlen Koch
Richard P T M Grol
Geert-Jan Dinant
Trudy van der Weijden

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral practitioners often take their impression of patients' expectations into account in their decision to have blood tests done. It is commonly recommended to involve patients in decision-making during consultations. The study aimed to obtain detailed information on patients' expectations about blood tests.

methodsQualitative study among patients in waiting rooms of general practices. Each patient was presented with a short questionnaire about their preferences in terms of diagnostics. Patients who would like blood tests to be done were interviewed.

resultsFifty-seven (26%) of the 224 respondents wanted blood tests. Twenty-two were interviewed. Patients overestimated the qualities of blood tests. Favourable test results were regarded as proof of good health. Patients regarded blood tests as a useful instrument to screen for serious disorders, and were confirmed in this belief by people in their social environment and by the media. Many patients expected their GP to take an active test ordering approach, though some indicated that they might be convinced if their GP proposed a wait-and-see policy.

conclusionsGPs' perceptions about patient expectations seem justified: patients appear to have high hopes for testing as a diagnostic tool. They expect diagnostic certainty without mistakes and a proof of good health. The question is whether it would be desirable to remove patients' misconceptions, allowing them to participate in policy decisions on the basis of sound information, or whether it would be better to leave the misconceptions uncontested, in order to retain the 'magic' of additional tests and reassure patients. We expect that clarifying the precise nature of patients' expectations by the GP may be helpful in creating a diagnostic strategy that satisfies both patients and GPs. GPs will have to balance the benefits of reassuring their patients by means of blood tests which may be unnecessary against the benefits of avoiding unnecessary tests. Further research is needed into the effects of different types of patient information and the effects of testing on satisfaction and anxiety.

Indexed as

AdultDecision MakingDiagnostic ServicesFamily PracticeFemaleHematologic TestsHumansMaleMiddle AgedNetherlandsPatient ParticipationPatient SatisfactionPractice Patterns, Physicians'Qualitative ResearchRural PopulationUrban Population

Identifiers

PMID17166263
PMCPMC1769380

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.