Incongruent Views of Functioning between Patients and Gastroenterologists

Gastrointestinal patients, especially those diagnosed with functional digestive disorders (FGIDs), usually present a complex clinical picture that poses a challenge for their management in primary care. The main objective of the current research was to examine the relationship of the congruence of t...

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Autores: Eiroá Orosa, Francisco José|||0000-0002-4163-6545, Georghiades, Alicia, Rodríguez-Urrutia, Amanda|||0000-0001-6882-205X, Accarino, Ana María|||0000-0002-5829-1811
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:281706
Acceso en línea:https://ddd.uab.cat/record/281706
https://dx.doi.org/urn:doi:10.3390/healthcare11010062
Access Level:acceso abierto
Palabra clave:Distress
Functional digestive diagnosis
Gastroenterology
Illness experience
Incongruence
Patient-physician relationship
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spelling Incongruent Views of Functioning between Patients and GastroenterologistsA Mixed Methods StudyEiroá Orosa, Francisco José|||0000-0002-4163-6545Georghiades, AliciaRodríguez-Urrutia, Amanda|||0000-0001-6882-205XAccarino, Ana María|||0000-0002-5829-1811DistressFunctional digestive diagnosisGastroenterologyIllness experienceIncongruencePatient-physician relationshipGastrointestinal patients, especially those diagnosed with functional digestive disorders (FGIDs), usually present a complex clinical picture that poses a challenge for their management in primary care. The main objective of the current research was to examine the relationship of the congruence of the perception of severity and quality of life between gastroenterologists and their patients with psychological distress and the helping attitude experienced by the latter attended in primary care centres. Additionally, we wanted to explore patients' and practitioners' perceptions. We performed a cross-sectional study with a total of 2261 patients (1562 analysed) that attended three primary care centres. Patients completed questionnaires that measured physical functioning, distress, and perception of helping attitude. Gastroenterologists registered the functional status of each participating patient. Patients were then invited to take part in the qualitative part of the study if they were considered to have incongruent views on their functioning with their gastroenterologist. In total, 52 patients took part in one of eight focus groups. Additionally, four individual interviews were carried out with three gastroenterologists and one consultation-liaison psychiatrist specialised in FGIDs. Both incongruence and functional diagnosis correlated with distress. However, incongruent views between patients and gastroenterologists explained more variance. Statistically significant differences in patients' helping attitude perception were detected between diagnostic but no incongruence groups. In the second stage of the study, a total of five themes were identified from the patient focus groups and the gastroenterologist interviews: illness-emotional and personal problems, disease-health system interaction, health system, intervention, and patients. The current research allowed us to confirm that incongruence in the perception of severity and quality of life between gastroenterologists and patients is related to psychological distress and that this occurs in a multifactorial context where the characteristics of the disorder interact with those of the health system.Universitat Autònoma de Barcelona 22022-01-0120222022-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/281706https://dx.doi.org/urn:doi:10.3390/healthcare11010062reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2817062026-06-06T12:50:31Z
dc.title.none.fl_str_mv Incongruent Views of Functioning between Patients and Gastroenterologists
A Mixed Methods Study
title Incongruent Views of Functioning between Patients and Gastroenterologists
spellingShingle Incongruent Views of Functioning between Patients and Gastroenterologists
Eiroá Orosa, Francisco José|||0000-0002-4163-6545
Distress
Functional digestive diagnosis
Gastroenterology
Illness experience
Incongruence
Patient-physician relationship
title_short Incongruent Views of Functioning between Patients and Gastroenterologists
title_full Incongruent Views of Functioning between Patients and Gastroenterologists
title_fullStr Incongruent Views of Functioning between Patients and Gastroenterologists
title_full_unstemmed Incongruent Views of Functioning between Patients and Gastroenterologists
title_sort Incongruent Views of Functioning between Patients and Gastroenterologists
dc.creator.none.fl_str_mv Eiroá Orosa, Francisco José|||0000-0002-4163-6545
Georghiades, Alicia
Rodríguez-Urrutia, Amanda|||0000-0001-6882-205X
Accarino, Ana María|||0000-0002-5829-1811
author Eiroá Orosa, Francisco José|||0000-0002-4163-6545
author_facet Eiroá Orosa, Francisco José|||0000-0002-4163-6545
Georghiades, Alicia
Rodríguez-Urrutia, Amanda|||0000-0001-6882-205X
Accarino, Ana María|||0000-0002-5829-1811
author_role author
author2 Georghiades, Alicia
Rodríguez-Urrutia, Amanda|||0000-0001-6882-205X
Accarino, Ana María|||0000-0002-5829-1811
author2_role author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Distress
Functional digestive diagnosis
Gastroenterology
Illness experience
Incongruence
Patient-physician relationship
topic Distress
Functional digestive diagnosis
Gastroenterology
Illness experience
Incongruence
Patient-physician relationship
description Gastrointestinal patients, especially those diagnosed with functional digestive disorders (FGIDs), usually present a complex clinical picture that poses a challenge for their management in primary care. The main objective of the current research was to examine the relationship of the congruence of the perception of severity and quality of life between gastroenterologists and their patients with psychological distress and the helping attitude experienced by the latter attended in primary care centres. Additionally, we wanted to explore patients' and practitioners' perceptions. We performed a cross-sectional study with a total of 2261 patients (1562 analysed) that attended three primary care centres. Patients completed questionnaires that measured physical functioning, distress, and perception of helping attitude. Gastroenterologists registered the functional status of each participating patient. Patients were then invited to take part in the qualitative part of the study if they were considered to have incongruent views on their functioning with their gastroenterologist. In total, 52 patients took part in one of eight focus groups. Additionally, four individual interviews were carried out with three gastroenterologists and one consultation-liaison psychiatrist specialised in FGIDs. Both incongruence and functional diagnosis correlated with distress. However, incongruent views between patients and gastroenterologists explained more variance. Statistically significant differences in patients' helping attitude perception were detected between diagnostic but no incongruence groups. In the second stage of the study, a total of five themes were identified from the patient focus groups and the gastroenterologist interviews: illness-emotional and personal problems, disease-health system interaction, health system, intervention, and patients. The current research allowed us to confirm that incongruence in the perception of severity and quality of life between gastroenterologists and patients is related to psychological distress and that this occurs in a multifactorial context where the characteristics of the disorder interact with those of the health system.
publishDate 2022
dc.date.none.fl_str_mv 2
2022-01-01
2022
2022-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/281706
https://dx.doi.org/urn:doi:10.3390/healthcare11010062
url https://ddd.uab.cat/record/281706
https://dx.doi.org/urn:doi:10.3390/healthcare11010062
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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