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Related Experiment Videos

Do physicians take into account patients' expectations?

C Sanchez-Menegay1, H Stalder

  • 1Department of Medicine, Hôpital Cantonal Universitaire, Geneva, Switzerland.

Journal of General Internal Medicine
|July 1, 1994
PubMed
Summary
This summary is machine-generated.

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Patient expectations for diagnosis, prognosis, and prevention are often unmet during ambulatory visits. Physician awareness of these patient needs did not improve fulfillment, highlighting a gap in communication and care.

Area of Science:

  • Health Services Research
  • Patient-Physician Communication
  • Ambulatory Care

Background:

  • Patient expectations are crucial for satisfaction in healthcare.
  • Understanding whether physicians meet these expectations is vital for improving care quality.
  • Previous research has not fully elucidated the alignment between patient needs and physician actions in ambulatory settings.

Purpose of the Study:

  • To assess the fulfillment of patient expectations during ambulatory physician visits.
  • To investigate the impact of physician awareness of patient expectations on care delivery.
  • To identify key patient expectations in an ambulatory care context.

Main Methods:

  • A study involving 360 ambulatory patients using self-administered questionnaires.

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  • Physicians were randomly assigned to receive or not receive information about patient expectations.
  • Data collection focused on patient-reported expectations (diagnosis, prognosis, prevention, continuing care) and physician responses.
  • Main Results:

    • High patient expectations were reported for diagnosis (94%), prognosis (82%), prevention (76%), and continuing care (80%).
    • A significant lack of agreement was found between patient expectations and physician actions (kappa ≤ 0.3).
    • Physicians frequently prescribed medication but rarely discussed prevention or prognosis, irrespective of knowing patient expectations.

    Conclusions:

    • Ambulatory patients prioritize receiving diagnoses, continuing care, and information on prognosis and prevention.
    • Physician knowledge of patient expectations did not lead to increased fulfillment of those expectations.
    • There is a notable disconnect between patient-centered expectations and the actual care provided in ambulatory settings.