Evidence map›Paper›PMID 34049489›Full record

Observational studyBMC family practice2021

Association between doctor-patient familiarity and patient-centred care during general practitioner's consultations: a direct observational study in Chinese primary care practice.

Chenwen Zhong, Mengping Zhou, Zhuojun Luo, Cuiying Liang, Lina Li, Li Kuang

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

6 authors at 1 institution in 2 countries.

Chenwen ZhongDepartment of Health Policy and Management, School of Public Health, Sun Yat-Sen University, Guangzhou, 510080, Guangdong, China.
Mengping ZhouDepartment of Health Policy and Management, School of Public Health, Sun Yat-Sen University, Guangzhou, 510080, Guangdong, China.
Zhuojun LuoDepartment of Health Policy and Management, School of Public Health, Sun Yat-Sen University, Guangzhou, 510080, Guangdong, China.
Cuiying LiangDepartment of Health Policy and Management, School of Public Health, Sun Yat-Sen University, Guangzhou, 510080, Guangdong, China.
Lina LiDepartment of Health Policy and Management, School of Public Health, Sun Yat-Sen University, Guangzhou, 510080, Guangdong, China.
Li KuangDepartment of Health Policy and Management, School of Public Health, Sun Yat-Sen University, Guangzhou, 510080, Guangdong, China. kuangli@mail.sysu.edu.cn.ORCID 0000-0002-2330-4205
Sun Yat-sen University · CN

Funding

National Natural Science Foundation of China 71673311
6 · The paper itself

Abstract

backgroundPatient-centred care is a core attribute of primary care. Not much is known about the relationship between patient-centred care and doctor-patient familiarity. This study aimed to explore the association between general practitioner (GP) perceived doctor-patient familiarity and the provision of patient-centred care during GP consultations.

methodsThis is a direct observational study conducted in eight community health centres in China. Level of familiarity was rated by GPs using a dichotomized variable (Yes/No). The provision of patient-centred care during GP consultations was measured by coding audiotapes using a modified Davis Observation Code (DOC) interactional instrument. Eight individual codes in the modified DOC were selected for measuring the provision of patient-centred care, including 'family information', 'treatment effects', 'nutrition guidance', 'exercise guidance', 'health knowledge', 'patient question', 'chatting', and 'counseling'. Multivariate analyses of covariance were adopted to evaluate the association between GP perceived doctor-patient familiarity and patient-centred care.

resultsA total of 445 audiotaped consultations were collected, with 243 in the familiar group and 202 in the unfamiliar group. No significant difference was detected in overall patient-centred care between the two groups. For components of patient-centred care, the number of intervals (1.36 vs 0.88, p = 0.026) and time length (7.26 vs. 4.40 s, p = 0.030) that GPs spent in 'health knowledge', as well as time length (13.0 vs. 8.34 s, p = 0.019) spent in 'patient question' were significantly higher in unfamiliar group. The percentage of 'chatting' (11.9% vs. 7.34%, p = 0.012) was significantly higher in the familiar group.

conclusionsThis study suggested that GP perceived doctor-patient familiarity may not be associated with GPs' provision of patient-centred care during consultations in the context of China. Not unexpectedly, patients would show more health knowledge and ask more questions when GPs were not familiar with them. Further research is needed to confirm and expand on these findings.

Indexed as

General PractitionersChinaHumansPhysician-Patient RelationsPrimary Health CareReferral and ConsultationConsultationDavis Observation codeDoctor-patient familiarityPatient-centred carePrimary care

Identifiers

PMID34049489
PMCPMC8161971
OpenAlexW3164634226

What OpenQuestion holds

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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.