Cargando…
Patients with functional gastrointestinal disorders—importance of communication between physician and patient assessed in a cross-sectional cohort study
Functional gastrointestinal disorders are frequent diseases often associated with a pronounced burden reflected in a greatly reduced quality of life. Patients are seeking medical help but may be perceived as demanding and challenging. For successful diagnosis and treatment of these patients, a good...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501798/ https://www.ncbi.nlm.nih.gov/pubmed/37720898 http://dx.doi.org/10.3389/fpsyt.2023.1252268 |
_version_ | 1785106187337859072 |
---|---|
author | Goebel-Stengel, Miriam Paulsen, Ute Bennerscheidt, Petra Zipfel, Stephan Stengel, Andreas |
author_facet | Goebel-Stengel, Miriam Paulsen, Ute Bennerscheidt, Petra Zipfel, Stephan Stengel, Andreas |
author_sort | Goebel-Stengel, Miriam |
collection | PubMed |
description | Functional gastrointestinal disorders are frequent diseases often associated with a pronounced burden reflected in a greatly reduced quality of life. Patients are seeking medical help but may be perceived as demanding and challenging. For successful diagnosis and treatment of these patients, a good doctor-patient communication is key. However, so far, only few studies focus on the physicians’ perspective of the doctor-patient communication. The present study cross-sectionally investigated 520 physicians using the validated difficult doctor-patient relationship questionnaire and the treatment satisfaction questionnaire from the physician’s perspective along with several ad hoc questions. Data from 5,354 physician-patient conversations (one conversation per patient) was included. Physicians participating in this study mostly suspected stress-related burdens as the cause of functional gastrointestinal disorders (65.4%), while patients rather suspected food (55.4%) or other somatic causes (43.6%). The physician-patient relationship was rated just below the threshold for difficult interactions (cut-off ≥30, mean ± SD in the current sample: 28.6 ± 9.6) with 49.1% of physicians reaching a score of ≥30. Although physicians overall felt confident in the doctor-patient communication even in difficult conversations (61.9%), only 33.1% reported to have enough time for these patients and only 5.6% felt sufficiently compensated for discussions with patients with functional gastrointestinal disorders. Therefore, education of physicians on functional gastrointestinal disorders, training of physicians in physician-patient communication as well as an improved reimbursement of speaking medicine should help to further improve care for these patients and also treatment satisfaction on both the side of the patients as well as the physicians. |
format | Online Article Text |
id | pubmed-10501798 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105017982023-09-15 Patients with functional gastrointestinal disorders—importance of communication between physician and patient assessed in a cross-sectional cohort study Goebel-Stengel, Miriam Paulsen, Ute Bennerscheidt, Petra Zipfel, Stephan Stengel, Andreas Front Psychiatry Psychiatry Functional gastrointestinal disorders are frequent diseases often associated with a pronounced burden reflected in a greatly reduced quality of life. Patients are seeking medical help but may be perceived as demanding and challenging. For successful diagnosis and treatment of these patients, a good doctor-patient communication is key. However, so far, only few studies focus on the physicians’ perspective of the doctor-patient communication. The present study cross-sectionally investigated 520 physicians using the validated difficult doctor-patient relationship questionnaire and the treatment satisfaction questionnaire from the physician’s perspective along with several ad hoc questions. Data from 5,354 physician-patient conversations (one conversation per patient) was included. Physicians participating in this study mostly suspected stress-related burdens as the cause of functional gastrointestinal disorders (65.4%), while patients rather suspected food (55.4%) or other somatic causes (43.6%). The physician-patient relationship was rated just below the threshold for difficult interactions (cut-off ≥30, mean ± SD in the current sample: 28.6 ± 9.6) with 49.1% of physicians reaching a score of ≥30. Although physicians overall felt confident in the doctor-patient communication even in difficult conversations (61.9%), only 33.1% reported to have enough time for these patients and only 5.6% felt sufficiently compensated for discussions with patients with functional gastrointestinal disorders. Therefore, education of physicians on functional gastrointestinal disorders, training of physicians in physician-patient communication as well as an improved reimbursement of speaking medicine should help to further improve care for these patients and also treatment satisfaction on both the side of the patients as well as the physicians. Frontiers Media S.A. 2023-08-31 /pmc/articles/PMC10501798/ /pubmed/37720898 http://dx.doi.org/10.3389/fpsyt.2023.1252268 Text en Copyright © 2023 Goebel-Stengel, Paulsen, Bennerscheidt, Zipfel and Stengel. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Goebel-Stengel, Miriam Paulsen, Ute Bennerscheidt, Petra Zipfel, Stephan Stengel, Andreas Patients with functional gastrointestinal disorders—importance of communication between physician and patient assessed in a cross-sectional cohort study |
title | Patients with functional gastrointestinal disorders—importance of communication between physician and patient assessed in a cross-sectional cohort study |
title_full | Patients with functional gastrointestinal disorders—importance of communication between physician and patient assessed in a cross-sectional cohort study |
title_fullStr | Patients with functional gastrointestinal disorders—importance of communication between physician and patient assessed in a cross-sectional cohort study |
title_full_unstemmed | Patients with functional gastrointestinal disorders—importance of communication between physician and patient assessed in a cross-sectional cohort study |
title_short | Patients with functional gastrointestinal disorders—importance of communication between physician and patient assessed in a cross-sectional cohort study |
title_sort | patients with functional gastrointestinal disorders—importance of communication between physician and patient assessed in a cross-sectional cohort study |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501798/ https://www.ncbi.nlm.nih.gov/pubmed/37720898 http://dx.doi.org/10.3389/fpsyt.2023.1252268 |
work_keys_str_mv | AT goebelstengelmiriam patientswithfunctionalgastrointestinaldisordersimportanceofcommunicationbetweenphysicianandpatientassessedinacrosssectionalcohortstudy AT paulsenute patientswithfunctionalgastrointestinaldisordersimportanceofcommunicationbetweenphysicianandpatientassessedinacrosssectionalcohortstudy AT bennerscheidtpetra patientswithfunctionalgastrointestinaldisordersimportanceofcommunicationbetweenphysicianandpatientassessedinacrosssectionalcohortstudy AT zipfelstephan patientswithfunctionalgastrointestinaldisordersimportanceofcommunicationbetweenphysicianandpatientassessedinacrosssectionalcohortstudy AT stengelandreas patientswithfunctionalgastrointestinaldisordersimportanceofcommunicationbetweenphysicianandpatientassessedinacrosssectionalcohortstudy |