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https://hdl.handle.net/2440/60343
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dc.contributor.author | Collins, J. | - |
dc.contributor.author | Farrall, E. | - |
dc.contributor.author | Turnbull, D. | - |
dc.contributor.author | Hetzel, D. | - |
dc.contributor.author | Holtmann, G. | - |
dc.contributor.author | Andrews, J. | - |
dc.date.issued | 2009 | - |
dc.identifier.citation | Clinical Gastroenterology and Hepatology, 2009; 7(11):1252-1254 | - |
dc.identifier.issn | 1542-3565 | - |
dc.identifier.issn | 1542-7714 | - |
dc.identifier.uri | http://hdl.handle.net/2440/60343 | - |
dc.description.abstract | Background & Aims: Understanding patients' expectations at initial consultation for functional gastrointestinal disorders (FGIDs) might influence future health care utilization. Ideally, patients and doctors would have a common understanding of the issues involved. We sought to investigate this with matched questionnaires. Methods: Patients' needs/expectations/understanding were compared with gastroenterologists' and general practitioners' awareness of these. Patients were followed up to investigate satisfaction with and outcomes of specialist consultation. Results: Specialists underestimated the number and severity of patients' symptoms (in 43% and 41%, respectively), and patients and specialists had quite discordant views on what treatment would best suit their symptoms. Strikingly, only 1 of 13 patients available for follow-up agreed with or accepted the functional diagnosis, despite all being diagnosed by a specialist as having an FGID. Conclusions: In FGIDs there is a communication gap between patients and gastroenterologists. Importantly, at follow-up, patients do not acknowledge their FGID diagnosis. This communication gap and lack of acceptance of a functional diagnosis are likely to influence future management and health care utilization. | - |
dc.description.statementofresponsibility | Joanne Collins, Edwina Farrall, Deborah A. Turnbull, David J. Hetzel, Gerald Holtmann, Jane M. Andrew | - |
dc.language.iso | en | - |
dc.publisher | W. B. Saunders & Co. | - |
dc.rights | © 2009 AGA Institute. Published by Elsevier Inc. All rights reserved. | - |
dc.source.uri | http://dx.doi.org/10.1016/j.cgh.2009.06.025 | - |
dc.subject | Humans | - |
dc.subject | Gastrointestinal Diseases | - |
dc.subject | Treatment Outcome | - |
dc.subject | Communication | - |
dc.subject | Physician-Patient Relations | - |
dc.subject | Adult | - |
dc.subject | Aged | - |
dc.subject | Middle Aged | - |
dc.subject | Health Services Research | - |
dc.subject | Patient Satisfaction | - |
dc.subject | Patient Acceptance of Health Care | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.subject | Young Adult | - |
dc.subject | Surveys and Questionnaires | - |
dc.title | Do we know what patients want? The doctor-patient communication gap in functional gastrointestinal disorders | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1016/j.cgh.2009.06.025 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Turnbull, D. [0000-0002-7116-7073] | - |
dc.identifier.orcid | Andrews, J. [0000-0001-7960-2650] | - |
Appears in Collections: | Aurora harvest Medicine publications |
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