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Mutual Role Expectations by Patients and General Practitioners—A Mixed Methods Study on Complementarity.
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- Author(s): Plagg, Barbara; Engl, Adolf; Piccoliori, Giuliano; Atz, Hermann; Becker, Ulrich; Kiem, Johann; Barbieri, Verena; Eisendle, Klaus; Wiedermann, Christian Josef; Elsen, Susanne Ursula; Lorenz, Walter August
- Source:
Healthcare (2227-9032); Oct2022, Vol. 10 Issue 10, pN.PAG-N.PAG, 17p- Subject Terms:
PREVENTION of chronic diseases; GENERAL practitioners; OCCUPATIONAL roles; CULTURE; SOCIAL role; WORK experience (Employment); STATISTICS; CONFIDENCE intervals; PHYSICIAN-patient relations; RESEARCH methodology; AGE distribution; HONESTY; PHYSICIANS' attitudes; SOCIAL factors; INTERVIEWING; LANGUAGE & languages; PRIMARY health care; PATIENTS' attitudes; HEALTH literacy; SELF medication; PSYCHOSOCIAL factors; MEDICAL referrals; QUESTIONNAIRES; SCALE analysis (Psychology); SOUND recordings; EMPLOYMENT; DESCRIPTIVE statistics; PHYSICIANS; THEMATIC analysis; DATA analysis; DATA analysis software; EDUCATIONAL attainment - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: Changes in public attitudes toward "authorities" 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'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' communicative efforts (p < 0.001), self-initiative (p < 0.001), compliance (p = 0.0026), and openness regarding psychosocial issues (p < 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 < 0.001). Perception of the patient's role differed significantly between the Italian and German linguistic groups. Conclusions: Patients and general practitioners differ in their understanding of patients' 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. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Healthcare (2227-9032) is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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