Unmet expectations in primary care and the agreement between doctor and patient: a questionnaire study.
Questionnaires completed respectively by doctor and patient may give conflicting views of what actions the doctor took during a consultation in primary care. This disagreement will affect an assessment of whether patient expectations of care were met, and may itself be influenced by fulfilment of ex...
| Publicado en: | Health Expectations Vol. 8; no. 1; pp. 26 - 34 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106084131&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106084131 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Mar2005 vid: 8 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106084131 106084131 2009403846 10.1111/j.1369-7625.2004.00308.x NLM15713168 106084131 ppf: 26 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Unmet expectations in primary care and the agreement between doctor and patient: a questionnaire study. aug: au: Hooper R Rona RJ French C Jones M Wessely S sug: subj: Physician-Patient Relations Primary Health Care Administration Adult Female Great Britain Male Questionnaires Referral and Consultation Human Adult: 19-44 years Female Male ab: Questionnaires completed respectively by doctor and patient may give conflicting views of what actions the doctor took during a consultation in primary care. This disagreement will affect an assessment of whether patient expectations of care were met, and may itself be influenced by fulfilment of expectations.To investigate how patient expectations, and patient and doctor reports of doctor's actions in a primary care setting are associated.Questionnaire survey.Fifty Royal Navy, Army and Royal Air Force medical centres.A total of 117 members of the British Armed Forces with a health problem identified by a screening questionnaire, and their medical officers.Patient and doctor reports following a consultation indicating whether the doctor gave a prescription, made a referral or did tests, and patient expectations of these outcomes.Agreement between patient and doctor (kappa) was 0.81 for prescribing, 0.69 for referral and 0.54 for tests. The prevalence of unmet expectations was higher when estimated from doctors' reports than from patients' reports (prescriptionP = 0.016; referralP = 0.065; testsP = 0.092; difference of 6% in each case). Patient and doctor were more likely to disagree on what happened if the action reported by the doctor did not match the patient's expectations (allP < 0.01, except for when doctor reported doing testsP = 0.058).Whether or not a doctor's actions appear to fulfil patient expectations in a primary care consultation depends on whether those actions are reported by the doctor or the patient. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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