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BioMed Research International - Volume 2014 2014, Article ID 514230, 6 pages -

Research Article

Department of Health Sciences and Health Policy, University of Lucerne and Swiss Paraplegic Research, Frohburgstrasse 3, 6002 Lucerne, Switzerland

Swiss Paraplegic Research, Guido Zäch Institute, Guido Zäch Strasse 4, 6207 Nottwil, Switzerland

Rheumatology Unit, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, Italy

Department of Internal Medicine, Policlinico Umberto I, Sapienza University of Rome, Via del Policlinico 155, 00161 Rome, Italy

Received 14 February 2014; Accepted 6 May 2014; Published 18 May 2014

Academic Editor: Inge B. Corless

Copyright © 2014 Claudia Zanini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To strengthen the conceptualization of the patient perspective by identifying aspects that, from doctors’ point of view, are important to address during a consultation to build a partnership with patients. Method. Semistructured interviews were conducted with 17 doctors who are experts in the field of chronic pain in Italy. The recordings of the interviews were transcribed verbatim and interpreted using thematic analysis. Results. The participants agreed about the importance of doctors addressing aspects of the patient perspective that can lead to a difference of opinion with patients, namely, patients’ views about their health condition i.e., what they think they have and why and the perceived impact of the health condition on their life and about treatments i.e., what they have tried or have heard about and their expectations. Conclusions. Identifying patients’ standpoints on their health condition and treatments offers an opportunity for critical discussion of differences of opinions and promotes communication exchange and agreement about the appropriate course of action.

Autor: Claudia Zanini, Piercarlo Sarzi-Puttini, Fabiola Atzeni, Manuela Di Franco, and Sara Rubinelli



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