Factors associated with patients’ understanding of their management plan in Tshwane clinics

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dc.contributor.author Fernandez, Leticia
dc.contributor.author Rossouw, Theresa M.
dc.contributor.author Marcus, Tessa S.
dc.contributor.author Reinbrech-Schutte, Angelika
dc.contributor.author Smit, Nicoleen
dc.contributor.author Kinkel, Hans-Friedemann
dc.contributor.author Memon, Shehla
dc.contributor.author Hugo, J.F.M. (Jannie)
dc.date.accessioned 2014-06-06T09:32:09Z
dc.date.available 2014-06-06T09:32:09Z
dc.date.issued 2014-01-31
dc.description The authors are indebted to the 2012 class of fifth-year students who took part in this research. We thank them for their commitment to the project as well as their insightful feedback. en_US
dc.description J.H. (University of Pretoria) was the project leader. J.H., A.R. and T.R. (University of Pretoria) conceptualised and designed the study. L.F., T.R., N.S. (University of Pretoria) and H.K. and S.M. (University of Pretoria and Foundation for Professional Development) were responsible for experimental and questionnaire design. T.M. (University of Pretoria) made significant conceptual contributions to the article. L.F., T.M. and T.R. conducted the analysis and interpretation of the findings and prepared the manuscript. N.S. contributed to data collection and preparation. en_US
dc.description.abstract BACKGROUND: This research focused on patients’ views regarding healthcare services and identified factors associated with understanding of their management plan. AIM: To develop a baseline for patient–clinician collaboration and the extent to which patients felt included and understood their treatment plan. SETTING: Tshwane district (South Africa) public health outpatient clinics. METHOD: Medical students interviewed 447 patients in 22 clinics in Tshwane district. Agreement was measured by the percentage of cases in which patients and clinicians were in accord about a particular aspect of the consultation. RESULTS: About one-third of patients incorrectly answered questions on whether changes in lifestyle or diet were prescribed as part of their treatment. The likelihood that patients understood their plan was associated with seeing the same clinician three or more times; having a consultation in their same or a similar language; patient participation in the diagnosis; and feeling that the clinician had explained their health problems to them. CONCLUSIONS: There is need for greater emphasis on continuity of care, the clinicians’ ability to speak the patient’s language and involving patients in the consultation. en_US
dc.description.abstract PRESENTATION: Cette étude se concentrait sur les points de vue des patients concernant les services de santé et les facteurs identifiés associés à la compréhension de leur plan de prise en charge. OBJECTIF: Développer une référence pour la collaboration entre patients et médecins et déterminer la mesure dans laquelle les patients avaient le sentiment d’être inclus à la préparation de leur plan de prise en charge et de le comprendre. CADRE: Centres médicaux publics accueillant des patients en consultation externe dans le district de Tshwane (Afrique du Sud). METHODE: Des étudiants en médecine ont interrogé 447 patients dans 22 centres médicaux dans le district de Tshwane. La concordance était mesurée par le pourcentage de cas dans lesquels les patients et les médecins étaient d’accord sur un aspect particulier de la consultation. RESULTATS: Environ un tiers des patients n’a pas su répondre correctement aux questions visant à déterminer si des changements dans leur style de vie ou régime alimentaire avaient été prescrits dans le cadre de leur traitement. La probabilité que les patients comprennent leur plan était associée au fait de consulter le même médecin à trois reprises ou plus, de consulter dans leur langue ou dans une langue similaire, de participer au diagnostic, et au sentiment que le médecin leur avait expliqué le problème de santé dont ils souffraient. CONCLUSIONS: Il est nécessaire de mettre davantage l’accent sur la continuité de la prise en charge, la capacité des médecins à parler la langue de leurs patients, et l’implication des patients dans la consultation. en_US
dc.description.librarian am2014 en_US
dc.description.uri http://www.phcfm.org en_US
dc.identifier.citation Fernandez L, Rossouw T, Marcus T, Reinbrech-Schutte A, Smit N, Kinkel HF, et al.Factors Associated with Patients’ Understanding of their Management Plan in Tshwane Clinics. Afr J Prm Health Care Fam Med. 2014;6(1), Art. #560, 9 pages. http://dx.DOI.org/ 10.4102/phcfm.v6i1.560 en_US
dc.identifier.issn 2071-2928 (print)
dc.identifier.issn 2071-2936 (online)
dc.identifier.other 10.4102/phcfm.v6i1.560
dc.identifier.uri http://hdl.handle.net/2263/40055
dc.language.iso en en_US
dc.publisher AOSIS Open Journals en_US
dc.rights © 2014. The Authors. Licensee: AOSIS OpenJournals. This work is licensed under the Creative Commons Attribution License. en_US
dc.subject Patients en_US
dc.subject Understanding en_US
dc.subject Management plan en_US
dc.subject Tshwane en_US
dc.subject Clinics en_US
dc.title Factors associated with patients’ understanding of their management plan in Tshwane clinics en_US
dc.type Article en_US


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