Literature DB >> 22726373

Doctor-patient relationship: a resource to improve respiratory diseases management.

Pierachille Santus1, Stefano Picciolo, Alfio Proietto, Franco Falcone, Antonino Mangiacavallo, Giulia Pellegrino, Francesca Sereno, Dejan Radovanovic, Francesco Blasi, Giuseppe Girbino, Stefano Centanni.   

Abstract

BACKGROUND: Many respiratory diseases are chronic conditions that are strongly linked with the patient-physician relationship, disease perception and therapy adherence. The aim of the present study was to evaluate patient's viewpoint about the different aspects involved in their respiratory diseases.
METHODS: This is a prospective observational survey. 46 Italian medical centres were involved and equally distributed. The interviews were carried out and were performed by means of a questionnaire which consisted of 32 questions regarding lung disease, modality of access to medical facilities, therapy and level of medical assistance.
RESULTS: 1116 patients were enrolled and the most important respiratory symptoms referred were: dyspnoea (69%), chronic phlegm (28%), cough (13%). During programmed visits 98.3% and 98.8% of interviewed patients knew were aware of asthma and COPD respectively, percentage that dropped, during emergency accesses, to 1.7% and 1.1% knew to have asthma and COPD respectively. Primarily were prescribed 1.67 spirometry/patient/year while only the 2% of patients referred to have performed a blood gas analysis. The 18% of patients spontaneously discontinued the therapy, considering it too complex. The average time that patients identified as being used by the doctor to perform the visit was of 22 minutes, with an high mean medical assistance satisfaction score. DISCUSSION: There has been little research examining what factors may influence patient acceptance and participation of chronic respiratory diseases. Our national survey demonstrated that a good patient-physician relationship represents one of the first points in the successful management of respiratory diseases.
Copyright © 2012 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

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Year:  2012        PMID: 22726373     DOI: 10.1016/j.ejim.2012.04.004

Source DB:  PubMed          Journal:  Eur J Intern Med        ISSN: 0953-6205            Impact factor:   4.487


  8 in total

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Review 2.  Helping COPD patients change health behavior in order to improve their quality of life.

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Review 3.  Day and Night Control of COPD and Role of Pharmacotherapy: A Review.

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4.  Pulmonary Rehabilitation in COPD: A Reappraisal (2008-2012).

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6.  Narrative medicine to improve the management and quality of life of patients with COPD: the first experience applying parallel chart in Italy.

Authors:  Paolo Banfi; Antonietta Cappuccio; Maura E Latella; Luigi Reale; Elisa Muscianisi; Maria Giulia Marini
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2018-01-11

7.  Novel aspects in diagnostic approach to respiratory patients: is it the time for a new semiotics?

Authors:  Gino Soldati; Andrea Smargiassi; Alberto A Mariani; Riccardo Inchingolo
Journal:  Multidiscip Respir Med       Date:  2017-06-27

8.  Use of narrative medicine to identify key factors for effective doctor-patient relationships in severe asthma.

Authors:  Antonietta Cappuccio; Silvia Napolitano; Francesco Menzella; Guido Pellegrini; Alessandro Policreti; Girolamo Pelaia; Pasquale Alberto Porpiglia; Maria Giulia Marini
Journal:  Multidiscip Respir Med       Date:  2019-09-02
  8 in total

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