Patients' attitudes and experiences of relational continuity in semi-urban general practices in Oman

Al-Azri, Mohammed; Al-Ramadhani, Ruqaiya; Al-Rawahi, Nada; Al-Shafee, Kawther; Al-Hinai, Mustafa; Al-Maniri, Abdullah

doi:10.1093/fampra/cmu004

Cited by 9 publications

(16 citation statements)

References 9 publications

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“…Table 1 outlines the characteristics of the 27 studies included in the review. Of the 27 studies, eight studies focused on the conceptualisation, development, testing or review of a questionnaire [ 14 – 21 ] and 19 studies used a questionnaire in a study investigating the quality of relationships between patients and primary care providers [ 6 , 19 , 22 – 38 ]. The following phrases were used in the studies to refer to “quality of relationships” and considered synonymous with the topic of this review: care continuity, continuing relationship, continuity of care, interpersonal care, long term relationships, longitudinality of care, patient-doctor relationships, patient-provider relationships, personal continuity, quality of care, relational continuity, relations, therapeutic alliance, therapeutic relationship.…”

Section: Resultsmentioning

confidence: 99%

“… Continuity of care Personal continuity Quality of care Questionnaire (being validated) Nijmegen continuity questionnaire Zenger (2014) [ 21 ] Germany To assess the internal and external validity of the German version of the PDRQ-9 in a representative cross-sectional German population Randomly selected individuals, ≥14 years of age, literate in German, who had visited a PCP. Patient-doctor relationship, therapeutic alliance, Validated questionnaire Patient Doctor Relationship Questionnaire (PDQR-9) Studies that use a tool for assessing the quality of relationships between patients and providers in primary care Al-Azri et al (2014) [ 22 ] Oman To study the role of relational continuity in primary care settings and its effect on patients’ perceptions and experiences. Patients aged > 18 years attending their PCHCs during the study period Relational continuity Non-validated questionnaire N/A Bryan et al (2012) [ 24 ] United States of America To identify the impact of very early therapeutic alliance on the general trajectory of change for suicidal ideation among patients seen within the context of an integrated primary care behavioural health service.…”

Section: Resultsmentioning

confidence: 99%

“…45 min for the Primary Care Assessment Survey) to complete the questionnaire. Two of the questionnaires (neither with a name) were developed only for use in the reviewed study and were not pilot tested for the purpose of others’ utilising the questionnaires in work [ 22 , 28 ]. These two questionnaires were considered unfeasible for future use as there was no evidence to support their validity.…”

Section: Resultsmentioning

confidence: 99%

“… Pilot study on 466 patients with 2 rounds of testing to examine pre-identified subscales (subscales were not able to be confirmed) [ 45 ]. N/A Al-Azri et al (2014) Aims to assess patients’ perceptions and experiences of primary care 33 items in two sections: 1) Perception of relational continuity 2) Experience/application of relational continuity 3 point Likert scale on level of agreement with statements Pilot study on 50 patients to test suitability of tool (no further detail of this work available) [ 22 ] N/A Hansen (2016) Aims to explore how women with chronic fatigue experience GP care 3 items exploring experiences in consultations 4 point Likert scale on frequency of activities from ‘never’ to ‘always’. Pilot study on 143 patients to test suitability of tool (no further detail of this work available) [ 28 ] a Indicates relevant subscales to this review …”

Section: Resultsmentioning

confidence: 99%

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Questionnaires that measure the quality of relationships between patients and primary care providers: a systematic review

Ball

Barnes

Crossland

et al. 2018

BMC Health Serv Res

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BackgroundInternational guidance on models of care stress the importance of good quality, continuous patient-provider relationships to support high quality and efficient care and hospital avoidance. However, assessing the quality of patient-provider relationships is challenging due to its experiential nature. The aim of this study was to undertake a systematic review to identify questionnaires previously developed or used to assess the quality of continuous relationships between patients and their provider in primary care.MethodsMEDLINE, PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL) and SCOPUS databases were searched for English language studies published between 2009 and 2017. Key terms used identified studies conducted in the primary care setting examining relationships between patients and providers. Studies that focused on the conceptualisation, development, testing or review of a questionnaire, or studies that used a questionnaire for assessing the quality of continuous relationships between patients and providers were eligible. Studies that did not assess quality via a questionnaire, only assessed single aspects of relationships, only assessed single encounters, assessed transitions between settings or assessed relationships using an index were excluded. Information on validity testing of each relevant questionnaire identified from articles was reviewed to inform recommendations for future research and evaluation.ResultsTwenty-seven studies met the eligibility criteria, including 14 unique questionnaires. The questionnaires were diverse in length, scope, focus and level of validity testing. Five questionnaires were considered not feasible for future use due to size and lack of development work. Three questionnaires were considered strongest candidates for use in future work based on being relevant to the topic and primary care setting, freely available in English and not needing additional pilot work prior to use. These three questionnaires were the Care Continuity Across Levels of Care Scale, the Nijmegan Continuity Questionnaire and the Patient-Doctor Depth of Relationship Tool.ConclusionsThis study provides an overview of 14 unique questionnaires that have been used to assess the quality of continuous relationships between patients and primary care providers. The decision to use one of the questionnaires in future work requires careful consideration, including the scope, length, validation testing, accessibility of the questionnaires and their alignment with the initiative being evaluated.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Questionnaires that measure the quality of relationships between patients and primary care providers: a systematic review

