ArticleJournal of Appalachian health2025
Patient-Clinician Communication in the Appalachian Region: A Scoping Review.
Article in Journal of Appalachian health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Approaches to screening and enrollment in clinical trials for seriously ill older adults in rural Appalachia.Contemporary clinical trials · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Effective communication between patients and clinicians is a critical component of quality health care, influencing disease prevention, management, and outcomes. In regions with unique socioeconomic and geographic challenges, communication barriers can further exacerbate health disparities. Understanding the factors that facilitate or hinder patient-clinician communication is essential for developing targeted interventions that improve health care delivery. Purpose: This review explores the existing literature on patient-clinician communication concerning cardiovascular disease (CVD) in the Appalachian Region with the aim to understand existing gaps and interventions. Methods: PubMed and Web of Science databases were utilized to conduct a systematic search. The Population, Concept, and Context (PCC) framework guided the inclusion and exclusion criteria, focusing on Appalachian residents and CVD. The selected studies were assessed based on predefined criteria, leading to the inclusion of eight relevant articles. Data analysis was conducted to identify themes and interventions related to patient-clinician communication in the context of CVD. Results: This review examined interventions emphasizing electronic health records (EHRs), patient engagement, clinician availability, and contextual factors affecting communication. While EHR-based initiatives showed promise in closing preventive care gaps, challenges persisted in addressing patient perspectives and fostering interprofessional collaboration. Implications: Addressing communication barriers requires tailored strategies that consider patient engagement, clinician availability, and contextual factors, particularly in underserved regions such as Appalachia. Future efforts should prioritize interprofessional collaboration and patient-centered care to enhance equitable cardiovascular health outcomes among diverse populations, including those facing geographic and socioeconomic challenges in Appalachia.
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Registered trials
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