Evidence map›Paper›PMID 33416425›Full record

SynthesisHealth security

What Factors Influence Symptom Reporting and Access to Healthcare During an Emerging Infectious Disease Outbreak? A Rapid Review of the Evidence.

Patrice Carter, Odette Megnin-Viggars, G James Rubin

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Health security. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 22% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The impact of prolapse to canal ratio (PCR) in cauda equina syndrome outcomes and operative management.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Mpox awareness and vaccination willingness among a household cohort in Matlab, Bangladesh.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Oncology patients' willingness to report their medication safety concerns from home: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  14. Article
  15. Factors Associated with Delayed Diagnosis among Patients with COVID-19 in Okinawa, Japan.International journal of environmental research and public health · 2022
    Article
  16. 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

3 authors at 1 institution in 1 country.

Patrice CarterPatrice Carter, PhD, and Odette Megnin-Viggars, PhD, are Senior Systematic Reviewers; both at the Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. Patrice Carter is also a Senior Systematic Reviewer, Health Economics & Outcomes Research Ltd, Cardiff, UK. G. James Rubin, PhD, is Assistant Director, Health Protection Unit in Emergency Preparedness and Response, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
Odette Megnin-ViggarsPatrice Carter, PhD, and Odette Megnin-Viggars, PhD, are Senior Systematic Reviewers; both at the Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. Patrice Carter is also a Senior Systematic Reviewer, Health Economics & Outcomes Research Ltd, Cardiff, UK. G. James Rubin, PhD, is Assistant Director, Health Protection Unit in Emergency Preparedness and Response, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
G James RubinPatrice Carter, PhD, and Odette Megnin-Viggars, PhD, are Senior Systematic Reviewers; both at the Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. Patrice Carter is also a Senior Systematic Reviewer, Health Economics & Outcomes Research Ltd, Cardiff, UK. G. James Rubin, PhD, is Assistant Director, Health Protection Unit in Emergency Preparedness and Response, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
Health Economics and Outcomes Research (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During any emerging infectious disease outbreak, people with symptoms of the illness are asked to report to a health service immediately to facilitate contact tracing. Several factors may influence a person's willingness to report symptoms and their ability to access healthcare services. Understanding these factors has become urgent during the COVID-19 pandemic. To determine which factors influence symptom reporting during an emerging infectious disease outbreak, we conducted a rapid review of the evidence. Studies included in the review were based on primary research, published in a peer-reviewed journal, written in English, included factors associated with symptom reporting or accessing healthcare, and were related to a major public health incident involving an infectious disease outbreak. Five themes were identified as facilitators of symptom reporting or accessing healthcare: accurate and informative communication about the disease and the need to seek help, symptom severity, concern about disease exposure, ease of access to healthcare facilities, and relationship with the healthcare provider. Seven themes were identified as barriers to symptom reporting or accessing healthcare: lack of knowledge of the disease and its treatment, fear of the disease and fear of subsequent treatments or requirements, stigmatization attached to having a disease, invasion of privacy, low concern about symptoms, economic consequences of disease diagnosis, and challenges related to attending a healthcare facility. For contract tracing services to be effective, members of the public need to have the capability, opportunity, and motivation to use them. The themes identified should be used to evaluate information provided to the public to ensure as many people as possible with relevant symptoms report them to a healthcare provider.

Indexed as

Contact TracingCOVID-19 TestingDisease NotificationHealth Services AccessibilityCommunicable Diseases, EmergingCOVID-19Disease OutbreaksHumansCOVID-19Infectious diseasesMedical management/responseSystem reporting

Identifiers

PMID33416425
PMCPMC8403196
OpenAlexW3120125275

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.