Patients and physicians often have different views of what chronic diseases are their main priorities. This was stated by a group of French medical experts.
After the individual interviews of patients and their physicians, the researchers found that the priorities are the same only in some cases, such as diabetes and hypothyroidism, but disagree with others, such as anxiety and sleep disorders.
“An increasing number of patients living with multiple chronic diseases, especially among young people,” says Dr. Stephanie Sidorkevich, a General practitioner in Paris and researcher at the University of Paris Descartes, who led the study.
On the background of the doctors often have difficulty understanding the expectations of patients and an adequate response to their individual situation, especially given the fact that they at the same time face increased pressure of his time, quoted the words of Professor Reuters.
According to the doctor, however, understanding the perspectives of patients and physicians needed to establish realistic and shared treatment goals.
As reported in the “Annals of family medicine,” Sidorkevich and his colleagues examined 233 patients from 16 General hospitals in Paris. All patients visited their doctor at least once a year. Patients and doctors checked out all of the current chronic state of the patient based on a list of 124 States and evaluated the three highest priorities.
About 8 out of 10 patients reported two or more chronic health conditions. The three most common were high blood pressure, osteoarthritis, and chronic anxiety disorder.
Agreement between physicians and patients about the number of States in which there was a patient, was moderate, but the agreement of specific chronic conditions ranged from bad to very good.
Among 153 pairs of patient-doctor, each of which was a list of priorities, about 88% had at least one corresponding priority. However, 29% priorities of patients was not included anywhere in the lists by their doctors. In addition, 19 pairs, or about 12%, had no relevant priorities.
The results are consistent with similar studies in other countries, including Switzerland, where the doctors don’t know about the priorities of patients, approximately 1 out of 4 patients, said Dr. Stefan Neuner-Jehle of the University of Zurich.