Evidence map›Paper›PMID 30815858›Full record

ArticleHealth services research2019

Patient-centered communication in type 2 diabetes: The facilitating and constraining factors in clinical encounters.

Dagmara Paiva, Liliana Abreu, Ana Azevedo, Susana Silva

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
6.2field-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.

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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Burden of Current Insulin Therapy and Expectations for Future Insulin Therapy: Results from INBEING, a Web-Based Survey in Japan.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
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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

4 authors at 2 institutions in 1 country.

Dagmara PaivaEPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.ORCID 0000-0002-3767-8144
Liliana AbreuEPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.ORCID 0000-0003-1110-6508
Ana AzevedoEPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Susana SilvaEPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto · PTUniversidade do Porto · PT

Funding

MECHANISMS OF LIGAND-INDEPENDENT TRANSFORMATION BY C-ERBK11CA001674 · NCI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI KARNES, WILLIAM E · 1992 to 1996
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FEDER - Operational Programme Competitiveness and Internationalization POCI-01-0145-FEDER-006862FEDER - Operational Programme Competitiveness and Internationalization UID/DTP/04750/2013Fundação para a Ciência e a Tecnologia IF/01674/2015Fundação para a Ciência e a Tecnologia SFRH/BD/78949/2011
6 · The paper itself

Abstract

objectiveTo explore the perceptions of the constraining and facilitating factors to patient-centered communication in clinical encounters of patients with type 2 diabetes and the providers involved in their care. DATA SOURCES/STUDY

settingPatients (n = 12) and providers (n = 33) involved in diabetes care in northern Portugal. STUDY

designSeven focus groups. DATA COLLECTION/EXTRACTION

methodsGrounded theory, using open, axial, and selective coding. PRINCIPAL

findingsPatients focused on the patient-provider relationship, while providers emphasized the constraining factors when exchanging information and the facilitating factors regarding disease and treatment-related behavior. Patients and providers both agreed on some constraints (power imbalance, avoidance of criticism, disease minimization, use of jargon, and insufficient competencies and consistency among providers) and facilitators (seeing patients as persons, providing tailored information in plain language, and recognizing the "wake-up call"). Patients perceived an aggressive attitude as a barrier to communication, but providers perceived it as a facilitator. Patients included issues related to trust, respect, and psychosocial support as important factors to them. Only providers mentioned the influence of macro-level interventions and patients' socioeconomic position as essential factors.

conclusionsImprovements in patient-centered communication depend on fostering the patient-provider relationship, patients' participation and involvement, and training providers' communication skills.

Indexed as

CommunicationPatient SatisfactionPhysician-Patient RelationsAgedAggressionAttitude of Health PersonnelDiabetes Mellitus, Type 2FemaleFocus GroupsHumansMaleMiddle AgedPatient-Centered CarePatient ParticipationPortugalQualitative Researchcommunicationdiabetes mellitus, type 2health personnel, physician-patient relationspatient-centeredpatients

Identifiers

PMID30815858
PMCPMC6505418
OpenAlexW2918223188

What OpenQuestion holds

Textmetadata
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.