SynthesisFamily practice2013
Effects of improved patient participation in primary care on health-related outcomes: a systematic review.
Synthesis in Family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient Education and Continuing Medical Education to Promote Shared Decision-Making. A Systematic Literature Review.International journal of environmental research and public health · 2019Pooled it
- Shared decision-making in antihypertensive therapy: a cluster randomised controlled trial.BMC family practice · 2013Trial
- The impact of an integrative healthcare system on longevity in a nonagenarian population in Northern Mexico: an observational study.Archives of public health = Archives belges de sante publique · 2024Article
- Shared decision-making training in general practice: a rapid review.Future healthcare journal · 2023Review
- Challenges of Research on Person-Centered Care in General Practice: A Scoping Review.Frontiers in medicine · 2021Article
- Key stakeholders' views on the quality of care and services available to frail seniors in Canada.BMC geriatrics · 2018Article
- Protocol for a Delphi consensus exercise to identify a core set of criteria for selecting health related outcome measures (HROM) to be used in primary health care.BMC family practice · 2018Article
- Patients' experience of using primary care services in the context of Indonesian universal health coverage reforms.Asia Pacific family medicine · 2017Article
- Outcome-Relevant Effects of Shared Decision Making.Deutsches Arzteblatt international · 2015Review
- Pharmacist checklist and resource guide for mifepristone medical abortion: User-centred development and testing.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPCArticle
- Patient Participation in Nursing Care: Views From Ghanaian Nurses, Nursing Students, and Patients.SAGE open nursingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn primary care, many consultations address symptom-based complaints. Recovery from these complaints seldom exceeds placebo effects. Patient participation, because of its supposed effects on trust and patient expectancies, is assumed to benefit patients' recovery. While the idea is theoretically promising, it is still unclear what the effects of increased patient participation are on patient outcomes. Aim. To review the effects of controlled intervention studies aiming to improve patient participation in face-to-face primary care consultations on patient-oriented and/or disease-oriented outcomes.
methodsThis study is a systematic review. A systematic search was undertaken for randomized controlled trials designed to measure the effects of interventions that aimed to improve adult patients' participation in primary care visits. The CINAHL, Cochrane, EMBASE, PsycINFO and PubMed databases were searched.
resultsSeven different trials fulfilled the inclusion criteria. Three of the studies were related to symptom-based complaints. Five studies measured patient-oriented outcomes, the primary outcome of interest for this review. All studies suffered from substantial bias. Studies varied widely in their aims, types of complaints/diseases, strength of the interventions and their outcomes. The effects on patient-oriented outcomes and disease-oriented outcomes were ambiguous.
conclusionLittle research has been performed on health outcomes of interventions aiming to increase patient participation in general practice visits among patients suffering from symptom-based complaints. The results still are non-conclusive. The quality of the trials has been weak, possibly due to the complexity of the concept. This weak quality may explain the lack of conclusive results. Proposals for future research designs are offered.
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Registered trials
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.