Evidence map›Paper›PMID 36999357›Full record

ArticleThe European journal of general practice2023

Patients and general practitioners agree that wearing masks during consultations complicates physician--patient relationships: An exploratory, qualitative study.

Luc Aurégan, Clément Lebaron, Anthony Chapron, Jean-Philippe Duguey, Samuel Roger

Open access · goldAbstract read
In one paragraph

Article in The European journal of general practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. The Family Doctor in the "COVID-19 Era".Healthcare (Basel, Switzerland) · 2024
    Review
  2. 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

5 authors at 2 institutions in 1 country.

Luc AuréganGeneral Practice Department, Rennes University, Rennes University Hospital, Rennes, France.
Clément LebaronGeneral Practice Department, Rennes University, Rennes University Hospital, Rennes, France.
Anthony ChapronGeneral Practice Department, Rennes University, Rennes University Hospital, Rennes, France.ORCID 0000-0002-4997-8486
Jean-Philippe DugueyGeneral Practice Department, Rennes University, Rennes University Hospital, Rennes, France.
Samuel RogerGeneral Practice Department, Rennes University, Rennes University Hospital, Rennes, France.
Centre Hospitalier Universitaire de Rennes · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe physician--patient relationship plays a critical role in the quality of primary care management. The generalised wearing of surgical masks in enclosed spaces - common during the COVID-19 pandemic -- could change the communication between patients and healthcare professionals.

objectivesTo assess how general practitioners (GPs) and patients feel about wearing masks during a consultation and its influences on physician--patient relationship. To evaluate methods healthcare professionals could use to compensate for mask wearing during a consultation.

methodsA qualitative study using semi-structured interviews based on a literature-based interview guide with GPs and patients in Brittany, France. Recruitment took place from January to October 2021 until data saturation. Two independent investigators performed an open and thematic coding and then discussed their results with a consensus procedure.

resultsThirteen GPs and 11 patients were included. It appears that wearing masks complicates consultations by creating distance, impairing communication, mainly non-verbal and altering relationship quality. However, GPs and patients believed relationships were preserved, especially those with a solid foundation prior to the pandemic. GPs described having to adapt to maintain relationship. Patients worried about misunderstandings or diagnostic errors but saw the mask as a protective factor. GPs and patients described similar populations requiring vigilance, including geriatric and paediatric populations, and people with hearing impairments or learning difficulties. According to GPs, possible adaptations include speaking clearly, exaggerating non-verbal communication, temporarily removing mask while maintaining safe distance and identifying patients who need increased vigilance.

conclusionWearing masks makes the doctor--patient relationship more complex. GPs adjusted their practice to compensate.

Indexed as

COVID-19General PractitionersAgedChildHumansPandemicsPhysician-Patient RelationsQualitative ResearchReferral and Consultationempathymaskphysician--patient relationshipPrimary care

Identifiers

PMID36999357
PMCPMC10249453
OpenAlexW4362457943

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.