Discordance between physician and patient perceptions in the treatment of diabetes mellitus: A pilot study of the relationship to adherence and glycemic control

被引：18

作者：

Boyer, BA ^{[1
]}

Lerman, C ^{[1
]}

Shipley, TE ^{[1
]}

McBrearty, J ^{[1
]}

Quint, A ^{[1
]}

Goren, E ^{[1
]}

机构：

[1] MERCY CATHOLIC MED CTR, DIV BEHAV MED, DARBY, PA USA

来源：

DIABETES EDUCATOR | 1996年 / 22卷 / 05期

关键词：

D O I：

10.1177/014572179602200509

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Glycolsylated hemoglobin (G Hb) levels and data on adherence and patient-provider discordance in beliefs about diabetes were collected from 42 insulin-requiring patients with diabetes. Discordance was calculated for both degree of discordance (absolute amount of disagreement) and direction of discordance (degree to which physician > patient or patient < physician). Patients generally agreed with physicians in perceptions of severity, costs of adherence, and immediate and long-term benefits of adherence. Significant differences were found between these dimensions. Only discordance on long-term benefits of adherence correlated with adherence, with greater discordance related to greater adherence. Discordance on the cost dimension correlated negatively with G Hb, suggesting better glycemic control with greater disagreement. Those who underestimate the cost of adherence show greater adherence. Adherence did not correlate significantly with glycemic control.

引用

页码：493 / 499

页数：7

共 23 条

[1]

Becker M H, 1977, Med Care, V15, P27, DOI 10.1097/00005650-197705001-00005

[2]

BOYER BA, 1992, 13 ANN SCI SESS SOC

[3] PSYCHOPHYSIOLOGICAL ASPECTS OF THE MANAGEMENT OF DIABETES-MELLITUS [J].