Evidence map›Paper›PMID 34636606›Full record

ArticleAfrican journal of primary health care & family medicine2021

The conceptualisation of patient-centred care: A case study of diabetes management in public facilities in southern Malawi.

Martha Makwero, Adamson Muula, Felix C Anyawu, Jude Igumbor

Open access · goldAbstract read
In one paragraph

Article in African journal of primary health care & family medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
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  5. 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 3 institutions in 2 countries.

Martha MakweroDepartment of Family Medicine, School of Public Health and Family Medicine, University of Malawi, Blantyre, Malawi; and, Department of Public Health, School of Public Health, University of the Witwatersrand, Johannesburg. mmakwero@cartafrica.org.
Adamson Muula
Felix C Anyawu
Jude Igumbor
University of Malawi · MWDora Nginza Hospital · ZAUniversity of the Witwatersrand · ZA

Funding

Building Heart, Lung, Blood and Sleep Diseases and Disorders Late-Stage Translation Phase 4 Research Capacity in MalawiU24HL136791 · NHLBI · UNIVERSITY OF MALAWI · PI HOSSEINIPOUR, MINA CHRISTINE, MUULA, ADAMSON · 2017 to 2021
$582k
NHLBI NIH HHS U24 HL136791
6 · The paper itself

Abstract

backgroundPatient-centred care (PCC) is one of the pillars of Malawi's quality of care policy initiatives. The role of PCC in facilitating quality service delivery is well documented, and its importance may heighten in chronic disease management. Yet, PCC conceptualisation is known to be context specific.

aimThe study aimed to understand the conceptualisation of PCC amongst patients, healthcare providers (HCP) and policy makers in Diabetes Mellitus (DM) management.

settingThis study was conducted in DM clinics in Southern Malawi.

methodsOur qualitative exploratory research study design used in-depth and focus group interviews. We interviewed patients with DM, HCPs and policy makers. The study used framework analysis guided by Mead and Bower's work.

resultsPatient-centred care conceptualisations from groups of participants showed convergence. However, they differed in emphasis in some elements. The prominent themes emerging from the participants' conceptualisation of PCC included the following: meeting individual needs, goals and expectations, accessing medication, supporting relationship building, patient involvement, information sharing, holistic care, timeliness and being realistic.

conclusionPatient-centred care conceptualisation in Malawi goes beyond the patient-HCP relational framework to include the technical aspects of care. Contrary to the global view, accessing medication and timeliness are major elements in PCC conceptualisation in Malawi. Whilst PCC conceptualisation is contextual, meeting expectations and needs of patients is fundamental.

Indexed as

Diabetes MellitusPublic FacilitiesConcept FormationHumansMalawiPatient-Centered Carechronic careconceptualisationdiabetes mellituselements perceptionspatient-centred carepatient involvementquality of care

Identifiers

PMID34636606
PMCPMC8517774
OpenAlexW3200468842

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.