Evidence map›Paper›PMID 32644993›Full record

ArticlePloS one2020

What matters to patients? A timely question for value-based care.

Meron Hirpa, Tinsay Woreta, Hilena Addis, Sosena Kebede

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Article
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  9. How Has 'What Matters to You' Been Used for Patient Care? A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2025
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  13. Clinical Dilemmas for the Diagnosis and Treatment ofPediatric gastroenterology, hepatology & nutrition · 2024
    Review
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  15. Article
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  18. 'You have to have a level of trust': Consumer-described health literacy barriers and enablers to engaging with health care professionals.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2023
    Article
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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.

Meron HirpaDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America.ORCID 0000-0002-5183-8992
Tinsay WoretaDivision of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
Hilena AddisClinical Research Unit, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Sosena KebedeJohns Hopkins Community Physicians - Remington, Baltimore, Maryland, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur healthcare system is moving towards patient-centered and value-based care models that prioritize health outcomes that matter to patients. However, little is known about what aspects of care patients would prioritize when presented with choices of desirable attributes and whether these patient priorities differ based on certain demographics.

objectiveTo assess patients' priorities for a range of attributes in ambulatory care consultations across five key health service delivery domains and determine potential associations between patient priorities and certain demographic profiles.

methodsUsing a What Matters to You survey patients ranked in order of importance various choices related to five health service domains (patient-physician relationship, personal responsibility, test/procedures, medications, and cost). Subjects were selected from two Johns Hopkins affiliated primary care clinics and a third gastroenterology subspecialty clinic over a period of 11 months. We calculated the percentage of respondents who selected each quality as their top 1-3 choice. Univariate and multivariate analyses determined demographic characteristics associated with patient priorities.

resultsHumanistic qualities of physicians, leading a healthy lifestyle, shared decision making (SDM) for medications and tests/procedures as well as knowledge about insurance coverage were the most frequently ranked choices. Privately insured and more educated patients were less likely to rank humanistic qualities highly. Those with younger age, higher educational attainment and private insurance had higher odds of ranking healthy lifestyle as a top choice. Those with more education had higher odds of ranking SDM as a top choice.

conclusionsIdentifying what matters most to patients is useful as we move towards patient-centered and Value Based Care Models. Our findings suggest that patients have priorities on qualities they value across key health service domains. Multiple factors including patient demographics can be predictors of these priorities. Elucidating these preferences is a challenging but a valuable step in the right direction.

Indexed as

Patient Acceptance of Health CarePatient PreferenceAdultAgedAged, 80 and overDecision MakingFemaleHealth PrioritiesHumansMaleMiddle AgedPatient ParticipationPhysician-Patient RelationsSurveys and QuestionnairesYoung Adult

Identifiers

PMID32644993
PMCPMC7347201

What OpenQuestion holds

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LicenceCC BY
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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.