Evidence map›Paper›PMID 35545265›Full record

ArticleBJGP open2022

Communication skills of general practitioners in Nairobi, Kenya: a descriptive observational study.

Gulnaz Mohamoud, Robert Mash

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

2 authors at 1 institution in 2 countries.

Gulnaz MohamoudDivision of Family Medicine and Primary Care, Stellenbosch University, Stellenbosch, South Africa mmgulnaz@yahoo.com.
Robert MashDivision of Family Medicine and Primary Care, Stellenbosch University, Stellenbosch, South Africa.ORCID http://orcid.org/0000-0001-7373-0774
Stellenbosch University · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-quality primary care needs to be person-centred, and GPs must communicate effectively to ensure continuity and coordination of care. In Kenya, there is little knowledge about the quality of communication in consultations by GPs.

aimTo evaluate the quality of communication in consultations by GPs. DESIGN &

settingDescriptive, observational study of 23 GP consultations in 13 private sector primary care facilities in Nairobi, Kenya.

methodOne consultation with a randomly selected adult patient was recorded per GP, and 16 communication skills evaluated with the Stellenbosch University Observation Tool (SUOT). A total percentage score was calculated per consultation, and compared with the GPs' demographics and the consultation complexity and duration using the Statistical Package for Social Sciences (SPSS, version 25).

resultsThe GPs' median age was 30.0 years (interquartile range [IQR] 29.0-32.0) and median consultation time was 7.0 minutes (IQR 3.0-9.0). Median overall score was 64.3% (IQR 48.4-75.7). GPs demonstrated skills in gathering information, making and explaining the diagnosis, and suggesting appropriate management. GPs did not make an appropriate introduction, explore the context or patients' perspectives, allow shared decision making, or provide adequate safety netting. There was a positive correlation between the scores and duration of the consultations (

conclusionConsultations were brief and biomedical by young GPs. GPs need further training in communication skills, particularly with regard to delivering person-centred consultations. Deploying family physicians to the primary care setting would also improve the overall quality of service delivery.

Indexed as

communicationconsultationsgeneral practicegeneral practitionersprimary careprimary health careprivate sector

Identifiers

PMID35545265
PMCPMC9680749
OpenAlexW4280646922

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.