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Id 2386
Author Fineschi D.; Acciai S.; Napolitani M.; Scarafuggi G.; Messina G.; Guarducci G.; Nante N.
Title Game of Mirrors: Health Profiles in Patient and Physician Perceptions

Fineschi D.; Acciai S.; Napolitani M.; Scarafuggi G.; Messina G.; Guarducci G.; Nante N. Game of Mirrors: Health Profiles in Patient and Physician Perceptions,International Journal of Environmental Research and Public Health 19 3

Keywords Adult; Aged; Cross-Sectional Studies; Depression; Female; Health Status; Humans; Male; Middle Aged; Physicians; Quality of Life; Self Care; Surveys and Questionnaires; Europe; health worker; perception; public health; quality of life; adult; aged; anxiety; Article; controlled study; cross-sectional study; depression; empathy; European Quality of Life 5 Dimensions questionnaire; female; Fisher exact test; general practitioner; health status; human; interrater reliability; major clinical study; male; middle aged; pain; patient mobility; perception; physical activity; quality of life; self care; self concept; sex difference; statistical analysis; very elderly; young adult; depression; health status; physician; quality of life; questionnaire
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Abstract The relationship between general practitioners and patients is privileged. The aim of this study was to assess the concordance between the health profile perceived by the patient and the one described by the doctor. We conducted a cross-sectional study between 2019–2020. Patients completed the 5d-5L (EQ-p) and clinicians completed it “from the patient’s perspective” (EQ-d), also consulting the clinical diary. Statistical analysis was performed using Stata 14 (Cohen’s kappa; Fisher’s exact test). The sample consisted of 423 patients. The mean age was 56.7 ± 19.2. There were significant differences by gender in usual activities, pain, and anxiety/depression (74.6% of men had no limitation in usual activities versus 64.5% of women (p < 0.01), 53.9% of men had no pain versus 38.5% of women (p < 0.01), and 60.3% of men had no anxiety/depression versus 38.5% of women (p < 0.01)). Physicians did not detect these differences. The concordance between EQ-p and EQ-d was substantial for mobility (k = 0.62; p < 0.01), moderate for self-care (k = 0.48; p < 0.01) and usual activities (k = 0.50; p < 0.01). Concordance was fair for pain/discomfort (k = 0.32; p < 0.01), anxiety/depression (k = 0.38; p < 0.01), and EQ Index (k = 0.21; p < 0.01). There was greater agreement for “objective “dimensions (mobility, self-care, and usual activities). A good doctor, to be considered as such, must try to put himself in the “patient’s pajamas” to feel his feelings and be on the same wavelength. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.


DOI 10.3390/ijerph19031201
Search Database Scopus
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