Evidence map›Paper›PMID 32887562›Full record

ArticleBMC family practice2020

Can patients make heads or tails of enhanced primary health care (EnPHC)? Experience through their own journey.

Mohammad Zabri Johari, Zalilah Abdullah, Ainul Nadziha Mohd Hanafiah, Nur Izzati Mohammed Nadzri, Siti Aisyah Razli, Yuke Lin Kong

Abstract read
In one paragraph

Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

6 authors.

Mohammad Zabri JohariInstitute for Health Behavioural Research, National Institutes of Health, Ministry of Health Malaysia, No: 1, Block B3, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia. mzabri@moh.gov.my.ORCID 0000-0002-8017-622X
Zalilah AbdullahInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, No: 1, Block B2, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.
Ainul Nadziha Mohd HanafiahInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, No: 1, Block B2, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.
Nur Izzati Mohammed NadzriInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, No: 1, Block B2, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.
Siti Aisyah RazliInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, No: 1, Block B2, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.
Yuke Lin KongInstitute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, No: 1, Block B2, Jalan Setia Murni U13/52, 40170, Shah Alam, Selangor, Malaysia.

Funding

National Institutes of Health MY NMRR-17-295-34771
6 · The paper itself

Abstract

backgroundImplementation of the new Enhanced Primary Health Care (EnPHC) intervention aims to improve service quality and experience at primary healthcare clinics; especially to newly diagnosed patients. This was achieved by restructuring and improving existing services to better manage non-communicable diseases amongst patients. Objectives of this study are to explore patients' experiences of the EnPHC intervention, to document their feedback and to determine effects of EnPHC intervention on patients.

methodsThis phenomenological qualitative study focussed on patients' experiences in relation to EnPHC interventions. Participants were purposely selected from a group of patients who attended the eight intervention primary healthcare clinics in Johor and Selangor regularly for treatment. Data collection was conducted between April to July 2018. Semi-structured interviews were conducted at average an hour per interview for four to five patients per clinic. Interviews were audio recorded, transcribed verbatim, coded and analysed using a thematic analysis approach.

resultsA total of 35 patients participated. Analysis revealed five main themes about patient experiences receiving the EnPHC intervention. These are: (1) health assessment in disease progress monitoring, (2) patient-doctor relationship and continuity of care, (3) professionalism in service delivery, (4) ensuring compliance in achieving health targets and (5) communication skills. Each theme represents an important aspect of the service, how it should be delivered within the patient expectations and how it can improve patient's health through their lens.

conclusionEven though patients were not able to exactly identify the EnPHC intervention components implemented, they are able to describe the process changes that occurred; enabling them to improve their healthcare status. Engagement is necessary to better inform patients of the EnPHC intervention, its purpose, mechanisms, changes and importance for healthcare. It would reduce resistance and increase awareness amongst patients at the clinic.

Indexed as

Health PersonnelNoncommunicable DiseasesHumansPatient CompliancePrimary Health CareQualitative ResearchEnhanced primary health careInterventionNon-communicable diseasePatient

Identifiers

PMID32887562
PMCPMC7487683

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.