Evidence map›Paper›PMID 27916628›Full record

ArticlePrimary care diabetes2017

Primary care visit preparation and communication for patients with poorly controlled diabetes: A qualitative study of patients and physicians.

Richard William Grant, Andrea Altschuler, Connie Si Uratsu, Gabriela Sanchez, Julie Ann Schmittdiel, Alyce Sophia Adams, Michele Heisler

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Primary care diabetes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02375932 (Pre-Visit Prioritization for Complex Primary Care Patients With Diabetes), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 12% 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.

NCT02375932 nacompletednot on this map

Pre-Visit Prioritization for Complex Primary Care Patients With Diabetes

TypeinterventionalSponsorKaiser PermanenteRan2015 to 2017Enrolled146ConditionsDiabetes Mellitus, Type 2ArmsPre-Visit Tool, Usual Care Control
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. "You Can See the Connections": Facilitating Visualization of Care Priorities in People Living with Multiple Chronic Health Conditions.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2023
    Article
  5. Article
  6. Promoting High-Quality Health Communication Between Young Adults With Diabetes and Health Care Providers.Diabetes spectrum : a publication of the American Diabetes Association · 2021
    Article
  7. Article
  8. Supporting collaborative reflection on personal values and health.Proceedings of the ACM on human-computer interaction · 2021
    Article
  9. Psychometric evaluation of a patient-reported item bank for healthcare engagement.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  10. Article
  11. I am ready to see you now, Doctor! A mixed-method study of the Let's Discuss Health website implementation in Primary Care.Health expectations : an international journal of public participation in health care and health policy · 2021
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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

7 authors at 2 institutions in 1 country.

Richard William GrantDivision of Research, Kaiser Permanente Northern California, Oakland, USA. Electronic address: Richard.W.Grant@KP.org.
Andrea AltschulerDivision of Research, Kaiser Permanente Northern California, Oakland, USA.
Connie Si UratsuDivision of Research, Kaiser Permanente Northern California, Oakland, USA.
Gabriela SanchezDivision of Research, Kaiser Permanente Northern California, Oakland, USA.
Julie Ann SchmittdielDivision of Research, Kaiser Permanente Northern California, Oakland, USA.
Alyce Sophia AdamsDivision of Research, Kaiser Permanente Northern California, Oakland, USA.
Michele HeislerUniversity of Michigan Department of Internal Medicine, Ann Arbor, USA.
Kaiser Permanente · USUniversity of Michigan · US

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Pre-Visit Prioritization for Complex Primary Care Patients with DiabetesR01DK099108 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GRANT, RICHARD W · 2013 to 2017
$3.0M
Mentored Research to Improve Care for Complex Patients with DiabetesK24DK109114 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GRANT, RICHARD W · 2016 to 2020
$914k
NIDDK NIH HHS K24 DK109114NIDDK NIH HHS P30 DK092924NIDDK NIH HHS P30 DK092926NIDDK NIH HHS R01 DK099108
6 · The paper itself

Abstract

objectiveThe purpose of this study was to examine how patients with diabetes and their primary care physicians identify and discuss visit priorities prior to and during visits.

methodsWe conducted a qualitative study involving patients with diabetes (4 focus groups, n=29) and primary care physicians (6 provider practice meeting discussions, n=67).

resultsFour key themes related to prioritization were identified: 1) the value of identifying visit priorities before the visit; 2) challenges to negotiating priorities during the time-limited visit; 3) the importance of "non-medical" priorities; and 4) the need for strategies to help patients prepare for visits. Both patients and physicians felt that identifying a concise list of key priorities in advance of the visit could help establish collaborative visit agendas and treatment plans.

conclusionsIdentifying and communicating mutually agreed upon priorities for discussion is a key challenge for time-limited primary care visits. PRACTICE IMPLICATIONS: Communication between primary care physicians and their patients with diabetes could be improved by strategies that help patients identify their top visit priorities before the visit.

Indexed as

CommunicationOffice VisitsPhysician-Patient RelationsPrimary Health CareAttitude of Health PersonnelChecklistDiabetes Mellitus, Type 2Focus GroupsHealth Knowledge, Attitudes, PracticeHealth PrioritiesHumansPhysicians, Primary CareQualitative ResearchTime FactorsDiabetesDoctor–patient communicationPrimary care

Identifiers

PMID27916628
PMCPMC5340584
OpenAlexW2557818955

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.