Urmimala Sarkar|Dean Schillinger|Kirsten Bibbins?Domingo|Anna María Nápoles|Leah Karliner|Eliseo J. Pérez?Stable
Patient–physicians’ information exchange in outpatient cardiac care: Time for a heart to heart?
San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco
agreement patients physicians indicator successful communication concordance domains communication among patients heart disease communication barriers studiedenglish spanish cantonesespeaking patients seen public hospital cardiology clinic assessed previsit questionnaires surveys patients physicians immediately visit asked 1 cardiac functional status 2 barriers selfmanagement 3 cardiac diagnoses 4 treatment assessed patientphysician concordance domains179 patients 56 physicians completed study patients low educational attainment limited literacy limited english proficiency physicians underestimated patients cardiac functioning status nyha classes 24 1 class 50 visits physicians frequently unaware medication 3857 67 psychosocial 6188 69 barriers patients unable describe even 1 matching diagnosis 72170 42 concordant among 5 categories physicians reported medication changes 106179 59 patients failed report changes 55 58106 multivariate logistic regression analyses showed significant association patient characteristics concordancepatients physicians often fail communicate effectively determinants concordance cvd care require investigationdeveloping strategies improve communication within medical encounter critical improving ambulatory chronic disease management