Document Detail

A comparison of patient-reported reasons for encounter and provider-reported diagnoses.
MedLine Citation:
PMID:  8826056     Owner:  NLM     Status:  MEDLINE    
People attending the general practices and hospital OPDs in two rural Queensland towns were asked, before receiving care, to indicate why they were seeking care. The consulting providers reported the outcome of the encounter. Using ICPC Components and Chapters patient and provider reports were compared to assess the level of agreement between same, in order to determine the nexus between patient perceptions and provider diagnoses. Patients tended to report signs and symptoms in preference to specific diagnoses, for both first and follow-up visits. Good concurrence between patient and provider reports were recorded in those Chapters in which conditions commonly had obvious signs and symptoms and relatively high follow-up rates. 'Psychological' conditions were an exception in this regard, suggesting that patient reports are unreliable for such conditions. Patient and provider reports should be seen as different aspects of health care, and therefore should not be used as corollaries of each other. Researchers need to be clear about which perspective is required--that of the patient or the provider--in exploring the content of clinical encounters. Provider reports do not reflect the triggers (perceptions) which persuade patients to seek care.
P C Veitch
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Family practice     Volume:  12     ISSN:  0263-2136     ISO Abbreviation:  Fam Pract     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-12-06     Completed Date:  1996-12-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8500875     Medline TA:  Fam Pract     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  408-12     Citation Subset:  IM    
General Practice and Rural Health, University of Queensland, Townsville, Australia.
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MeSH Terms
Attitude of Health Personnel*
Diagnosis-Related Groups / classification
Family Practice*
Health Services Research
Patient Acceptance of Health Care / psychology*
Reproducibility of Results
Rural Health
Treatment Outcome

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

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