Evidence map›Paper›PMID 30305129›Full record

SynthesisReproductive health2018

A systematic review of person-centered care interventions to improve quality of facility-based delivery.

Nicholas Rubashkin, Ruby Warnock, Nadia Diamond-Smith

2 registry-linked trialsOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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.

NCT05019131 nacompletednot on this mapstarted 2021, after this paper: background citation

Addressing Provider Stress and Unconscious Bias to Improve Quality of Maternal Health Care

TypeinterventionalSponsorUniversity of California, San FranciscoRan2021 to 2023Enrolled83ConditionsMaternal Health, Mental Health, Healthcare Provider, Adverse OutcomesArmsTraining, Peer support and mentorship, Leadership engagement, Embedded champions
NCT06085105 nacompletednot on this mapstarted 2024, after this paper: background citation

Caring for Providers to Improve Patient Experience (CPIPE) Study: A Cluster Randomized-controlled Trial to Assess the Impact of the CPIPE Intervention on Person-centered Maternity Care

TypeinterventionalSponsorUniversity of California, San FranciscoRan2024 to 2026Enrolled6,379ConditionsStress, Psychological, Maternal Health, Healthcare Provider, Adverse OutcomesArmsCPIPE Training, Peer support groups, Mentorship, Leadership engagement, Embedded champions
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

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  11. Content and design of respectful maternity care training packages for health workers in sub-Saharan Africa: Scoping review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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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 at 1 institution in 1 country.

Nicholas RubashkinInstitute for Global Health Sciences, University of California, San Francisco, Mission Hall, Box 1224, 550 16th Street, Third Floor, San Francisco, CA, 94158, USA. nicholas.rubashkin@ucsf.edu.ORCID http://orcid.org/0000-0002-6955-0532
Ruby WarnockBixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, Zuckerberg San Francisco General, University of California, San Francisco, 1001 Potrero Avenue, 6D, San Francisco, CA, 94110, USA.
Nadia Diamond-SmithInstitute for Global Health Sciences, University of California, San Francisco, Mission Hall, Box 1224, 550 16th Street, Third Floor, San Francisco, CA, 94158, USA.
University of California, San Francisco · US

Funding

Bill and Melinda Gates Foundation OPP1127467
6 · The paper itself

Abstract

introductionWe conducted a systematic review to summarize the global evidence on person-centered care (PCC) interventions in delivery facilities in order to: (1) map the PCC objectives of past interventions (2) to explore the impact of PCC objectives on PCC and clinical outcomes.

methodsWe developed a search strategy based on a current definition of PCC. We searched for English-language, peer-reviewed and original research articles in multiple databases from 1990 to 2016 and conducted hand searches of the Cochrane library and gray literature. We used systematic review methodology that enabled us to extract and synthesize quantitative and qualitative data. We categorized interventions according to their primary and secondary PCC objectives. We categorized outcomes into person-centered and clinical (labor and delivery, perinatal, maternal mental health).

resultsOur initial search strategy yielded 9378 abstracts; we conducted full-text reviews of 32 quantitative, 6 qualitative, 2 mixed-methods studies, and 7 systematic reviews (N = 47). Past interventions pursued these primary PCC objectives: autonomy, supportive care, social support, the health facility environment, and dignity. An intervention's primary and secondary PCC objectives frequently did not align with the measured person-centered outcomes. Generally, PCC interventions either improved or made no difference to person-centered outcomes. There was no clear relationship between PCC objectives and clinical outcomes.

conclusionsThis systematic review presents a comprehensive analysis of facility-based delivery interventions using a current definition of person-centered care. Current definitions of PCC propose new domains of inquiry but may leave out previous domains.

Indexed as

Delivery, ObstetricPatient-Centered CareFemaleHumansMaternal-Child Health ServicesQuality ImprovementConceptual frameworksFacility-based childbirthInterventionsSystematic review, person-centered care, respectful maternity care

Identifiers

PMID30305129
PMCPMC6180507
OpenAlexW2895960853

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.