Evidence map›Paper›PMID 28761335›Full record

ArticlePatient preference and adherence2017

Primary care patients' expectations regarding medical appointments and their experiences during a visit: does age matter?

Mariusz Jaworski, Marta Rzadkiewicz, Miroslawa Adamus, Joanna Chylinska, Magdalena Lazarewicz, Gørill Haugan, Monica Lillefjell, Geir Arild Espnes, Dorota Wlodarczyk

Open access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  10. Severe Depressive Episode with Psychotic Symptoms and Type 2 Diabetes: A 2010-2017 Longitudinal Study.Medical science monitor : international medical journal of experimental and clinical research · 2019
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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 at 2 institutions in 2 countries.

Mariusz JaworskiDepartment of Medical Psychology, Second Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.
Marta RzadkiewiczDepartment of Medical Psychology, Second Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.
Miroslawa AdamusDepartment of Medical Psychology, Second Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.
Joanna ChylinskaDepartment of Medical Psychology, Second Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.
Magdalena LazarewiczDepartment of Medical Psychology, Second Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.
Gørill HauganDepartment of Public Health and Nursing.
Monica LillefjellDepartment of Neuromedicine and Movement Science, NTNU Center for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway.
Geir Arild EspnesDepartment of Public Health and Nursing.
Dorota WlodarczykDepartment of Medical Psychology, Second Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland.
Medical University of Warsaw · PLNorwegian University of Science and Technology · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is evidence that meeting patients' expectations toward health care correlates with involvement in the treatment they receive. The most important patient expectations concern certain types of information: explanation of disease and treatment, health promotion, and improvement in quality of life. Other demands include proper rapport and emotional support. The aim of this paper was to examine different patient groups over the age of 50 years and their expectations toward medical visits, evaluated before a visit and after the visit. PATIENTS AND

methodsThe study group consisted of 4,921 primary health-care patients. The patients received self-administered questionnaires that they filled in before and after the appointment with the doctor. Interviews with patients were conducted individually by specially trained interviewers. The PRACTA Patient Expectations Scale was used to measure the appointment-related expectations of the patients.

resultsWe observed differences related to age in patients' expectations before medical visits regarding the following factors: disease explanation, treatment explanation, quality of life, rapport, and emotional support. The same differences were not observed on health promotion. Evaluation of patients' appointment-related experiences after the visit showed that there were significant differences between the age-groups regarding all types of expectations included in the study. Differences between previsit and postvisit measurements were statistically significant in all age-groups. Patients who received less than they expected from doctors outnumbered those who received what they expected or more in all the groups.

conclusionPatients' expectations toward medical visits are conditioned by age. Therefore, doctors should pay more attention to requirements related to age in their effort to identify and satisfy expectations. This is particularly important in light of the discrepancy between previsit expectations and the actual experiences of patients evaluated after the visit.

Indexed as

experiencesmedical appointmentpatients expectationsPRACTAprimary care

Identifiers

PMID28761335
PMCPMC5522818
OpenAlexW2736224094

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.