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  1. Reliability of symptom assessment in dyspepsia.

    Article - En anglais

    Objective 

    To examine the variation between doctors in their clinical assessment of dyspeptic symptoms.

    Design 

    Simulated presentation of three dyspeptic symptom complexes to a total of 27 general practitioners, who each interviewed the'patient'in accord with their own clinical practice.

    A structured record form was used to record details of the history elicited.

    Setting 

    Simulation of a primary care consultation.

    Results 

    Although overall agreement in symptom assessment was reasonable for each of the three symptom complexes, both the accuracy and consistency of assessment varied considerably for individual symptoms.

    Inconsistency and inaccuracy in the assessment of epigastric pain were unexpectedly large, demonstrating that neither the nature nor severity of pain were communicated reliably.

    Conclusion 

    The findings illustrate the feasibility of quantitative appraisal of patient-doctor communication in respect of symptoms and show that there is much variation in the reliability with which different symptoms are communicated.

    Difficulty in characterizing abdominal pain reliably may contribute to the well recognized inadequacy of a conventional clinical history in identifying the cause of a patient's dyspepsia.

    Mots-clés Pascal : Dyspepsie, Etude comparative, Enquête opinion, Symptomatologie, Relation médecin malade, Communication information, Douleur, Faisabilité, Homme, Appareil digestif pathologie, Organisation santé

    Mots-clés Pascal anglais : Dyspepsia, Comparative study, Opinion inquiry, Symptomatology, Physician patient relation, Information communication, Pain, Feasibility, Human, Digestive diseases, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0428484

    Code Inist : 002B13B03. Création : 19/12/1997.