Evidence map›Paper›PMID 25593904›Full record

ArticleFrontiers in medicine2014

Having a Family Doctor is Associated with Some Better Patient-Reported Outcomes of Primary Care Consultations.

Cindy L K Lam, Esther Y T Yu, Yvonne Y C Lo, Carlos K H Wong, Stewart M Mercer, Daniel Y T Fong, Albert Lee, Tai Pong Lam, Gabriel M Leung

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01422031 (Utilization Pattern of Primary Health Care Services in Hong Kong - Does Having a Family Doctor Make Any Difference?), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

NCT01422031 completednot on this map

Utilization Pattern of Primary Health Care Services in Hong Kong - Does Having a Family Doctor Make Any Difference?

TypeobservationalSponsorThe University of Hong KongRan2007 to 2008Enrolled3,148ConditionsPrimary Care, Health Services Utilization, Family Practice
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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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

9 authors.

Cindy L K LamDepartment of Family Medicine and Primary Care, The University of Hong Kong , Hong Kong , China.
Esther Y T YuDepartment of Family Medicine and Primary Care, The University of Hong Kong , Hong Kong , China.
Yvonne Y C LoDepartment of Family Medicine and Primary Care, The University of Hong Kong , Hong Kong , China.
Carlos K H WongDepartment of Family Medicine and Primary Care, The University of Hong Kong , Hong Kong , China.
Stewart M MercerSection of General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow , Glasgow , UK.
Daniel Y T FongSchool of Nursing, The University of Hong Kong , Hong Kong , China.
Albert LeeCentre for Health Education and Health Promotion, The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong , Hong Kong , China.
Tai Pong LamDepartment of Family Medicine and Primary Care, The University of Hong Kong , Hong Kong , China.
Gabriel M LeungSchool of Public Health, The University of Hong Kong , Hong Kong , China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHong Kong (HK) has pluralistic primary care that is provided by a variety of doctors. The aim of our study was to assess patient-reported outcomes of primary care consultations in HK and whether having a family doctor (FD) made any difference.

methodsWe interviewed by telephone 3148 subjects from 5174 contacted households (response rate 60.8%) randomly selected from the general population of HK about the experience of their last primary care consultations in September 2007 and April 2008. We compared the patient-reported outcomes (PRO) and patient-centered process of care in those with a FD, those with other types of regular primary care doctors (ORD) and those without any regular primary care doctor (NRD). PRO included patient enablement, global improvement in health, overall satisfaction, and likelihood of recommending their doctors to family and friends. Patient-centered process of care indicators was explanations about the illness, and address of patient's concerns.

resultsOne thousand one hundred fifty, 746, and 1157 reported to have FD, ORD, and NRD, respectively. Over 80% of those with FD consulted their usual primary care doctors in the last consultation compared with 27% of those with NRD. Compared with subjects having ORD or NRD, subjects with FD reported being more enabled after the consultation and were more likely to recommend their doctors to family and friends. Subjects with FD and ORD were more likely than those having NRD to report a global improvement in health and satisfaction. FD group was more likely than the other two groups to report receiving an explanation on the diagnosis, nature, and expected course of the illness, and having their concerns addressed. Patient enablement was associated with explanation of diagnosis, nature, and expected course of illness, and address of patient's concerns.

conclusionPeople with a regular FD were more likely to feel being enabled and to experience patient-centered care in consultations.

Indexed as

family doctorpatient-centered carepatient enablementpatient-reported outcomesprimary care

Identifiers

PMID25593904
PMCPMC4292188

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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.