Mutual Role Expectations by Patients and General Practitioners—A Mixed Methods Study on Complementarity

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11240%2F22%3A10457584" target="_blank" >RIV/00216208:11240/22:10457584 - isvavai.cz</a>

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=AUwxN.V3wo" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=AUwxN.V3wo</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3390/healthcare10102101" target="_blank" >10.3390/healthcare10102101</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Mutual Role Expectations by Patients and General Practitioners—A Mixed Methods Study on Complementarity

Popis výsledku v původním jazyce

Background: Changes in public attitudes toward &quot;authorities&quot; in general, as well as shifts in medical practice toward participative models of diagnosis and treatment, imply fundamental transformations in the patient-doctor relationship. However, consistency in reciprocal role expectations cannot be assumed, and this study reveals significant discrepancies in attitudes and behaviors in primary health consultations. Methods: We conducted a study in the tri-lingual northeastern Italian region of South Tyrol to determine whether perceptions of the patient&apos;s role were congruent or differed. In a mixed method approach, the quantitative research part consisted of a survey with 34 identical questions for general practitioners (n = 109) and adult primary care patients (n = 506) on verbal communication, self-initiative and health literacy, interpersonal and social qualities of the patient-physician relationship, and formal aspects of the consultation. Patients were interviewed via telephone, and general practitioners responded online. In the qualitative part, 26 semi-structured in-depth interviews were conducted with the patients and analyzed. Results: General practitioners considered patients&apos; communicative efforts (p &lt; 0.001), self-initiative (p &lt; 0.001), compliance (p = 0.0026), and openness regarding psychosocial issues (p &lt; 0.001) to be significantly more important, whereas patients showed a tendency to give increased importance to formal aspects such as politeness and hygiene (p &lt; 0.001). Perception of the patient&apos;s role differed significantly between the Italian and German linguistic groups. Conclusions: Patients and general practitioners differ in their understanding of patients&apos; roles. These data suggest that a considerable proportion of the population lacks a clear and tangible idea of the active role they could play in consultations. Targeted information on the identified aspects of patient-provider communication may facilitate participatory behavior and positively impact the longitudinal quality of the patient-general practitioner relationship.

Název v anglickém jazyce

Mutual Role Expectations by Patients and General Practitioners—A Mixed Methods Study on Complementarity

Popis výsledku anglicky

Background: Changes in public attitudes toward &quot;authorities&quot; in general, as well as shifts in medical practice toward participative models of diagnosis and treatment, imply fundamental transformations in the patient-doctor relationship. However, consistency in reciprocal role expectations cannot be assumed, and this study reveals significant discrepancies in attitudes and behaviors in primary health consultations. Methods: We conducted a study in the tri-lingual northeastern Italian region of South Tyrol to determine whether perceptions of the patient&apos;s role were congruent or differed. In a mixed method approach, the quantitative research part consisted of a survey with 34 identical questions for general practitioners (n = 109) and adult primary care patients (n = 506) on verbal communication, self-initiative and health literacy, interpersonal and social qualities of the patient-physician relationship, and formal aspects of the consultation. Patients were interviewed via telephone, and general practitioners responded online. In the qualitative part, 26 semi-structured in-depth interviews were conducted with the patients and analyzed. Results: General practitioners considered patients&apos; communicative efforts (p &lt; 0.001), self-initiative (p &lt; 0.001), compliance (p = 0.0026), and openness regarding psychosocial issues (p &lt; 0.001) to be significantly more important, whereas patients showed a tendency to give increased importance to formal aspects such as politeness and hygiene (p &lt; 0.001). Perception of the patient&apos;s role differed significantly between the Italian and German linguistic groups. Conclusions: Patients and general practitioners differ in their understanding of patients&apos; roles. These data suggest that a considerable proportion of the population lacks a clear and tangible idea of the active role they could play in consultations. Targeted information on the identified aspects of patient-provider communication may facilitate participatory behavior and positively impact the longitudinal quality of the patient-general practitioner relationship.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

50403 - Social topics (Women´s and gender studies; Social issues; Family studies; Social work)

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Healthcare [online]

ISSN

2227-9032

e-ISSN

2227-9032

Svazek periodika

10

Číslo periodika v rámci svazku

10

Stát vydavatele periodika

CH - Švýcarská konfederace

Počet stran výsledku

17

Strana od-do

2101

Kód UT WoS článku

000875873100001

EID výsledku v databázi Scopus

2-s2.0-85140878832