Evidence map›Paper›PMID 30107799›Full record

ArticleBMC health services research2018

Barriers to effective communication between family physicians and patients in walk-in centre setting in Dubai: a cross-sectional survey.

Abdulaziz H Albahri, Alya S Abushibs, Noura S Abushibs

Abstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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  13. Barriers of physician-patient relationships in professionalism: A qualitative study.Journal of advances in medical education & professionalism · 2022
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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

3 authors.

Abdulaziz H AlbahriMedical Education Department, Dubai Healthcare Authority, P.O. Box: 4545, Dubai, United Arab Emirates. albahri.abdulaziz@gmail.com.ORCID http://orcid.org/0000-0001-6305-2295
Alya S AbushibsMedical Education Department, Dubai Healthcare Authority, P.O. Box: 4545, Dubai, United Arab Emirates.
Noura S AbushibsMedical Education Department, Dubai Healthcare Authority, P.O. Box: 4545, Dubai, United Arab Emirates.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective communication between family physicians and their patients is crucial to improving healthcare outcomes and patients' satisfaction. However, the barriers to effective communication have been weakly studied in the Gulf region with no reported studies in Dubai. This study aims to identify the main perceived barriers to effective communication between patients and their family physicians in Dubai from both the physicians' and the patients' viewpoints.

methodsThe study was conducted at 12 primary healthcare centres in Dubai between October 2016 - July 2017. Two self-administered questionnaires were used, one measuring the patients' perceived frequency of encounters with barriers to communication, while the other was for the family physicians' perceived level of risk to communication posed by the barriers. The barriers were assessed in the following four domains: personal characteristics and attitudes, organisational factors, communication of information, and linguistic and cultural factors.

resultsThere were a total of 1122 patients and 170 family physicians, with 75% and 85% response rates, respectively. Having a time limitation was the highest ranking barrier, with 23.4% of patients encountering it half of the time-always, and 50.6% of physicians perceiving it as moderate-very high risk. This was followed by barriers in the communication of information domain, especially not checking the patient's understanding and not educating the patient (16.0-16.9%) from the patients' perception and presentation with multiple problems and not following with a treatment plan (51.2% and 35.9%, respectively), from the physicians' perception. Preoccupation with medical records ranked in the second pentile for the physicians, and in the lowest pentile for the patients. Barriers related to the failure of rapport building and linguistic/cultural factors ranked in the fourth and fifth pentiles for both patients and physicians.

conclusionTime pressure is the major perceived barrier to communication between patients and family physicians. In addition, a greater focus needs to be placed on training the physicians to convey their messages to the patients clearly, checking their understanding and managing poor historians.

Indexed as

Ambulatory Care FacilitiesCommunication BarriersPhysicians, FamilyAdolescentAdultAgedAttitude of Health PersonnelCross-Sectional StudiesFemaleHumansMaleMiddle AgedPatient SatisfactionPhysician-Patient RelationsPrimary Health CareSurveys and QuestionnairesCommunication barriersFamily physiciansFamily practicePatient participationPhysician-patient relationsProfessional-patient relations

Identifiers

PMID30107799
PMCPMC6092839

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LicenceCC BY
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Registered trials

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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.