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Game of Mirrors: Health Profiles in Patient and Physician Perceptions
The relationship between general practitioners and patients is privileged. The aim of this study was to assess the concordance between the health profile perceived by the patient and the one described by the doctor. We conducted a cross-sectional study between 2019–2020. Patients completed the 5d-5L...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834689/ https://www.ncbi.nlm.nih.gov/pubmed/35162218 http://dx.doi.org/10.3390/ijerph19031201 |
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author | Fineschi, Daniele Acciai, Sofia Napolitani, Margherita Scarafuggi, Giovanni Messina, Gabriele Guarducci, Giovanni Nante, Nicola |
author_facet | Fineschi, Daniele Acciai, Sofia Napolitani, Margherita Scarafuggi, Giovanni Messina, Gabriele Guarducci, Giovanni Nante, Nicola |
author_sort | Fineschi, Daniele |
collection | PubMed |
description | The relationship between general practitioners and patients is privileged. The aim of this study was to assess the concordance between the health profile perceived by the patient and the one described by the doctor. We conducted a cross-sectional study between 2019–2020. Patients completed the 5d-5L (EQ-p) and clinicians completed it “from the patient’s perspective” (EQ-d), also consulting the clinical diary. Statistical analysis was performed using Stata 14 (Cohen’s kappa; Fisher’s exact test). The sample consisted of 423 patients. The mean age was 56.7 ± 19.2. There were significant differences by gender in usual activities, pain, and anxiety/depression (74.6% of men had no limitation in usual activities versus 64.5% of women (p < 0.01), 53.9% of men had no pain versus 38.5% of women (p < 0.01), and 60.3% of men had no anxiety/depression versus 38.5% of women (p < 0.01)). Physicians did not detect these differences. The concordance between EQ-p and EQ-d was substantial for mobility (k = 0.62; p < 0.01), moderate for self-care (k = 0.48; p < 0.01) and usual activities (k = 0.50; p < 0.01). Concordance was fair for pain/discomfort (k = 0.32; p < 0.01), anxiety/depression (k = 0.38; p < 0.01), and EQ Index (k = 0.21; p < 0.01). There was greater agreement for “objective “dimensions (mobility, self-care, and usual activities). A good doctor, to be considered as such, must try to put himself in the “patient’s pajamas” to feel his feelings and be on the same wavelength. |
format | Online Article Text |
id | pubmed-8834689 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-88346892022-02-12 Game of Mirrors: Health Profiles in Patient and Physician Perceptions Fineschi, Daniele Acciai, Sofia Napolitani, Margherita Scarafuggi, Giovanni Messina, Gabriele Guarducci, Giovanni Nante, Nicola Int J Environ Res Public Health Article The relationship between general practitioners and patients is privileged. The aim of this study was to assess the concordance between the health profile perceived by the patient and the one described by the doctor. We conducted a cross-sectional study between 2019–2020. Patients completed the 5d-5L (EQ-p) and clinicians completed it “from the patient’s perspective” (EQ-d), also consulting the clinical diary. Statistical analysis was performed using Stata 14 (Cohen’s kappa; Fisher’s exact test). The sample consisted of 423 patients. The mean age was 56.7 ± 19.2. There were significant differences by gender in usual activities, pain, and anxiety/depression (74.6% of men had no limitation in usual activities versus 64.5% of women (p < 0.01), 53.9% of men had no pain versus 38.5% of women (p < 0.01), and 60.3% of men had no anxiety/depression versus 38.5% of women (p < 0.01)). Physicians did not detect these differences. The concordance between EQ-p and EQ-d was substantial for mobility (k = 0.62; p < 0.01), moderate for self-care (k = 0.48; p < 0.01) and usual activities (k = 0.50; p < 0.01). Concordance was fair for pain/discomfort (k = 0.32; p < 0.01), anxiety/depression (k = 0.38; p < 0.01), and EQ Index (k = 0.21; p < 0.01). There was greater agreement for “objective “dimensions (mobility, self-care, and usual activities). A good doctor, to be considered as such, must try to put himself in the “patient’s pajamas” to feel his feelings and be on the same wavelength. MDPI 2022-01-21 /pmc/articles/PMC8834689/ /pubmed/35162218 http://dx.doi.org/10.3390/ijerph19031201 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Fineschi, Daniele Acciai, Sofia Napolitani, Margherita Scarafuggi, Giovanni Messina, Gabriele Guarducci, Giovanni Nante, Nicola Game of Mirrors: Health Profiles in Patient and Physician Perceptions |
title | Game of Mirrors: Health Profiles in Patient and Physician Perceptions |
title_full | Game of Mirrors: Health Profiles in Patient and Physician Perceptions |
title_fullStr | Game of Mirrors: Health Profiles in Patient and Physician Perceptions |
title_full_unstemmed | Game of Mirrors: Health Profiles in Patient and Physician Perceptions |
title_short | Game of Mirrors: Health Profiles in Patient and Physician Perceptions |
title_sort | game of mirrors: health profiles in patient and physician perceptions |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834689/ https://www.ncbi.nlm.nih.gov/pubmed/35162218 http://dx.doi.org/10.3390/ijerph19031201 |
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