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Related Experiment Videos

Incongruous referrals.

D R Hannay, E J Maddox

    Lancet (London, England)
    |December 13, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Many patients experience significant medical and social symptoms ("icebergs") that are not reflected in healthcare referrals, indicating a gap between perceived and treated conditions.

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    Patients' perceptions of primary health care in an inner-city practice.

    Family practice·1998

    Area of Science:

    • Health Services Research
    • Patient Experience
    • Symptom Perception

    Background:

    • Healthcare systems often face challenges in accurately assessing the full spectrum of patient-reported symptoms.
    • Patient perception of symptom severity (pain, disability, worry) may not align with clinical referral patterns.

    Purpose of the Study:

    • To investigate the prevalence of medical and social symptoms among patients at a new health center.
    • To compare patient-perceived symptom seriousness with actual referral behavior.
    • To quantify the 'iceberg' (significant symptoms) and 'trivia' (minor symptoms) of medical and social complaints.

    Main Methods:

    • A survey of 1344 patients at a Glasgow health center.
    • Utilized subjective grading scales for medical symptoms (pain, disability, seriousness) and social symptoms (worry, inconvenience).

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  • Analyzed referral behavior in relation to patient-perceived symptom severity.

    • Main Results:

    • Referral behavior was often incongruous with patients' own symptom perceptions.
    • The 'iceberg' of both medical and social symptoms was larger than the 'trivia'.
    • The medical-symptom 'iceberg' was two to three times greater than its 'trivia'.

    Conclusions:

    • A significant proportion of patient symptoms, particularly medical ones, are underestimated or unaddressed within the current referral system.
    • The study highlights a substantial 'iceberg' of unmet patient needs in primary care.
    • Understanding patient perception is crucial for optimizing healthcare referral pathways and resource allocation.