ArticleBMC family practice2013
Preferences, predictions and patient enablement: a preliminary study.
Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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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.
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Who cites it
9 citing papers in PubMed.
- Enablement After Consultation in Primary Healthcare: How Do Patients and Doctors Cross-Sectionally Evaluate It in Northern Portugal.Patient preference and adherence · 2025Article
- Correlation between self-efficacy, fear of movement, empowerment, enablement, and number of visits to physiotherapist among patients with musculoskeletal disorders in primary health care: a feasibility study.Pilot and feasibility studies · 2022Article
- Factors affecting patient enablement in an Asian setting: a mixed methods study.Singapore medical journal · 2020Article
- The validity and reliability of the patient enablement instrument (PEI) after GP appointments in Finnish health care centres.Journal of patient-reported outcomes · 2020Article
- Patient understanding of two commonly used patient reported outcome measures for primary care: a cognitive interview study.BMC family practice · 2018Article
- Nurse practitioner consultations in primary health care: an observational interaction analysis of social interactions and consultation outcomes.Primary health care research & development · 2018Article
- Coping better with health problems after a visit to the family physician: associations with patients and physicians characteristics.BMC family practice · 2018Article
- Patient Enablement After a Single Appointment With a GP: Analysis of Finnish QUALICOPC Data.Journal of primary care & community health · 2017Article
- The modified patient enablement instrument: a Portuguese cross-cultural adaptation, validity and reliability study.NPJ primary care respiratory medicine · 2017Article
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Authors and funding
2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe widely used patient enablement instrument (PEI) is sometimes contrasted against measures of patient satisfaction as being a more objective measure of consultation quality, in that it is less likely to be positively influenced by fulfilling pre-existing expectations for specific consultation outcomes (such as prescriptions or referrals). However the relationship between expectation and enablement is underexplored, as is the relationship between 'expectation' understood as a patient preference for outcome, and patient prediction of outcome. The aims of the study are to 1) assess the feasibility of measuring the relationship between expectation fulfilment and patient enablement, and 2) measure the difference (if any) between expectation understood as preference, and expectation understood as prediction.
methodsA questionnaire study was carried out on 67 patients attending three General Practices in the Australian Capital Territory. Patient preferences and predictions for a range of possible outcomes were recorded prior to the consultation. PEI and the actual outcomes of the consultation were recorded at the conclusion of the consultation. Data analysis compared expectation fulfilment as concordance between the preferred, predicted, and actual outcomes, with the PEI as a dependant variable.
resultsNo statistically significant relationship was found between either preference-outcome concordance and PEI, or prediction-outcome concordance. Statistically insignificant trends in both cases ran counter to expectations; i.e. with PEI (weakly) positively correlated with greater discordance. The degree of concordance between preferred outcomes and predicted outcomes was less than the concordance between either preferred outcomes and actual outcomes, or predicted outcomes and actual outcomes.
conclusionsThe relationship between expectation fulfilment and enablement remains uncertain, whether expectation is measured as stated preferences for specific outcomes, or the predictions made regarding receiving such outcomes. However the lack of agreement between these two senses of 'patient expectation' suggests that explicitly demarcating these concepts during study design is strongly advisable.
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