Evidence map›Paper›PMID 29169348›Full record

Observational studyBMC health services research2017

Inpatient satisfaction with medical information received from caregivers: an observational study on the effect of social deprivation.

L Moret, E Anthoine, A Pourreau, F Beaudeau, B Leclère

Abstract readObservational Study
In one paragraph

Observational study in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Socio-economic differences in patient participation behaviours in doctor-patient interactions-A systematic mapping review of the literature.Health expectations : an international journal of public participation in health care and health policy · 2019
    Pooled it
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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

5 authors.

L MoretPublic Health Department, University Hospital, Saint-Jacques Hospital, 85, rue Saint-Jacques, 44093, Nantes Cedex, France. lmoret@chu-nantes.fr.ORCID http://orcid.org/0000-0003-1285-6394
E AnthoinePublic Health Department, University Hospital, Saint-Jacques Hospital, 85, rue Saint-Jacques, 44093, Nantes Cedex, France.
A PourreauPublic Health Department, University Hospital, Saint-Jacques Hospital, 85, rue Saint-Jacques, 44093, Nantes Cedex, France.
F BeaudeauBIOEPAR, INRA, Oniris, 44307, Nantes, France.
B LeclèrePublic Health Department, University Hospital, Saint-Jacques Hospital, 85, rue Saint-Jacques, 44093, Nantes Cedex, France.

Funding

Institut de recherche en santé publique PROG/09/33
6 · The paper itself

Abstract

backgroundThe main objective of this study was to explore the relationships between inpatients' social differentiation and satisfaction with the medical information delivered by caregivers.

methodsIn four departments of a teaching hospital, patients were enrolled as well as their attending physician and one of the nurses assigned to them. Structured survey questionnaires were administered face-to-face to patients and caregivers. Patients were asked to rate their satisfaction with the medical information received, the quality and duration of the interactions with the caregivers, and their experience regarding their involvement in medical decision-making. Caregivers were asked to rate their perception of the patients' social position and involvement in medical decision-making. Social deprivation was assessed using the EPICES score in particular. The statistical analysis was mainly descriptive and completed by a structural equation model.

resultsA sample of 255 patients, 221 pairs of patient-physician and 235 pairs of patient-nurse were considered. One third of the patients (32.7%) were identified as socially deprived. They were significantly less satisfied with the information they received on their health status or their treatment; 56.7% of patients thought that they received sufficient explanations without having to ask. This proportion was significantly lower in socially deprived patients (42.3%) compared to not deprived patients (63.6%, p < 0.01). Patients' reported involvement in medical decision-making was significantly lower for socially deprived patients (75.0% vs 89.0%, p < 0.001). The structural equation model showed that the main determinant of patients' satisfaction regarding medical information was their perceived involvement in informed medical decision-making (CFI = 0.998, RMSEA = 0.022).

conclusionsThese findings suggest that physicians and nurses need training on communication targeted towards vulnerable patients, in order to improve the accessibility of medical information, and thus to reduce health inequalities.

Indexed as

CommunicationNurse-Patient RelationsPatient ParticipationPatient SatisfactionPhysician-Patient RelationsSocial ClassClinical Decision-MakingDecision MakingEducational StatusEmploymentFemaleFranceHumansInpatientsMaleMiddle AgedInpatient satisfactionMedical informationShared decision-makingSocial deprivation

Identifiers

PMID29169348
PMCPMC5701506

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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.