Reviewed by pulmonologists and patients about the impact of asth
The agreement between the view that a patient has of their illness and its treatment and your doctor plays an important role in the evolution of it. However, a study by the Asthma Research Program of separ (Spanish Society of Pneumology and Thoracic Surgery) shows a high level of disagreement both in the evaluation of the impact of asthma on daily life and in treatment satisfaction between pulmonologist and asthma patient.
Analyzing the valuations of 1160 patients and 300 pulmonologists, stands first in 53.6% of cases are found well-controlled asthma. Regarding the impact of the disease on the patient's daily life, the degree of agreement between the patient's opinion and his pulmonologist was only 57% and in 26% of cases, physicians (relative to patients) underestimated the impact. The lower degree of concordance in the clinical impact of the disease was observed in the development of sporadic recreational activities (57.1%) and daily routine (57.6%), and quality of life related to health (61, 5%).
The concordance in the degree of satisfaction with treatment was 56% and in 21% of cases, physicians (in relation to their patients) that grade desatisfacción underestimated. The lower agreement was observed in the assessment of symptom improvement (62.8%), in reducing the frequency of exacerbations (64.1%) and lifestyle changes recommended assumable (64.3%) .
In general, patients with well controlled asthma showed significant levels under sick-patient discrepancy (29% and 32.1%) compared with those of uncontrolled asthma (73.7% and 73.1%). This seems to indicate that the lack of agreement could contribute to reduced compliance and consequently to poorly controlled asthma.
In conclusion, the degree of concordance between patients and pneumologists in the perception of the magnitude of asthma is low, particularly in patients with uncontrolled asthma. VISA Study researchers believe there are several factors that adversely affect the patient-physician concordance appropriate, for example, increased demand for health care, limited medical visit time and false expectations about what patients expect their medical professionals.
The study VISA defined as the degree of understanding agreement between physician and patient, which both understand what the other expects of treatment, positive or negative and what are the expectations regarding the disease and its impact on daily life . "It's important to know by the patient the risks and benefits asthma treatment and at the same time, the physician must know the expectations and fears of the patient to be able to help," says Dr. Vincent Square, pulmonologist and director of Asthma Research Program of separ.
As a recommendation, Dr. Place notes that "very little agreement should be considered in asthma education programs administered to patients with poorly controlled asthma and include specific strategies to improve it. At the same time, health professionals should consider the perspective of their patients for the identification of specific therapeutic targets, individualized and achievable ".