Evidence map›Paper›PMID 30326721›Full record

ArticleAfrican journal of primary health care & family medicine2018

Perceptions regarding the scope of practice of family doctors amongst patients in primary care settings in Nairobi.

Gulnaz Mohamoud, Bob Mash, Mohamoud Merali, James Orwa, Megan Mahoney

Open access · goldAbstract read
In one paragraph

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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 13% 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.

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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Reasons for patients with non-urgent conditions attending the emergency department in Kenya: A qualitative study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021
    Article
  10. Evaluation of the quality of service delivery in private sector, primary care clinics in Kenya: A descriptive patient survey.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020
    Article
  11. Current status of family medicine in Kenya; family physicians' perception of their role.African journal of primary health care & family medicine · 2020
    Article
  12. Article
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 at 5 institutions in 5 countries.

Gulnaz MohamoudDepartment of Family Medicine, Aga Khan University Hospital. mmgulnaz@yahoo.com.
Bob Mash
Mohamoud Merali
James Orwa
Megan Mahoney
Aga Khan University Hospital · PKAga Khan University Hospital Nairobi · KEStanford University · USStellenbosch University · ZAYahoo (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary care (PC) is the foundation of the Kenyan health care system, providing comprehensive care, health promotion and managing all illnesses across the lifecycle. In the private sector in Nairobi, PC is principally offered by the general practitioners, also known as family doctors (FDs). The majority have no postgraduate training. Little is known about how patients perceive their capability.

aimTo assess patients' perceptions of the scope of practice of FDs working in private sector PC clinics in Nairobi and their awareness of the new category of family physicians (FPs) and the discipline of family medicine.

settingPrivate sector PC clinics in Nairobi.

methodsA descriptive survey using a structured, self-administered questionnaire. Simple random sampling was used to recruit 162 patient participants.

resultsOf the participants, 30% knew the difference between FPs and FDs. There was a high to moderate confidence that FDs could treat common illnesses; provide lifestyle advice; family planning (66%) and childhood immunisations (64%). In adolescents and adults, low confidence was expressed in their ability to manage tuberculosis (58%), human immunodeficiency virus (55%) and cancer (33%). In the elderly, there was low confidence in their ability to manage depression (55%), anxiety (57%), urinary incontinence (57%) and diabetes (59%). There was low confidence in their ability to provide antenatal care (55%) and Pap smears (42%).

conclusionPatients did not perceive that FDs could offer fully comprehensive PC services. These perceptions may be addressed by defining the expected package of care, designing a system that encourages the utilisation of PC and employing FPs.

Indexed as

Attitude to HealthFamily PracticePrimary Health CareAdolescentAdultClinical CompetenceFemaleHumansKenyaMaleMiddle AgedSurveys and QuestionnairesYoung Adultfamily doctorNairobipatient’s perceptionsprimary carerolescope of services

Identifiers

PMID30326721
PMCPMC6191765
OpenAlexW2895742361

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.