Evidence map›Paper›PMID 30293521›Full record

ArticleMedical care research and review : MCRR2020

A Rigorous Approach to Large-Scale Elicitation and Analysis of Patient Narratives.

Mark Schlesinger, Rachel Grob, Dale Shaller, Steven C Martino, Andrew M Parker, Lise Rybowski, Melissa L Finucane, Jennifer L Cerully

Abstract read
In one paragraph

Article in Medical care research and review : MCRR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
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  5. Article
  6. Review
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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

8 authors.

Mark SchlesingerYale University, New Haven, CT, USA.ORCID 0000-0002-7142-8667
Rachel GrobUniversity of Wisconsin Law School, Madison, WI, USA.
Dale ShallerShaller Consulting Group, Stillwater, MN, USA.
Steven C MartinoRAND, Pittsburgh, PA, USA.
Andrew M ParkerRAND, Pittsburgh, PA, USA.
Lise RybowskiThe Severyn Group, Ashburn, VA, USA.
Melissa L FinucaneRAND, Pittsburgh, PA, USA.
Jennifer L CerullyRAND, Pittsburgh, PA, USA.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Consumer Assessment of Healthcare Providers and Systems CAHPS VU18HS016978 · AHRQ · YALE UNIVERSITY · PI CLEARY, PAUL D · 2007 to 2021
$20.3M
Continuation of Consumer Assessment of Healthcare Providers and Systems CAHPS IVU18HS016980 · AHRQ · RAND CORPORATION · PI HAYS, RONALD DALE · 2007 to 2016
$14.7M
Consumer Assessment of Healthcare Providers and Systems V (CAHPS V)U18HS025920 · AHRQ · RAND CORPORATION · PI HAYS, RONALD DALE · 2017 to 2021
$5.6M
Eliciting Patient Experiences to Augment Public Reports on Health Care QualityR21HS021858 · AHRQ · YALE UNIVERSITY · PI SCHLESINGER, MARK J · 2012 to 2014
$929k
AHRQ HHS R21 HS021858AHRQ HHS U18 HS016978AHRQ HHS U18 HS016980AHRQ HHS U18 HS025920NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

Patient narratives have emerged as promising vehicles for making health care more responsive by helping clinicians to better understand their patients' expectations, perceptions, or concerns and encouraging consumers to engage with information about quality. A growing number of websites incorporate patients' comments. But existing comments have fragmentary content, fail to represent less vocal patients, and can be manipulated to "manage" providers' reputations. In this article, we offer the first empirical test of the proposition that patient narratives can be elicited rigorously and reliably using a five-question protocol that can be incorporated into large-scale patient experience surveys. We tested whether elicited narratives about outpatient care are complete (report all facets of patient experience), balanced (convey an accurate mix of positive and negative events), meaningful (have a coherent storyline), and representative (draw fulsome narratives from all relevant subsets of patients). The tested protocol is strong on balance and representativeness, more mixed on completeness and meaningfulness.

Indexed as

NarrationAdultAmbulatory CareDelivery of Health CareHumansInternetMiddle AgedPatient SatisfactionSurveys and Questionnairesmedical consumerismonline ratingspatient narrativesphysician report cardsstar ratings

Identifiers

PMID30293521
PMCPMC6731154

What OpenQuestion holds

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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.