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Specialists Understanding of the Health Care Preferences of Chronically Ill Adolescents
- Source :
- Journal of Adolescent Health. 40:334-341
- Publication Year :
- 2007
- Publisher :
- Elsevier BV, 2007.
-
Abstract
- Doctors must understand patients' priorities to create an effective treatment partnership. Little is known about whether subspecialist pediatricians understand chronically ill adolescents' preferences.A survey was conducted of 155 adolescents with chronic illnesses and 52 subspecialty physicians recruited from the same clinics of a children's hospital. Adolescents and physicians rated the importance that adolescents place on items relating to quality of care and physician-patient communication styles using a previously validated measure.For quality of care items, rank order correlation between physicians and patient responses was high (r = .63, p.001) and both rated pain management items as most important. Physicians underestimated the importance adolescents placed on communicating with the physician as a friend and medical-technical aspects of care. For communication items, physicians' responses were significantly different than adolescents for 13 of 17 items. Except for three items pertaining to autonomy, physician and patient responses were in the same direction, but adolescent responses were less extreme.Physicians understood the importance of pain management to adolescents with chronic illnesses, but overestimated their desired level of autonomy. Asking adolescents for their preferences may be the first step in improving adolescents' experience of care.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Cystic Fibrosis
media_common.quotation_subject
Pain
Anemia, Sickle Cell
Subspecialty
Patient satisfaction
Nursing
Surveys and Questionnaires
Health care
Humans
Pain Management
Medicine
Effective treatment
Child
Quality of Health Care
media_common
Health Services Needs and Demand
Physician-Patient Relations
business.industry
Public health
Public Health, Environmental and Occupational Health
Pain management
Inflammatory Bowel Diseases
Arthritis, Juvenile
Psychiatry and Mental health
Adolescent Behavior
Adolescent Health Services
Patient Satisfaction
Population Surveillance
Family medicine
General partnership
Chronic Disease
Pediatrics, Perinatology and Child Health
Female
business
Autonomy
Subjects
Details
- ISSN :
- 1054139X
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- Journal of Adolescent Health
- Accession number :
- edsair.doi.dedup.....22c60c7bfbef416099708cf69e9670e7