ArticleAfrican journal of primary health care & family medicine2018
'He should feel your pain': Patient insights on patient-provider communication in Rwanda.
Article in African journal of primary health care & family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 30 citations in OpenAlex.
- Facilitators of good consultations in primary health care clinics in Botswana: a qualitative study of patients' and doctors' views.BMC primary care · 2026Article
- Women's participation in a disease management intervention for podoconiosis in northern Rwanda: understanding the context of women's lives.International journal for equity in health · 2026Article
- Adaptation of a Serious Illness Communication Training Intervention for the Rwandan Context.Journal of pain and symptom management · 2026Article
- Setting the stage for communication skills training in Rwandan cancer care: a qualitative study of local priorities and key contextual factors.BMC palliative care · 2025Article
- Perception of patient-centred care and its relationship with management outcomes and complications among patients with DM in Malawi.BMJ open · 2025Article
- A qualitative analysis of unintended effects of a digital conditional cash transfer intervention to encourage healthcare utilization in Southern Madagascar.BMC health services research · 2025Article
- Barriers and outcomes of therapeutic communication between nurses and patients in Africa: a scoping review.BMC nursing · 2024Article
- Patients' experiences undergoing breast evaluation in Rwanda's Women's Cancer Early Detection Program.Breast cancer research and treatment · 2023Article
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- An insight into patients' perspectives on barriers affecting participation in shared decision making among patients with diabetes mellitus in Malawi.BMC primary care · 2022Article
- Medication Adherence and Blood Pressure Control Among Hypertensive Outpatients Attending a Tertiary Cardiovascular Hospital in Tanzania: A Cross-Sectional Study.Integrated blood pressure control · 2022Article
- Shared decision-making between health care providers and patients at a tertiary hospital diabetic Clinic in Tanzania.BMC health services research · 2021Article
- Article
- Patient-centred care: The patients' perspective - A mixed-methods pilot study.African journal of primary health care & family medicine · 2020Article
- Health literacy among participants from neighbourhoods with different socio-economic statuses in the southern region of Hungary: a pilot study.BMC public health · 2020Article
- What do we know about patient-provider interactions in sub-Saharan Africa? a scoping review.The Pan African medical journal · 2020Article
- Translation, Adaptation, and Assessment of the Communication Assessment Tool in Tigray, Northern Ethiopia.Journal of graduate medical education · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient-provider communication is an interpersonal interaction between a patient and a health care provider.
objectiveThis study explored patients' communication preferences and perceptions on what factors influence the patient-provider communication in primary health care settings in Rwanda.
methodsIn-depth semi-structured interviews with 15 individuals including 8 with limited literacy. A thematic inductive analysis was used.
resultsPatients valued communication with providers and expressed the need for interacting with caring, empathic providers who can share all the information they want and involve them in their own care. Health literacy and power issues were factors that may influence patient-provider communication. Patients with limited literacy appeared to rely highly on health care providers for making decisions about and managing their health care.
conclusionThe expressed preferences, including those of patients with limited literacy, aligned well with the patient-centred care model. There were indications of a power imbalance weighing on the provider's side. Although patients with limited literacy were reliant on providers for decision-making, they were ready to be more involved in the care, suggesting a potential for improved patient involvement even for patients with paternalistic care preferences. These patients' insights can impact policies and curricula to optimise clinical practice. Generated knowledge will contribute to the indispensable yet underdeveloped field of health communication in sub-Saharan Africa. PRACTICE IMPLICATIONS: Findings call for more inclusion of patient perspectives in the patient-provider encounter. This could require more training of professionals and research on the topic, both in Rwanda and in other regions.
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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.