Evidence map›Paper›PMID 33145866›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2020

Is it worth it?: The experiences of persons with multiple sclerosis as they access health care to manage their condition.

Julie Pétrin, Catherine Donnelly, Mary-Ann McColl, Marcia Finlayson

Open access · goldAbstract read
In one paragraph

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 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. The healthcare needs and general practice utilization of people with acquired neurological disability and complex needs: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  11. Experiences of healthcare for people living with multiple sclerosis and their healthcare professionals.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  12. Article
  13. Relationships and Communication-the core components of person-centred care.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  14. Is it worth it?: The experiences of persons with multiple sclerosis as they access health care to manage their condition.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  15. Barriers to clinical follow-up visits in multiple sclerosis: A nationwide register-based study.Multiple sclerosis journal - experimental, translational and clinical
    Article
  16. Prioritizing the healthcare access concerns of Canadians with MS.Multiple sclerosis journal - experimental, translational and clinical
    Article
  17. Review
  18. Article
  19. 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 at 1 institution in 1 country.

Julie PétrinSchool of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.ORCID 0000-0003-4852-0286
Catherine DonnellySchool of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.
Mary-Ann McCollSchool of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.
Marcia FinlaysonSchool of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.
Queen's University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with multiple sclerosis (MS) require complex care throughout life. Canadians with MS are high users of health-care services, yet still report unmet health-care needs and low satisfaction with services received.

objectiveThis study aimed to investigate the health-care access experiences of Ontarians with MS as they manage their condition. DESIGN AND

participantsInterpretive description guided data collection and analysis. Forty-eight people living across seven communities participated. Thirty-eight participated in one of five focus groups; the remaining 10 participated in an individual semi-structured interview.

resultsParticipants described the experience of accessing care as a decisional process, guided by a form of cost-benefit analysis. The process determined whether seeking conventional health-care services 'is worth it'. Most participants felt that the energy and resources required to access the health-care system outweighed their expected outcomes, based on past experiences. Participants who did not see the benefit of care seeking turned to self-treatment, use of complementary and alternative services, and engaged in patterns of health-care avoidance until a crisis arose. DISCUSSION AND

conclusionFindings suggest that a renewed effort to promote patient-centred care and a biopsychosocial approach may improve the health-care access experiences of persons with MS and reduce service avoidance.

Indexed as

Multiple SclerosisCanadaHealth FacilitiesHealth Services AccessibilityHumansPatient Acceptance of Health Carehealth-care accesshealth-care seekingmultiple sclerosispatient-centred carequalitative

Identifiers

PMID33145866
PMCPMC7696118
OpenAlexW3044866728

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.