Evidence map›Paper›PMID 25993110›Full record

ArticlePloS one2015

Identifying elements of patient-centered care in underserved populations: a qualitative study of patient perspectives.

Sheela Raja, Memoona Hasnain, Tracy Vadakumchery, Judy Hamad, Raveena Shah, Michelle Hoersch

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
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

27 citing papers in PubMed, 57 citations in OpenAlex.

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  15. User Experience of Symptom Checkers: A Systematic Review.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
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  19. Delivering remote consultations: Talking the talk.Musculoskeletal science & practice · 2021
    Article
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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

6 authors at 2 institutions in 1 country.

Sheela RajaDepartment of Pediatric Dentistry, University of Illinois at Chicago, Chicago, IL, United States of America.
Memoona HasnainDepartment of Family Medicine, University of Illinois at Chicago, Chicago, IL, United States of America.
Tracy VadakumcheryUniversity of Illinois at Chicago, Chicago, IL, United States of America.
Judy HamadUniversity of Illinois at Chicago, Chicago, IL, United States of America.
Raveena ShahUniversity of Illinois at Chicago, Chicago, IL, United States of America.
Michelle HoerschOffice on Women's Health, Region V, U.S. Department of Health and Human Services, Chicago, IL, United States of America.
University of Illinois Chicago · USIllinois Department of Human Services · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patient-centered care is an important goal in the delivery of healthcare. However, many patients do not engage in preventive medical care. In this pilot study, we conducted twenty in depth, semi-structured qualitative interviews at the University of Illinois at Chicago Health Sciences campus in a four month time frame. Many patients were underserved and underinsured, and we wanted to understand their experiences in the healthcare system. Using content analysis, several themes emerged from the interview data. Participants discussed the need for empathy and rapport with their providers. They identified provider behaviors that fostered a positive clinical relationship, including step-by step explanations of procedures, attention to body language and clinic atmosphere, and appropriate time management. Participants identified cost as the most common barrier to engaging in preventive care and discussed children and social support as motivating factors. A long-term relationship with a provider was an important motivator for preventive care, suggesting that the therapeutic alliance was essential to many patients. Conversely, many participants discussed a sense of dehumanization in the healthcare system, reporting that their life circumstances were overlooked, or that they were judged based on insurance status or ethnicity. We discuss implications for provider training and healthcare delivery, including the importance of patient-centered medical homes.

Indexed as

Medically Underserved AreaPatient-Centered CareAdultFemaleHumansMaleMiddle Aged

Identifiers

PMID25993110
PMCPMC4437903
OpenAlexW772503404

What OpenQuestion holds

Textmetadata
LicenceCC0
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.