Evidence map›Paper›PMID 19719536›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2010

Patient involvement in assessing consultation quality: a quantitative study of the Patient Enablement Instrument in Poland.

Teresa R B Pawlikowska, Jeremy J Walker, Pawel R Nowak, Wieslawa Szumilo-Grzesik

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

  1. Pooled it
  2. Patient participation in clinical encounters: a systematic review to identify self-report measures.Health expectations : an international journal of public participation in health care and health policy · 2015
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  10. 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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  13. 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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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.

Teresa R B PawlikowskaAssociate Clinical Professor, Warwick Medical School, The University of Warwick, Coventry, UK. Teresa.Pawlikowska@warwick.ac.uk
Jeremy J Walker
Pawel R Nowak
Wieslawa Szumilo-Grzesik

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPromoting a more patient-responsive service has been the focus of policy initiatives in newer EU states. One measure of success should be the patient's assessment of their consultation with their doctor.

objectivesTo measure consultation quality in Polish primary care using patient enablement (a patient-driven instrument developed in the UK) and to test its theoretical framework. To compare the patient enablement outcome of different types of doctor delivering primary care in Poland following reform.

designCross-sectional quantitative questionnaire survey.

settingRandom sample of primary care doctors practising within a 60-km radius of Gdansk, Poland. SUBJECTS AND OUTCOME MEASURES: Patient Enablement Instrument and correlates were measured in 7924 consecutive adult consultations of 48 doctors, stratified according to training: family medicine specialists (diploma holders), non-diplomates and general medicine doctors (polyclinic internists).

resultsCompletion was high (78%). The mean patient enablement score in Poland was 4.0 (SD 3.3) and mean consultation length was 10.3 min (SD 5.4 min). Consultation length and knowing the doctor are independently related to patient enablement in the Polish context. Variation between doctors is significant, but earlier differences in enablement between alternative providers have largely been ameliorated in practice.

conclusionIt is feasible to use patient enablement on a large scale at routine consultation in primary care in Poland: acceptability was good in diverse environments. The internal consistency of enablement and its relationships broadly mirror those found in the UK. The effect of patient expectations shaped by social and cultural issues influencing enablement outcome requires further investigation.

Indexed as

Patient ParticipationPatient SatisfactionCross-Sectional StudiesFemaleHealth Care ReformHumansMalePolandReferral and Consultation

Identifiers

PMID19719536
PMCPMC5060515

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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.