The purpose of this paper is to identify patients’ ideal expectations from their healthcare providers. The IBS-Patient Education Questionnaire was developed using focus groups, and was administered to a national sample of IBS patients. Frequencies of item endorsements were obtained. Subgroup analysis was done comparing the responses for patients’ ideal expectations of their healthcare providers vs. their experiences with their last provider. Among the 1,242 patients who completed the survey, the mean age was 39.3 years, educational attainment 15 years, 85% female, IBS duration 6.9 years, 1,028 (83%) had seen a physician for IBS in the past, and 92.6% have used the Internet to obtain health information. Among the subjects who have seen a physician for IBS, the most desired qualities of providers were to give comprehensive information (96%), to refer to a source for additional information (95.8%), to answer questions (95.9%), to listen (94.4%), to provide information about IBS studies and medications (94%), and to provide support (88.6%) and hope (82.1%). Importantly, patients’ prior experiences with their last healthcare provider differed from their ideal expectations: “provide information” (38.3%); answer questions during the visit (68%), “to listen” (63.8%), and support (47.1%). Patients’ ideal expectations from healthcare providers (what patients ideally would like to experience) relate to obtaining information and relationship needs of receiving support and hope. Notably, their prior experiences with recent healthcare providers (what patients perceived actually occurred) were different from their ideal expectations. A better understanding of different types of expectations is necessary in order to construct an effective therapeutic relationship, which is critical for the management of IBS. Practice implications: Practice guidelines for IBS should emphasize a better understanding of a patient’s expectations and the therapeutic value of patient–provider communication.
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This study was sponsored by Glaxo Smith Kline Institute for Digestive Diseases Health Care Advancement Award and by partial funds from unrestricted educational grants from Procter & Gamble and Forest Laboratory. These pharmaceutical companies had no role in the development of the project or data interpretation.
Roter DL, Hall JA. Doctors talking to patients/patients talking to doctors: improving communication in medical visits. Westport, CT: Praeger; 2006.Google Scholar
Halpert A, Dalton C, Palsson O, et al. What patients know about irritable bowel syndrome (IBS) and what they would like to know. National survey on patient educational needs in IBS and development and validation of the patient educational needs questionnaire (PEQ). Am J Gastroenterol. 2007;102:1972–1982. doi:10.1111/j.1572-0241.2007.01254.x.CrossRefPubMedGoogle Scholar
Williams S, Weinman J, Dale J, Newman S. Patient expectations—what do primary-care patients want from the GP and how far does meeting expectations affect patient satisfaction? Fam Pract. 1995;12:193–201. doi:10.1093/fampra/12.2.193.CrossRefPubMedGoogle Scholar
Bijkerk CJ, de Wit NJ, Stalman WAB, Knottnerus JA, Hoes AW, Muris JWM. Irritable bowel syndrome in primary care: the patients’ and doctors’ views on symptoms, etiology and management. Can J Gastroenterol. 2003;17:363–368.PubMedGoogle Scholar
Ludmerer K. Second Revolutionary Period. Time to heal: American medical education from the turn of the century to the era of managed care. New York: Oxford University Press; 1999:370–399.Google Scholar