Evidence map›Paper›PMID 22098418›Full record

ArticleHealth services research2012

Patient-physician role relationships and patient activation among individuals with chronic illness.

Jeffrey A Alexander, Larry R Hearld, Jessica N Mittler, Jillian Harvey

Abstract read
In one paragraph

Article in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 2 pooled it
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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

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

  1. Barriers and facilitators to primary care engagement for people who inject drugs: A systematic review.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2023
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  20. Patient and Support Person Satisfaction Following a Whole Health-Informed Interdisciplinary Pain Team Meeting.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
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28 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.

Jeffrey A AlexanderDepartment of Health Management and Policy, The University of Michigan, Ann Arbor, MI 48109-2029, USA. jalexand@umich.edu
Larry R Hearld
Jessica N Mittler
Jillian Harvey

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine whether chronically ill patients' perceptions of their role relationships with their physicians are associated with levels of patient activation. DATA SOURCES: Random digit dial survey of 8,140 chronically ill patients and the Area Resource File. STUDY

designCross-sectional, multivariate analysis of the relationship between dimensions of patient-physician role relationships and level of patient activation. The study controlled for variables related to patient demographics, socioeconomic status, health status, and market and family context. PRINCIPAL

findingsHigher perceived quality of interpersonal exchange with physicians, greater fairness in the treatment process, and more out-of-office contact with physicians were associated with higher levels of patient activation. Treatment goal setting was not significantly associated with patient activation.

conclusionPatient-physician relationships are an important factor in patients taking a more active role in their health and health care. Efforts to increase activation that focus only on individual patients ignore the important fact that the nature of roles and relationships between provider and patient can shape the behaviors and attitudes of patients in ways that support or discourage patient activation.

Indexed as

Patient ParticipationPatient SatisfactionPhysician-Patient RelationsChronic DiseaseCross-Sectional StudiesFemaleHealth StatusHumansLeast-Squares AnalysisMaleMiddle AgedMultivariate AnalysisSocioeconomic FactorsUnited States

Identifiers

PMID22098418
PMCPMC3423181

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.