Evidence map›Paper›PMID 30608582›Full record

ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2019

Patient experience on self-management support among primary care patients with diabetes and hypertension.

Ming Tsuey Lim, Yvonne Mei Fong Lim, Xin Rou Teh, Yi Lin Lee, Siti Aminah Ismail, Sheamini Sivasampu

Abstract read
In one paragraph

Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2019. 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
–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

12 citing papers in PubMed.

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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

6 authors.

Ming Tsuey LimHealthcare Statistics Unit, National Clinical Research Centre, Ministry of Health, 3rd Floor, MMA House, 124 Jalan Pahang, Kuala Lumpur, Malaysia.
Yvonne Mei Fong LimHealthcare Statistics Unit, National Clinical Research Centre, Ministry of Health, 3rd Floor, MMA House, 124 Jalan Pahang, Kuala Lumpur, Malaysia.
Xin Rou TehHealthcare Statistics Unit, National Clinical Research Centre, Ministry of Health, 3rd Floor, MMA House, 124 Jalan Pahang, Kuala Lumpur, Malaysia.
Yi Lin LeeClinical Research Ward, Ampang Hospital, Ministry of Health, Jalan Mewah Utara, Pandan Mewah, Ampang, Selangor, Malaysia.
Siti Aminah IsmailHealthcare Statistics Unit, National Clinical Research Centre, Ministry of Health, 3rd Floor, MMA House, 124 Jalan Pahang, Kuala Lumpur, Malaysia.
Sheamini SivasampuHealthcare Statistics Unit, National Clinical Research Centre, Ministry of Health, 3rd Floor, MMA House, 124 Jalan Pahang, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the extent of self-management support (SMS) provided to primary care patients with type 2 diabetes (T2D) and hypertension and its associated factors.

designCross-sectional survey conducted between April and May 2017.

settingForty public clinics in Malaysia.

participantsA total of 956 adult patients with T2D and/or hypertension were interviewed.

main outcome measuresPatient experience on SMS was evaluated using a structured questionnaire of the short version Patient Assessment of Chronic Illness Care instrument, PACIC-M11. Linear regression analysis adjusting for complex survey design was used to determine the association of patient and clinic factors with PACIC-M11 scores.

resultsThe overall PACIC-M11 mean was 2.3(SD,0.8) out of maximum of 5. The subscales' mean scores were lowest for patient activation (2.1(SD,1.1)) and highest for delivery system design/decision support (2.9(SD,0.9)). Overall PACIC-M11 score was associated with age, educational level and ethnicity. Higher overall PACIC-M11 ratings was observed with increasing difference between actual and expected consultation duration [β = 0.01; 95% CI (0.001, 0.03)]. Better scores were also observed among patients who would recommend the clinic to friends and family [β = 0.19; 95% CI (0.03, 0.36)], when health providers were able to explain things in ways that were easy to understand [β = 0.34; 95% CI (0.10, 0.59)] and knew about patients' living conditions [β = 0.31; 95% CI (0.15, 0.47)].

conclusionsOur findings indicated patients received low levels of SMS. PACIC-M11 ratings were associated with age, ethnicity, educational level, difference between actual and expected consultation length, willingness to recommend the clinic and provider communication skills.

Indexed as

Diabetes Mellitus, Type 2HypertensionAgedCross-Sectional StudiesFemaleHumansMalaysiaMaleMiddle AgedPatient SatisfactionPrimary Health CareQuality of Health CareSelf-ManagementSurveys and Questionnairespatient assessment of chronic illness carepatient educationprimary healthcareself-managementshared decision-making

Identifiers

PMID30608582
PMCPMC6839370

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.