Incongruent Views of Functioning between Patients and Gastroenterologists: A Mixed Methods Study
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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| Format: | Article |
| Language: | English |
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MDPI AG
2022-12-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/1/62 |
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| author | Francisco José Eiroa-Orosa Alicia Georghiades Amanda Rodriguez-Urrutia Anna Accarino |
| author_facet | Francisco José Eiroa-Orosa Alicia Georghiades Amanda Rodriguez-Urrutia Anna Accarino |
| author_sort | Francisco José Eiroa-Orosa |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-11T10:00:43Z |
| format | Article |
| id | doaj.art-48d1f4e76a0845358b1b3e21097edb72 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T10:00:43Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-48d1f4e76a0845358b1b3e21097edb722023-11-16T15:25:01ZengMDPI AGHealthcare2227-90322022-12-011116210.3390/healthcare11010062Incongruent Views of Functioning between Patients and Gastroenterologists: A Mixed Methods StudyFrancisco José Eiroa-Orosa0Alicia Georghiades1Amanda Rodriguez-Urrutia2Anna Accarino3Section of Personality, Evaluation and Psychological Treatment, Department of Clinical Psychology and Psychobiology, School of Psychology, University of Barcelona, 08035 Barcelona, SpainSection of Personality, Evaluation and Psychological Treatment, Department of Clinical Psychology and Psychobiology, School of Psychology, University of Barcelona, 08035 Barcelona, SpainConsultation-Liaison Psychiatry Unit, Department of Psychiatry, University Hospital Vall d’Hebron, CIBERSAM, 08035 Barcelona, SpainDigestive System Research Unit, University Hospital Vall d’Hebron, CIBEREHD, 08035 Barcelona, SpainGastrointestinal 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.https://www.mdpi.com/2227-9032/11/1/62distressfunctional digestive diagnosisgastroenterologyillness experienceincongruencepatient-physician relationship |
| spellingShingle | Francisco José Eiroa-Orosa Alicia Georghiades Amanda Rodriguez-Urrutia Anna Accarino Incongruent Views of Functioning between Patients and Gastroenterologists: A Mixed Methods Study Healthcare distress functional digestive diagnosis gastroenterology illness experience incongruence patient-physician relationship |
| title | Incongruent Views of Functioning between Patients and Gastroenterologists: A Mixed Methods Study |
| title_full | Incongruent Views of Functioning between Patients and Gastroenterologists: A Mixed Methods Study |
| title_fullStr | Incongruent Views of Functioning between Patients and Gastroenterologists: A Mixed Methods Study |
| title_full_unstemmed | Incongruent Views of Functioning between Patients and Gastroenterologists: A Mixed Methods Study |
| title_short | Incongruent Views of Functioning between Patients and Gastroenterologists: A Mixed Methods Study |
| title_sort | incongruent views of functioning between patients and gastroenterologists a mixed methods study |
| topic | distress functional digestive diagnosis gastroenterology illness experience incongruence patient-physician relationship |
| url | https://www.mdpi.com/2227-9032/11/1/62 |
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