Ball

Barnes

Crossland

et al. 2018

BMC Health Serv Res

View full text Add to dashboard Cite

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“…[9] The need to implement strategies aiming at improving this deficit is well-recognized in this area. [10]…”

Section: Discussionmentioning

confidence: 99%

Continuity of care challenges in GCC countries: H. pylori eradication as example in a UAE Tertiary Care Center

Waness¹,

Bismar²,

Alasadi³

et al. 2015

Int J Med Sci Public Health

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Background: Helicobacter pylori infections are extremely prevalent worldwide. H. pylori infection is a factor in the genesis of gastric or duodenal ulcers, gastric cancer, and rarely gastric mucosa-associated lymphoid-tissue lymphoma (MALT). Outcomes of infected patients are variable from one population to another. The Gulf Cooperation Council (GCC) Countries are made of six monarchies: Saudi Arabia, United Arab Emirates, Oman, Qatar, Bahrain, and Kuwait. They have many cultural and economic similarities including the health-care sector. Data about H. pylori infection prevalence in these countries are limited. This particular infection is common in this part of the world as in other developing countries with resistant H. pylori strains documented. Objective: The aim of this study was to evaluate continuity of patient care practice in Gulf Countries by studying a specific example at a regional Tertiary Care Center. Materials and Methods: A descriptive retrospective pilot study, conducted in a tertiary care center in the United Arab Emirates from 2013 to 2014, reviewing electronic medical records for patients tested and followed for Helicobacter pylori infection. Three tests were performed to establish diagnosis: Urea Breath Test, H. pylori stool antigen testing, or gastric biopsy with histopathological examination. Patients tested positive for H. pylori positive were provided first appointment to initiate treatment according to two established regimens. They were further followed, with repeat testing, in order to establish if they achieved H. pylori eradication. Result: A total of 480 patients were tested for possible H. pylori infection, 168 of them tested positive for this infection (100%). However only 107 patients (64%) showed up for a first follow-up appointment to check testing result and start therapy whereas more than one-third: 61 patients (36%) missed this appointment. After starting therapy for H. pylori eradication, only 48 patients (29%) kept their second follow-up appointment needed to confirm their H. pylori status post-treatment. Another 35% (59 patients) missed this appointment. Therefore of the initial 480 investigated individuals only 10% completed the process as indicated. Conclusion: The total rate of missed follow-up appointment exceeded two-thirds (71%) of patients infected with H. pylori in an UAE tertiary care center. This result reflects obvious discontinuity of care. In addition, this practice is likely prevalent in other medical fields within the Gulf Council Cooperation Countries which have similar cultural and educational settings. Many identifiable causes contributing to the degradation of care continuum are discussed.

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Patient satisfaction of primary care services in Gulf Cooperation Council Countries: A scoping review

Alhenaidi,

Al Nadabi,

Al‐Haqan

et al. 2023

J of Gen and Family Med

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Patient satisfaction (PS) is an essential element in evaluating and improving healthcare systems. Few studies have gathered evidence about patient satisfaction with primary care (PC) services in the Gulf Cooperation Council (GCC) countries. Therefore, it is important to review the existing literature examining PS with PC services in the GCC countries. This scoping review was conducted for primary data studies published between 2000 to March 2022. Out of 4461 screened articles, 37 met the inclusion criteria. Most studies were conducted in Saudi Arabia and were of cross sectional methodology. PS with primary care in the GCC is affected by multiple provider‐related and patient‐related factors and users are generally satisfied with the service provided. Future research should focus on the effects of the factors that were not explored and validate the existing results.

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Patients' attitudes and experiences of relational continuity in semi-urban general practices in Oman

Cited by 9 publications

References 9 publications

Questionnaires that measure the quality of relationships between patients and primary care providers: a systematic review

Questionnaires that measure the quality of relationships between patients and primary care providers: a systematic review

Continuity of care challenges in GCC countries: H. pylori eradication as example in a UAE Tertiary Care Center

Patient satisfaction of primary care services in Gulf Cooperation Council Countries: A scoping review

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