Discordance Between Physician and Patient Perceptions in the Treatment of Diabetes Mellitus: A Pilot Study of the Relationship to Adherence and Glycemic Control

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 discor...

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Bibliographic Details
Published in:The Diabetes educator 1996-09, Vol.22 (5), p.493-499
Main Authors: Boyer, Bret A., Lerman, Caryn, Shipley, Thomas E., McBrearty, John, Quint, Andrew, Goren, Elihu
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Conflict (Psychology)
Diabetes Mellitus, Type 1 - metabolism
Diabetes Mellitus, Type 1 - psychology
Diabetes Mellitus, Type 1 - therapy
Diabetes Mellitus, Type 2 - psychology
Diabetes Mellitus, Type 2 - therapy
Glycated Hemoglobin A - metabolism
Humans
Middle Aged
Nursing
Patient Compliance
Physician-Patient Relations
Pilot Projects
Surveys and Questionnaires
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Summary: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.
ISSN:0145-7217
1554-6063
DOI:10.1177/014572179602200509