| Congestive heart failure patients report conflict with their physicians. | |
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MedLine Citation:
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PMID: 16952789 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Given the importance of the doctor-patient relationship, we examined the prevalence and nature of patients' perceived conflicts with the physicians caring for their congestive heart failure (CHF). METHODS AND RESULTS: This cross-sectional study recruited patients with CHF in the outpatient and inpatient service of a tertiary referral hospital. Patients completed demographics, semistructured interviews, and surveys of emotional and health status. CHF physiologic measures and comorbidities were abstracted from the medical record. A team of 2 blinded coders analyzed the interviews. Thirty-one percent of the 289 patients reported difficulties with physicians. In the bivariate analysis, only marital status was significantly associated with conflict. Major problems included the providers' poor communication skills (20%), trust in the physicians' competence (18%), and insufficient medical information (16%). Patients identified care outside the tertiary referral hospital (13%) and inadequate communication between physicians (9%) as additional sources of difficulty. CONCLUSION: Perceived conflict with providers is common in patients with CHF. Patient-level factors, however, did not predict conflict, which differs from our previous findings with hepatitis C patients. Perceived conflict is troubling because it can undermine the trust in the doctor-patient relationship, thereby weakening the therapeutic bond necessary to care for this sick and often vulnerable population. |
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Authors:
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Susan L Zickmund; Julie A Blasiole; Venture Brase; Robert M Arnold |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Journal of cardiac failure Volume: 12 ISSN: 1532-8414 ISO Abbreviation: J. Card. Fail. Publication Date: 2006 Sep |
Date Detail:
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Created Date: 2006-09-05 Completed Date: 2006-10-17 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9442138 Medline TA: J Card Fail Country: United States |
Other Details:
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Languages: eng Pagination: 546-53 Citation Subset: IM |
Affiliation:
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Department of Medicine, University of Pittsburgh School of Medicine, Pennsylvania, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Ambulatory Care Facilities / organization & administration Clinical Competence Communication Conflict (Psychology)* Cross-Sectional Studies Female Heart Failure / psychology* Hospital Administration Hospitals Humans Interpersonal Relations Male Marital Status Middle Aged Patient Education as Topic Physician-Patient Relations* Primary Health Care Single-Blind Method Trust |
| Grant Support | |
ID/Acronym/Agency:
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HL07121/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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