Evidence map›Paper›PMID 37797167›Full record

ArticleFamily practice2024

"We're trained to trust our patients": a qualitative study on the general practitioners' trust in patients for colorectal cancer shared care.

Faith R Yong, Sundresan Naicker, Kerry Uebel, Maria Agaliotis, Christopher Chan, John D T Nguyen, Thanya Pathirana, Alexandra Hawkey, Kylie Vuong

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Family practice, 2024. 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
–field-weighted citation impact, top 75% 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, 0 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

9 authors at 6 institutions in 2 countries.

Faith R YongSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.ORCID 0000-0002-4878-7565
Sundresan NaickerAustralian Centre for Health Services Innovation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Australia.ORCID 0000-0002-2392-4981
Kerry UebelSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.ORCID 0000-0003-4796-2437
Maria AgaliotisAustralian Institute of Health Service Management, College of Business and Economics, University of Tasmania, Rozelle, Australia.ORCID 0000-0002-3691-2234
Christopher ChanSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.ORCID 0009-0002-6535-2245
John D T NguyenSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.ORCID 0000-0002-5866-3371
Thanya PathiranaSchool of Medicine and Dentistry, Griffith University, Southport, Australia.ORCID 0000-0003-2386-2183
Alexandra HawkeyTranslational Health Research Institute, Western Sydney University, Campbelltown, Australia.ORCID 0000-0003-0851-9117
Kylie VuongSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.ORCID 0000-0002-2671-9473
UNSW Sydney · AUGriffith University · AUAustralian Institute of Health and Welfare · AUCamden and Campbelltown Hospitals · AUQueensland University of Technology · AUThe University of Sydney · AU

Funding

Royal Australian College of General Practitioners
6 · The paper itself

Abstract

backgroundIn a therapeutic partnership, physicians rely on patients to describe their health conditions, join in shared decision-making, and engage with supported self-management activities. In shared care, the patient, primary care, and specialist services partner together using agreed processes and outputs for the patient to be placed at the centre of their care. However, few empirical studies have explored physicians' trust in patients and its implications for shared care models.

aimTo explore trust in patients amongst general practitioners (GPs), and the impacts of trust on GPs' willingness to engage in new models of care, such as colorectal cancer shared care.

methodsGP participants were recruited through professional networks for semi-structured interviews. Transcripts were integrity checked, coded inductively, and themes developed iteratively.

resultsTwenty-five interviews were analysed. Some GPs view trust as a responsibility of the physician and have a high propensity for trusting patients. For other GPs, trust in patients is developed over successive consultations based on patient characteristics such as honesty, reliability, and proactivity in self-care. GPs were more willing to engage in colorectal cancer shared care with patients with whom they have a developed, trusting relationship.

conclusionsTrust plays a significant role in the patient's access to shared care. The implementation of shared care should consider the relational dynamics between the patient and health care providers.

Indexed as

Colorectal NeoplasmsGeneral PractitionersPhysician-Patient RelationsQualitative ResearchTrustAdultAgedAttitude of Health PersonnelDecision Making, SharedFemaleHumansInterviews as TopicMaleMiddle AgedPrimary Health Carecancer survivorscolorectal neoplasmsdelivery of healthcaregeneral practiceintegratedphysician–patient relationstrust

Identifiers

PMID37797167
PMCPMC11636565
OpenAlexW4387358082

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.