Hypertensive patients perceptions of their physicians knowledge about them: a cross-sectional study in JapanReportar como inadecuado

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BMC Family Practice

, 11:56

First Online: 02 August 2010Received: 13 January 2010Accepted: 02 August 2010


BackgroundIn order to evaluate the difference in quality of primary care provided by physicians between the types of medical institutions in Japan, we examined whether the physicians- comprehensive knowledge of their patients is perceived differently by the patients seen at clinics and hospitals.

MethodsPatients with prescriptions for hypertensive drugs were approached sequentially at 13 pharmacies, and were administered a questionnaire on their perception of their physician-s knowledge about them. Data were obtained for 687 patients 362 from clinics and 325 from hospitals. A physician-s knowledge of his or her patients was assessed according to six aspects: their medical history, their current medications, history of allergy, what worries patients most about their health, patients- values and beliefs on their health, and patients- roles and responsibilities at work, home, or school. Responses were scored from 1 through 6 1: knows very well; 6: doesn-t know at all.

ResultsPatients treated in clinics were seen more frequently, for a longer period, and had fewer complications than the patients who were treated in hospitals. Among the six aspects of physicians- knowledge assessed, 79.3% of the patients reported that their physicians knew their complete list of medications -very well or well,- while 28.3% reported the same about their roles and responsibilities at work, home, or school. Physicians in clinics were considered to know their patients- worries about their health p = 0.004 and the roles and responsibilities of the patients at work, home, or school p = 0.028 well. Multiple regression analysis showed that the type of medical institutions remained as a significant variable only for the aspect of patients- worries about their health. The factor that consistently affected the patients- perception of physicians- knowledge about them was the patients- age.

ConclusionsHypertensive patients- perceptions of their physicians- knowledge about them did not differ significantly between clinics and hospitals in Japan for most of the aspects. In order to differentiate the roles of physicians in hospitals and clinics better and ensure the quality of primary care, the establishment of a standardized educational system to train primary care physicians better is recommended.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2296-11-56 contains supplementary material, which is available to authorized users.

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Autor: Machiko Inoue - Kazuo Inoue - Shinji Matsumura

Fuente: https://link.springer.com/

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