Evidence map›Paper›PMID 33337921›Full record

ArticleThe European journal of general practice2020

Optimising individual and community involvement in health decision-making in general practice consultations and primary care settings: A way forward.

Anne E MacFarlane

Open access · goldAbstract read
In one paragraph

Article in The European journal of general practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  4. Patient influence on general practice service improvement decision making: a participatory research mixed-methods intervention study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  5. Article
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  7. Refugee and migrants' involvement in participatory spaces in a US practice-based research network study: Responding to unanticipated priorities.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  8. Article
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  11. Editors' choice: the most valued articles published in theThe European journal of general practice · 2021
    Article
  12. Article
  13. 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

1 author at 1 institution in 1 country.

Anne E MacFarlaneSchool of Medicine and Health Research Institute, University of Limerick, Limerick, Ireland.ORCID https://orcid.org/0000-0002-9708-5025
University of Limerick · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The World Health Organisation Alma-Ata Declaration on Primary Healthcare, and the more recent Astana Declaration from the Global Conference on Primary Healthcare, emphasise the involvement of individuals and communities in health decision-making about their individual health care, service delivery and policy development. Increasingly, health funding agencies and academic publishers like the BMJ require Public and Patient Involvement in health research. These imperatives cover health decision-making about different issues in different settings. In this position paper, I argue that individual and community involvement in health decision-making are core to, and useful for, the discipline of general practice but may not be equally familiar or routinised practices in European primary care settings. I use the social science concept of participatory spaces, to describe three overlapping forms of involvement - shared decision-making (SDM) in clinical care, community participation to develop services and Public and Patient Involvement in research. I refer to evidence of implementation challenges for these forms of involvement and provide insights about how to routinise them with reference to the need for these practices to make more sense to general practitioners, for general practitioners to have more time and resources to incorporate them into their daily work and for more research to understand the power dynamics involved. We need leadership in our discipline, and partnership working with policymakers, patient and community organisations, to progress these issues and enable us to optimise benefits for general practitioners, patients and the broader practice population.

Indexed as

Community ParticipationDecision MakingGeneral PracticePatient ParticipationPrimary Health CareReferral and ConsultationHumansPatient-Centered Carecommunity participationGeneral practicepatient-centred careprimary carepublic and patient Involvement in researchshared decision-making

Identifiers

PMID33337921
PMCPMC7751391
OpenAlexW3113151937

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.