Evidence map›Paper›PMID 37149641›Full record

ArticleBMC primary care2023

Patient-centredness in primary care walk-in clinics for refugees in Hamburg.

Josephine Nana Hill, Katarina Krüger, Sigrid Boczor, Thomas Kloppe, Olaf von dem Knesebeck, Martin Scherer

Open access · goldAbstract read
In one paragraph

Article in BMC primary care, 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
1.3field-weighted citation impact, top 19% 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, 3 citations in OpenAlex.

  1. Article
  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

6 authors at 1 institution in 1 country.

Josephine Nana HillInstitute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. j.hill@uke.de.
Katarina KrügerDepartment of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Sigrid BoczorDepartment of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Thomas KloppeDepartment of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Olaf von dem KnesebeckInstitute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Martin SchererDepartment of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Universität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe huge increase of refugees to Germany caused a great challenge to the health system. We aimed to examine the level of patient-centredness in medical consultations with refugee patients, aided by video interpreters in primary care walk-in clinics (PCWC) in Hamburg.

methodsVideotaped consultations (N = 92) of 83 patients from 2017 to 2018 were analysed. Two raters used the Measure of Patient-Centered Communication (MPCC) and the International Classification of primary care (ICPC-2). MPCC scores with regard to patients' reason for seeking medical care and the procedures taken were explored using variance analyses adjusted for age, gender, and the duration of the consultation. The duration was further explored by Pearson correlations.

resultsPatient-centredness of all consultations on average was 64% (95% CI 60-67) according to MPCC, with health-related issues affecting the results. The highest level of patient-centredness was achieved in psychological health issues with 79% (65-94), the lowest in respiratory ones with 55% (49-61). Longer consultations resulted in higher MPCC scores.

conclusionsThe level of patient-centredness varied in the addressed health issues as well as in the duration of the consultation. Despite the variation, video interpreting in consultations supports a solid patient-centredness. PRACTICE IMPLICATIONS: We recommend the use of remote video interpreting services for outpatient healthcare to support patient-centred communication and to fill the gap of underrepresentation of qualified interpreters on site, regarding a high diversity of spoken languages.

Indexed as

RefugeesCommunicationData CollectionHumansPhysician-Patient RelationsPrimary Health CareEmpathyGeneral practice consultationPatient-centredPatient enablementPrimary care walk-in clinicRefugeeShared decision-makingVideo interpreter

Identifiers

PMID37149641
PMCPMC10163696
OpenAlexW4375856054

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.