Document Detail


Congestive heart failure patients report conflict with their physicians.
MedLine Citation:
PMID:  16952789     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Susan L Zickmund; Julie A Blasiole; Venture Brase; Robert M Arnold
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of cardiac failure     Volume:  12     ISSN:  1532-8414     ISO Abbreviation:  J. Card. Fail.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-05     Completed Date:  2006-10-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9442138     Medline TA:  J Card Fail     Country:  United States    
Other Details:
Languages:  eng     Pagination:  546-53     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Pittsburgh School of Medicine, Pennsylvania, USA.
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MeSH Terms
Descriptor/Qualifier:
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:
HL07121/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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