Article Figures & Data
Tables
- Table 1.
Variables Tested for Association with Congruence Between Physician and Patient Ratings, Reasons, and Improvements
Source Variable Patient survey Demographics (age, sex, race, ethnicity, marital status) Educational attainment Average weekly exercise (<3 vs ≥3 days) Average daily fruits/vegetables (<5 vs ≥5 servings) Risky alcohol use (5 drinks at 1 time for men or 4 drinks at 1 time for women at least once in the past month) Current smoker Household income Medical record review and abstraction Body mass index Seen today's provider previously Number of visits to the office in the past 12 months Type of insurance (private vs Medicare vs Medicaid/self-pay) Comorbidity indices Health-Related Quality of Life comorbidity index Rx-Risk-V medication risk index Patient demographics (n = 506) Male sex 31.7 Race African American 30.6 White 64.4 Asian American and other/mixed 5.0 Age (years), mean (SD) 53.0 (16.8) Marital status Married/partnered 49.1 Widowed/divorced/separated 31.3 Never married or partnered 19.6 Hispanic ethnicity 2.3 Education Less than HS 8.3 HS grad, some college 54.0 College graduate 37.7 Yearly household income ($) <30,000 31.4 30,000–70,000 36.2 >70,000 32.4 Insurance Private 62.4 Medicaid/self-pay 9.7 Medicare 27.9 Physician demographics (n = 32) Male sex 45.5 Race White 72.7 African American 15.2 Asian American and other/mixed 12.1 Age (years) 25–30 28.1 31–40 34.4 41–50 15.6 51–60 21.9 Years in practice (nonresidents, n = 20) 1–10 35.0 11–20 30.0 20–35 35.0 Data are percentages unless otherwise indicated.
HS, high school; SD, standard deviation.
- Table 3.
Congruence of Physician-Rated Patient Health and Patient Self-Rated Health as Rated by Patients Before an Office Visit and by Physicians After the Office Visit
Physician-Rated Patient Health Total Excellent Very Good Good Fair Poor Patient Self-Rated Health Excellent 10 (2) 17 (3) 9 (2) 3 (0.6) 0 (0) 39 (8) Very good 34 (7) 46 (9) 31 (6) 14 (3) 0 (0) 125 (25) Good 18 (4) 52 (10) 78 (15) 53 (10) 12 (2) 213 (42) Fair 0 (0) 12 (2) 36 (7) 48 (9) 12 (2) 108 (21) Poor 0 (0) 0 (0) 4 (0.8) 9 (2) 8 (2) 21 (4) Total 62 (12) 127 (25) 158 (31) 127 (25) 32 (6) 506 (100) Percentages are of the total number of physician-rated patient health/patient self-rated health dyads (n = 506).
- Table 4.
Ten Most Frequently Cited Reasons for Rating Self or the Patient's Health and the 10 Most Frequently Given Improvements Needed to Improve Self or the Patient's Health
Reason for Rating Patient Health Health Improvement Reasons Given Improvements Needed Patient Responses (n = 699) Physician Responses (n = 658) Patient Responses (n = 611) Physician Responses (n = 554) Number of illnesses — 122 (17%) 163 (25%) General health — 102 (15%) 24 (4%) Exercise Need to exercise 63 (9%) 25 (4%) 143 (23%) 100 (18%) Obesity Lose weight 58 (8%) 69 (10%) 98 (16%) 105 (19%) Severity of illness Improve disease or get better 52 (7%) 119 (18%) 28 (5%) 23 (4%) Diet or poor food choices Make better food choices 39 (6%) 131 (21%) 56 (10%) Presence of no disease — 29 (4%) 35 (5%) General response that it is “how I feel” — 26 (3%) Age — 20 (3%) 24 (4%) Miscellaneous — 20 (3%) 48 (8%) 64 (12%) Healthy habits and self-care Better health habits in general 37 (6%) 10 (2%) Mental health problems Get mental health care 25 (4%) 18 (3%) Tobacco use Stop smoking 21 (3%) 35 (6%) 41 (7%) Get needed treatments 16 (3%) 37 (7%) Decrease stress 15 (2%) Get better sleep 14 (2%) Get better medication adherence 30 (5%) Keep doctor appointments and follow advice 26 (5%) Patients and physicians could give more than 1 response. Miscellaneous reasons for ratings included larger health care issues (insurance, incurable diseases) and life status (lack of money), whereas miscellaneous improvements needed included changes in these categories (change the health care system, win the lottery) and statements about already doing everything or needing to do everything.
