ArticleHealth expectations : an international journal of public participation in health care and health policy2020
Patient enablement after a consultation with a general practitioner-Explaining variation between countries, practices and patients.
Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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.
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Who cites it
6 citing papers in PubMed.
- Enablement After Consultation in Primary Healthcare: How Do Patients and Doctors Cross-Sectionally Evaluate It in Northern Portugal.Patient preference and adherence · 2025Article
- Article
- The influence of cultural and religious factors on cross-national variations in the prevalence of chronic back and neck pain: an analysis of data from the global burden of disease 2019 study.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Good communication was valued as more important than accessibility according to 707 Nordic primary care patients: a report from the QUALICOPC study.Scandinavian journal of primary health care · 2021Article
- Patient enablement after a consultation with a general practitioner-Explaining variation between countries, practices and patients.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Relationships and Communication-the core components of person-centred care.Health expectations : an international journal of public participation in health care and health policy · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundPatient enablement is a concept developed to measure quality in primary health care. The comparative analysis of patient enablement in an international context is lacking.
objectiveTo explain variation in patient enablement between patients, general practitioners (GPs) and countries. To find independent variables associated with enablement.
designWe constructed multi-level logistic regression models encompassing variables from patient, GP and country levels. The proportions of explained variances at each level and odds ratios for independent variables were calculated. SETTING AND
participantsA total of 7210 GPs and 58 930 patients in 31 countries were recruited through the Quality and Costs of Primary Care in Europe (QUALICOPC) study framework. In addition, data from the Primary Health Care Activity Monitor for Europe (PHAMEU) study and Hofstede's national cultural dimensions were combined with QUALICOPC data.
resultsIn the final model, 50.6% of the country variance and 18.4% of the practice variance could be explained. Cultural dimensions explained a major part of the variation between countries. Several patient-level and only a few practice-level variables showed statistically significant associations with patient enablement. Structural elements of the relevant health-care system showed no associations. From the 20 study hypotheses, eight were supported and four were partly supported. DISCUSSION AND
conclusionsThere are large differences in patient enablement between GPs and countries. Patient characteristics and patients' perceptions of consultation seem to have the strongest associations with patient enablement. When comparing patient-reported measures as an indicator of health-care system performance, researchers should be aware of the influence of cultural elements.
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Registered trials
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