Do We Know What Patients Want? The Doctor-Patient Communication Gap in Functional Gastrointestinal Disorders
Do We Know What Patients Want? The Doctor-Patient Communication Gap in Functional Gastrointestinal Disorders
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DOI：
10.1016/j.cgh.2009.06.025
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发表时间：
2009-11-01
影响因子：
12.6
通讯作者：
Andrews, Jane M.
中科院分区：
文献类型：
--
作者：
Collins, Joanne;Farrall, Edwina;Andrews, Jane M.
背景和目的：在初次咨询时了解患者对功能性胃肠道疾病 (FGID) 的期望可能会影响未来的医疗保健利用。理想情况下，患者和医生对所涉及的问题有共同的理解。我们试图通过匹配的问卷来调查这一点。方法：将患者的需求/期望/理解与胃肠病学家和全科医生的认识进行比较。对患者进行 LIP 随访，以调查专家咨询的满意度和结果。结果：专家低估了患者症状的数量和严重程度（分别为 43% 和 41%），并且患者和专家对于哪种治疗最适合他们的症状的看法非常不一致。引人注目的是，尽管专家都诊断为患有 FGID，但在 13 名可进行随访的患者中，只有 1 名患者同意或接受功能性诊断。结论：在 FGID 中，患者和胃肠病学家之间存在沟通差距。重要的是，在休养期，患者并不承认他们的 FGID 诊断。这种沟通差距和对功能诊断的不接受可能会影响未来的管理和医疗保健利用。
BACKGROUND & AIMS: Understanding patients' expectations at initial consultation For functional gastrointestinal disorders (FGIDs) might influence Future health care utilization. Ideally, patients and doctors would have a common understanding of the issues involved. We sought to investigate this with matched questionnaires. METHODS: Patients' needs/expectations/understanding were compared with gastroenterologists' and general practitioners' awareness of these. Patients were followed LIP to investigate satisfaction with and outcomes of specialist consultation. RESULTS: Specialists underestimated the number and severity of patients' symptoms (in 43% and 41%, respectively), and patients and specialists had quite discordant views on what treatment would best suit their symptoms. Strikingly, only I of 13 patients available for follow-up agreed with or accepted the functional diagnosis, despite all being diagnosed by a specialist as having an FGID. CONCLUSIONS: In FGIDs there is a communication gap between patients and gastroenterologists. Importantly, at fallow-up, patients do not acknowledge their FGID diagnosis. This communication gap and lack of acceptance of a functional diagnosis are likely to influence future management and health care utilization.