Evidence map›Paper›PMID 19090607›Full record

ArticleCroatian medical journal2008

Patient, physician, and practice characteristics related to patient enablement in general practice in Croatia: cross-sectional survey study.

Zlata Ozvacić Adzić, Milica Katić, Josipa Kern, Durdica Lazić, Venija Cerovecki Nekić, Dragan Soldo

Open access · diamondAbstract read
In one paragraph

Article in Croatian medical journal, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% of its field
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  5. Article
  6. Patient enablement and health-related quality of life for patients with chronic back and knee pain: a cross-sectional study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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  7. Article
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  13. Patient enablement after a consultation with a general practitioner-Explaining variation between countries, practices and patients.Health expectations : an international journal of public participation in health care and health policy · 2020
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  15. Article
  16. PEN-13: A New Generic 13-Item Questionnaire for Measuring Patient Enablement (German Version).International journal of environmental research and public health · 2019
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  18. Health Services Management in Turkey: Failure or Success?International journal of preventive medicine · 2019
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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 at 1 institution in 1 country.

Zlata Ozvacić AdzićDepartment of Family Medicine, Andrija Stampar School of Public Health, Zagreb University School of Medicine, Rockefellerova 4, Zagreb, Croatia. zlata.ozvacic@zg.t-com.hr
Milica Katić
Josipa Kern
Durdica Lazić
Venija Cerovecki Nekić
Dragan Soldo
Andrija Stampar Teaching Institute of Public Health · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the quality of general practice care in Croatia by using patient enablement as a consultation outcome measure and its association with patient, physician, and practice characteristics.

methodsA cross-sectional questionnaire-based study performed from November 2003 to March 2004 included a national stratified random sample of 350 general practitioners, who were asked to collect data on 50 consecutive consultations with their patients aged > or =18 years. Patients provided data on patient enablement (Patient Enablement Instrument, score range 0-12), consultation length, sociodemographic data, how well they knew the physician, health self-assessment, quality of life, and reason for the visit. Physicians provided data on age, sex, vocational training, working experience, educational work, average number of patients per day, and type of practice.

resultsIn 5527 patients, the mean score (+/-standard deviation) for enablement at consultation was 6.6+/-3.3 and the mean consultation length was 11.5+/-5.5 minutes. Logistic regression analysis showed that lack of continuity of care (men: OR, 0.56; 95% CI, 0.47-0.67; women: OR, 0.52; 95% CI, 0.45-0.61), poor self-perceived health (men: OR, 1.76; 95% CI, 1.49-2.07; women: OR, 1.77; 95% CI, 1.53-2.04), low educational level, low quality of life for both sexes and older age in male patients predicted low enablement (P<0.05 for each). Physician age, sex, and average number of patients per day were significantly correlated with enablement for male patients and physician working experience with enablement for female patients (P<0.05 for each).

conclusionPatient enablement score in Croatia is high in comparison with countries such as the UK and Poland. Enablement at consultations was related to the continuity of care and patient health status, and other patient, physician, and practice characteristics, suggesting that these parameters should be considered when assessing quality of care in general practice.

Indexed as

Family PracticePatient ParticipationPhysician-Patient RelationsSelf EfficacyAdultCroatiaCross-Sectional StudiesFemaleHumansMaleMiddle AgedReferral and Consultation

Identifiers

PMID19090607
PMCPMC2621031
OpenAlexW2142153855

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.