Evidence map›Paper›PMID 31660866›Full record

Observational studyBMC family practice2019

Impact on core values of family medicine from a 2-year Master's programme in Gezira, Sudan: observational study.

Khalid Gaffer Mohamed, Steinar Hunskaar, Samira Hamid Abdelrahman, Elfatih Mohamed Malik

Abstract readObservational Study
In one paragraph

Observational study in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
  8. 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

4 authors.

Khalid Gaffer MohamedDepartment of Family and Community Medicine, Faculty of Medicine Medina, University of Taibah, Medina, Saudi Arabia.
Steinar HunskaarDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway. steinar.hunskar@uib.no.ORCID 0000-0001-9602-6034
Samira Hamid AbdelrahmanDepartment of Family and Community Medicine, University of Gezira, Medani, Sudan.
Elfatih Mohamed MalikDepartment of Community Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraining of family physicians should include not only clinical and procedural skills, but also core values as comprehensive care, continuity of care, leadership and patient-centeredness. The Gezira Family Medicine Project (GFMP) is a 2 years Master's programme in family medicine in Sudan. We assessed the impact of GFMP on the candidates' adherence to some core values of family medicine.

methodsThis is a prospective study with before-after design based on repeated surveys. We used Patient-Practitioner Orientation Scale (PPOS) to assess physicians' attitude towards patient-centeredness. Practice based data from individual patients' consultations and self-assessment methods were used to assess physicians' adherence to core values.

resultsAt the end of the programme the candidates (N = 110) were significantly more active in community health promotion (p <  0.001), more confident as a team leader (p = 0.008), and showed increased adherence to national guidelines for managing diabetes (p = 0.017) and hypertension (p = 0.003). The responding candidates had more knowledge about patients' medical history (p <  0.001), family history (p < 0.001) and family situation (p < 0.001). There were more planned follow up consultations (p < 0.001) and more referrals (p = 0.040). In contrast, results from PPOS showed slightly less orientation towards patient-centeredness (p = 0.007).

conclusionsThe GFMP Master's programme induced a positive change in adherence to several core values of family medicine. The candidates became less patient-centered.

Indexed as

Attitude of Health PersonnelComprehensive Health CareContinuity of Patient CareCurriculumFemaleGuideline AdherenceHumansMalePatient-Centered CarePhysicians, FamilyProspective StudiesSudanAfricaAttitudeGeneral practicePatient-centred carePrinciplesSudan

Identifiers

PMID31660866
PMCPMC6816210

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.