PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of pubhealthrepLink to Publisher's site
 
Public Health Rep. 1983 Mar-Apr; 98(2): 141–145.
PMCID: PMC1424419

Impact of divergent evaluations by physicians and patients of patients' complaints.

Abstract

Physicians' estimates of patients' anxiety, discomfort or pain, and activity limitation were compared with reports by their patients on the same dimensions. The data were collected as part of a series of quality assessment studies at a prepaid group practice serving 19,000 people in a Mid-Atlantic metropolitan area. Analysis of the data showed that physicians underestimated the three dimensions 35 percent of the time and that activity limitation was the dimension most often underestimated. Patients whose physicians correctly estimated their discomfort or pain were more likely to receive prescriptions than patients whose physicians underestimated their discomfort or pain. Patients whose physicians underestimated their activity limitation were most likely to report dissatisfaction with the treatment given. The results are consistent with a growing body of evidence suggesting that physicians who show concern about their patients and a desire to understand their problems establish better therapeutic relationships.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (946K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Kasteler J, Kane RL, Olsen DM, Thetford C. Issues underlying prevalence of "doctor-shopping" behavior. J Health Soc Behav. 1976 Dec;17(4):329–339. [PubMed]
  • Ben-Sira Z. The function of the professional's affective behavior in client satisfaction: a revised approach to social interaction theory. J Health Soc Behav. 1976 Mar;17(1):3–11. [PubMed]
  • DiMatteo MR, Prince LM, Taranta A. Patients' percentions of physicians' behavior: determinants of patient commitment to the therapeutic relationship. J Community Health. 1979 Summer;4(4):280–290. [PubMed]
  • Davis MS. Variations in patients' compliance with doctors' advice: an empirical analysis of patterns o communication. Am J Public Health Nations Health. 1968 Feb;58(2):274–288. [PubMed]
  • Hulka BS, Kupper LL, Cassel JC, Efird RL. Medication use and misuse: physician-patient discrepancies. J Chronic Dis. 1975 Jan;28(1):7–21. [PubMed]
  • Wartman SA, Morlock LL, Malitz FE, Palm E. Do prescriptions adversely affect doctor-patient interactions? Am J Public Health. 1981 Dec;71(12):1358–1361. [PubMed]
  • Korsch BM, Gozzi EK, Francis V. Gaps in doctor-patient communication. 1. Doctor-patient interaction and patient satisfaction. Pediatrics. 1968 Nov;42(5):855–871. [PubMed]
  • Woolley FR, Kane RL, Hughes CC, Wright DD. The effects of doctor--patient communication on satisfaction and outcome of care. Soc Sci Med. 1978 Mar;12(2A):123–128. [PubMed]

Articles from Public Health Reports are provided here courtesy of Association of Schools of Public Health