+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Failure of physicians to recognize functional disability in ambulatory patients

Failure of physicians to recognize functional disability in ambulatory patients

Annals of Internal Medicine 114(6): 451-454

Objective: To assess the ability of internists to identify functional disabilities reported by their patients. Design: Comparison of responses by physicians and a random sample of their patients to a 12-item questionnaire about physical and social function. Setting: A hospital-based internal medicine group practice in Boston, Massachusetts [USA], and selected office-based internal medicine practices in Los Angeles, California [USA]. Subjects: Five staff physicians, three general internal medicine fellows, and 34 internal medicine residents in the hospital-based practice and 178 of their patients. Sixty-six physicians in the office-based practices and 230 of their patients. Measurements and Main Results: Physicians underestimated or failed to recognize 66% of disabilities reported by patients. Patient-reported disabilities were underestimated or unrecognized more often in the hospital-based practice than in the office-based practices (75% compared with 60%, P < 0.05). Physicians overstated functional impairments in 21% of paired responses in which patients reported no disability. Conclusions: Physicians often underestimate or fail to recognize functional disabilities that are reported by their patients. They overstate functional impairment to a lesser degree. Because these discrepancies may adversely affect patient care and well-being, medical educators and clinicians should pay more attention to the assessment of patient function.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 007342851

Download citation: RISBibTeXText

PMID: 1825267

Related references

Functional disability before myocardial infarction in the elderly as a determinant of infarction severity and postinfarction mortality. Archives of Internal Medicine 157(19): 2196-2204, 1997

Failure of physicians prediction of routine chest radiographic findings in the pediatric icu picu. Pediatric Research 25(4 Part 2): 39A, 1989

Hannover Fracture Scale '98--reevaluation and new prospects for an established score system. Der Unfallchirurg 104(7): 601-610, 2001

Assassin-flies or robber-flies of Yorkshire, with notes on records from other areas of northern England. Naturalist (doncaster). 120(1015): 143-148, 1995

Why Incentives Are a Key to Surviving Tight Safety Budget Challenges. Occupational Health and Safety 84(9): 72-73, 2015

Soluble ST2 for predicting sudden cardiac death in patients with chronic heart failure and left ventricular systolic dysfunction. Journal of the American College of Cardiology 54(23): 2174-2179, 2009

Functional correlates of nicotine administration Similarity with drugs of abuse. Journal Of Molecular Medicine (berlin). 76(3-4): 201, Ch, 1998

Ambulatory ekg monitoring--development and clinical use of Holter's method. Polski Tygodnik Lekarski 51(10-13): 127-130, 1996

Sertraline hydrochloride polymorphs, processes for preparing them, compositions containing them and methods of using them. Official Gazette of the United States Patent and Trademark Office Patents 1262(3), 2002

The prognostic value of electrocochleography in severely hearing-impaired infants. Audiology 38(3): 141-154, May-June, 1999

Ambulatory recording of wave reflections and arterial stiffness during intra- and interdialytic periods in patients treated with dialysis. Clinical Journal of the American Society of Nephrology 10(4): 630-638, 2015

Can physicians prevent the loss of value of the medical practice?. Aktuelle Urologie 39(3): 190-191, 2008

Effects of managed care on the laboratory. The Rochester, New York experience. Clinical Laboratory Management Review 9(3): 161-2 166-75, 1995

From the NIH: Experimental antivirals under study. JAMA 244(10): 1091-1092, 1980

Ambulatory surgery--limits and risks from the viewpoint of the established physician. Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 66(4): 282-286, 1995