A comparison of patient-reported reasons for encounter and provider-reported diagnoses

Veitch P.C. (1995) A comparison of patient-reported reasons for encounter and provider-reported diagnoses. Family Practice, 12 4: 408-412. doi:10.1093/fampra/12.4.408

Author Veitch P.C.
Title A comparison of patient-reported reasons for encounter and provider-reported diagnoses
Journal name Family Practice   Check publisher's open access policy
ISSN 1460-2229
Publication date 1995-01-01
Sub-type Article (original research)
DOI 10.1093/fampra/12.4.408
Volume 12
Issue 4
Start page 408
End page 412
Total pages 5
Subject 2714 Family Practice
2739 Public Health, Environmental and Occupational Health
Abstract People attending the general practices and hospital OPDs in two rural Queensland towns were asked, before receiving care, to indicate why they were seeking care. The consulting providers reported the outcome of the encounter. Using ICPC Components and Chapters patient and provider reports were compared to assess the level of agreement between same, in order to determine the nexus between patient perceptions and provider diagnoses. Patients tended to report signs and symptoms in preference to specific diagnoses, for both first and follow-up visits. Good concurrence between patient and provider reports were recorded in those Chapters in which conditions commonly had obvious signs and symptoms and relatively high follow-up rates. ‘Psychological’ conditions were an exception in this regard, suggesting that patient reports are unreliable for such conditions. Patient and provider reports should be seen as different aspects of health care, and therefore should not be used as corollaries of each other. Researchers need to be clear about which perspective is required—that of the patient or the provider—in exploring the content of clinical encounters. Provider reports do not reflect the triggers (perceptions) which persuade patients to seek care.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: Scopus Import - Archived
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Citation counts: TR Web of Science Citation Count  Cited 4 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 5 times in Scopus Article | Citations
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