How well do patient and general practitioner agree about the content of consultations?

Fagerberg, Jakob Christina Ringmann

doi:10.1080/028134399750002557

Cited by 43 publications

(10 citation statements)

References 16 publications

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“…Dentist–patient agreement over consultation content supported previous work 12–14. Patients’ and dentists’ recollections of discussions were discordant in terms of the dental health advice given and future actions that were agreed upon.…”

Section: Discussionsupporting

confidence: 58%

“…The extent of the disagreement was double this frequency when recalling set goals. The authors concluded that “… the two parties concerned seemed to recall different consultations.”13 Further work on concordance between GPs and their patients showed that patients’ and GPs’ perceptions regarding consultation content were discordant 60% of the time 14. It would appear then that in some cases the information that HCPs believe they have communicated might not be the same as what patients believe they have heard.…”

Section: Introductionmentioning

confidence: 99%

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Dentist–patient communication: what do patients and dentists remember following a consultation? Implications for patient compliance

Misra

Daly²,

Dunne

et al. 2013

PPA

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BackgroundThere is a lack of information about the extent to which patients recall key facts of dental consultations. Forgetting health advice undermines adherence with such instructions and is a potential problem. This study assessed the quantity and type of information recalled in a dental consultation, dentist–patient agreement over the contents of the consultation, and the relationship of such recall with patient satisfaction.MethodsUsing a cross-sectional design, questionnaire data were obtained from patients recruited through a letter and presenting for a routine dental consultation. General issues discussed, specific information about oral health given, dentist-performed procedures, and agreed future actions were reported independently in writing, by patients and also by the treating dentist immediately postconsultation. Additionally, patients completed a dental visit satisfaction questionnaire.ResultsResponses (n = 26, 55% response rate) were content-analyzed, and data on the number and type of information that was recalled were obtained. Interrater reliability was established. Inferential testing showed differences in dentist–patient recall, dentist–patient agreement, and the association between patient recall and satisfaction. Dentists recalled more information than patients (P = 0.001). Dentists further reported giving more dental health education (P = 0.006) and discussing more future actions (P = 0.002) than patients actually remembered. Technical (eg, crowns/bridges) rather than psychosocial (eg, pain/embarrassment) issues were reported more often (P = 0.001) by both dentists and patients. Dentist–patient agreement over issues discussed and procedures performed was higher (kappa = 0.210–0.310) than dental health education agreement and agreed future actions (kappa = 0.060–0.110). There was no relationship between patient recall and patient satisfaction with the consultation (P = 0.240).ConclusionPatients do not recall as much advice and agreed actions about future dental care as dentists believe they have discussed. These results have implications for patient adherence with oral health instructions.

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Section: Discussionsupporting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Dentist–patient communication: what do patients and dentists remember following a consultation? Implications for patient compliance

Misra

Daly²,

Dunne

et al. 2013

PPA

View full text Add to dashboard Cite

show abstract

“…An earlier study showed that patients in PHC have high expectations on the health service to meet all of their demands, including health care for trivial problems [20]. Different opinions between GPs and patients on what is most important have also been found in other studies [21,22]. This disagreement between needs as defined by patients and by physicians might be explained by their different viewpoints; for GPs medical knowledge is an important factor in the priority setting process.…”

Section: Discussionmentioning

confidence: 92%

Setting priorities in primary health care - on whose conditions? A questionnaire study

Arvidsson

André²,

Borgqúist³

et al. 2012

BMC Fam Pract

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BackgroundIn Sweden three key criteria are used for priority setting: severity of the health condition; patient benefit; and cost-effectiveness. They are derived from the ethical principles established by the Swedish parliament 1997 but have been used only to a limited extent in primary care. The aim of this study was to describe and analyse: 1) GPs', nurses', and patients' prioritising in routine primary care 2) The association between the three key priority setting criteria and the overall priority assigned by the GPs and nurses to individual patients.MethodsPaired questionnaires were distributed to all patients and the GPs or nurses they had contact with during a 2-week period at four health centres in Sweden. The staff registered the health conditions or health problem, and the planned intervention. Then they estimated the severity of the health condition, the expected patient benefit, and the cost-effectiveness of the planned intervention. Both the staff and the patients reported their overall prioritisation of the patient. In total, 1851 paired questionnaires were collected.ResultsCompared to the medical staff, the patients assigned relatively higher priority to acute/minor conditions than to preventive check-ups for chronic conditions. Severity of the health condition was the priority setting criterion that had the strongest association with the overall priority for the staff as a whole, but for the GPs it was cost-effectiveness.ConclusionsThe challenge for primary care providers is to balance the patients' demands with medical needs and cost-effectiveness. Transparent priority setting in primary care might contribute to a greater consensus between GPs and nurses on how to use the key priority setting criteria.

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“…However, research on children and adolescents has shown that there is a mismatch between actual BMI measurements and the children’s and adolescents’ perception of body weight [35]. When adolescents do not realistically perceive the connection between negative behaviors and the initiation and prevalence of poor health, this could contribute to the continuing rise in the prevalence of cardiovascular disease.…”

Section: Introductionmentioning

confidence: 99%

Optimistic Bias, Risk Factors, and Development of High Blood Pressure and Obesity among African American Adolescents in Mississippi (USA)

White

Addison

Jenkins

et al. 2017

IJERPH

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Childhood obesity has reached epidemic proportions and is linked to hypertension among African American youth. Optimistic bias influences behavior of youth causing them to underestimate their susceptibility to negative health outcomes. This study explored adolescent behaviors and prevalence of high blood pressure and obesity in a school district. We examined the relationship between individual health risk practices and optimistic bias on health outcomes; 433 African American high school students were administered a survey and had their obesity and blood pressure measured by the school nurse. Canonical correlational analyses were used to examine relationships between health risk practices and descriptive statistics for optimistic bias and health outcomes. Engaging in moderate exercise for at least 30 min in the last 7 days and lower blood pressure was the only statistically significant relationship. Two-thirds of the students did not perceive themselves to be at risk of developing cardiovascular disease with males at greater risk than females, despite the presence of clinical risk factors for hypertension and obesity. Reducing health optimistic bias is an effective way of motivating young people to adopt more positive behaviors using educational institutions to implement intervention programs that promote positive health behavior as a way to reduce health disparities.

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How well do patient and general practitioner agree about the content of consultations?

Cited by 43 publications

References 16 publications

Dentist–patient communication: what do patients and dentists remember following a consultation? Implications for patient compliance

Dentist–patient communication: what do patients and dentists remember following a consultation? Implications for patient compliance

Setting priorities in primary health care - on whose conditions? A questionnaire study

Optimistic Bias, Risk Factors, and Development of High Blood Pressure and Obesity among African American Adolescents in Mississippi (USA)

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How well do patient and general practitioner agree about the content of consultations?

Cited by 43 publications

References 16 publications

Dentist&ndash;patient communication: what do patients and dentists remember following a consultation? Implications for patient compliance

Dentist&ndash;patient communication: what do patients and dentists remember following a consultation? Implications for patient compliance

Setting priorities in primary health care - on whose conditions? A questionnaire study

Optimistic Bias, Risk Factors, and Development of High Blood Pressure and Obesity among African American Adolescents in Mississippi (USA)

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Product

Resources

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Dentist–patient communication: what do patients and dentists remember following a consultation? Implications for patient compliance

Dentist–patient communication: what do patients and dentists remember following a consultation? Implications for patient compliance