Game of Mirrors: Health Profiles in Patient and Physician Perceptions.
Daniele FineschiSofia AcciaiMargherita NapolitaniGiovanni ScarafuggiGabriele MessinaGiovanni GuarducciNicola NantePublished in: International journal of environmental research and public health (2022)
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.
Keyphrases
- end stage renal disease
- newly diagnosed
- healthcare
- ejection fraction
- chronic pain
- sleep quality
- depressive symptoms
- mental health
- case report
- emergency department
- prognostic factors
- peritoneal dialysis
- pain management
- physical activity
- neuropathic pain
- spinal cord injury
- patient reported outcomes
- middle aged
- risk assessment
- health information
- pregnancy outcomes
- climate change
- risk factors
- high intensity
- molecular dynamics
- toll like receptor
- human health
- postoperative pain