Evidence map›Paper›PMID 38955366›Full record

ArticleBMJ open2024

What does good care look like to people living with congenital heart disease in the 21st century? Qualitative online, asynchronous discussion forums.

Jo Wray, Christina Pagel, Louise Coats, Adrian H Chester, Fiona Kennedy, Sonya Crowe

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
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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.

Jo WrayHeart and Lung Directorate, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK Jo.Wray@gosh.nhs.uk.ORCID 0000-0002-4769-1211
Christina PagelClinical Operational Research Unit, Department of Mathematics, University College London, London, UK.ORCID 0000-0002-2857-1628
Louise CoatsFreeman Hospital, Newcastle upon Tyne, UK.ORCID 0000-0003-3422-5497
Adrian H ChesterHeart Science Centre, Harefield, UK.
Fiona KennedyBarts Health NHS Trust, London, UK.
Sonya CroweClinical Operational Research Unit, Department of Mathematics, University College London, London, UK.ORCID 0000-0003-1882-5476

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAs part of a wider study, our aim was to elicit perspectives of people with congenital heart disease (CHD) and/or their parents/carers about their experiences of healthcare and what is important to them when receiving care. DESIGN AND

settingA qualitative study involving a series of closed, asynchronous, online discussion forums underpinned by an interpretivist framework and set up and moderated by three patient charities via their Facebook pages.

participantsPeople with CHD and parents/carers of people with CHD from the UK.

resultsFive forums were run for 12-24 weeks across the three charities, and 343 participants signed up to the forums. Four linked themes related to processes of care were identified following thematic analysis of the transcripts: relationships and communication; access and coordination; experience of discrete episodes of care and psychological support. These impacted how care was experienced and, for some patients, outcomes of CHD and its treatment as well as broader health outcomes. In addition, context relating to stages of the patient journey was described, together with patient-related factors such as patients' knowledge and expertise in their own condition.

conclusionsPeople with CHD and their parents/carers want individualised, person-centred care delivered within an appropriately resourced, multidisciplinary service. Although examples of excellent care were provided it is evident that, from the perspective of patients and parents/carers, some National Health Service Standards for people with CHD were not being met.

Indexed as

Heart Defects, CongenitalParentsQualitative ResearchAdolescentAdultCaregiversCommunicationFemaleHumansMaleMiddle AgedPatient-Centered CareUnited KingdomYoung Adultcongenital heart diseasequality in health caresocial media

Identifiers

PMID38955366
PMCPMC11218017

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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.