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[Do doctors understand their patients?].

D Conen, W Besch, U C Dubach

    Deutsche Medizinische Wochenschrift (1946)
    |January 10, 1986
    PubMed
    Summary
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    Doctors closely align with patient complaints, whether diffuse symptoms like fatigue or localized issues such as chest pain. This study confirms physician understanding across various patient symptom presentations.

    Area of Science:

    • Medical Communication
    • Clinical Assessment
    • Patient Symptomatology

    Background:

    • Understanding patient complaints is crucial for accurate diagnosis and effective treatment.
    • Discrepancies between patient-reported symptoms and clinical assessment can lead to misdiagnosis.
    • Previous research highlights the complexity of interpreting subjective patient experiences.

    Purpose of the Study:

    • To investigate the concordance between patient-reported complaints and physician clinical assessments.
    • To evaluate physician understanding of patient symptomatology across different complaint types.
    • To determine the extent of agreement in medical evaluations.

    Main Methods:

    • A study involving 259 patients and 30 physicians was conducted.

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  • Patients were grouped based on common main symptomatologies (57 patients in three groups).
  • Patient complaints were systematically compared with physician observations and assessments.

    • Main Results:

    • A close agreement was found between patient complaints and clinical assessments.
    • This concordance held true for diffuse symptoms (e.g., fatigue, nervousness).
    • Agreement was also observed for localized (e.g., cardiac pain) and mixed symptom complaints.

    Conclusions:

    • Physicians demonstrate a strong understanding of patient complaints, encompassing both diffuse and localized symptoms.
    • The findings suggest effective communication and interpretation of patient-reported issues in clinical settings.
    • This concordance supports the reliability of clinical assessment in reflecting patient experiences.