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Experiences and concerns among patients being treated for atypical chest pain.

Ågård, Anders LU ; Bentley, Louise and Herlitz, Johan (2005) In European Journal of Internal Medicine 16(5). p.44-339
Abstract
Background

Many patients who are discharged from the hospital without receiving a clear-cut diagnosis of their chest pain continue to consume health care because of disabling physical and psychological symptoms. By identifying their experiences and concerns following hospitalization, an empirical basis for discussions on ways of improving the care of these particular patients will be obtained.



Methods

A qualitative analysis of semi-structured interviews with 38 patients with a diagnosis of unspecified chest pain was carried out.



Results

Two-thirds of the respondents had unanswered questions and concerns that had not been addressed. They found it difficult to understand why... (More)
Background

Many patients who are discharged from the hospital without receiving a clear-cut diagnosis of their chest pain continue to consume health care because of disabling physical and psychological symptoms. By identifying their experiences and concerns following hospitalization, an empirical basis for discussions on ways of improving the care of these particular patients will be obtained.



Methods

A qualitative analysis of semi-structured interviews with 38 patients with a diagnosis of unspecified chest pain was carried out.



Results

Two-thirds of the respondents had unanswered questions and concerns that had not been addressed. They found it difficult to understand why they had not undergone more tests. They requested an explanation for their chest pain, at the very least, or were worried about the future. Some respondents accepted the fact that they had not been given a sufficient amount of time and information. They referred to the stressful working situation of the physicians, the view that their admission could be regarded as unnecessary or that physicians at the hospital could not be expected to do more than exclude serious diseases.



Conclusions

Health professionals should address their patients' questions and fears properly and provide them with the most probable explanation for their symptoms. When taking the harmlessness of their symptoms or the situation of their caregivers into account, patients may find it inappropriate to impose further demands on care. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Ethics, Cardiac observation unit, Doctor–patient relationship, Information disclosure, Chest pain
in
European Journal of Internal Medicine
volume
16
issue
5
pages
44 - 339
publisher
Elsevier
external identifiers
  • scopus:28744439529
ISSN
1879-0828
DOI
10.1016/j.ejim.2004.11.019
language
English
LU publication?
yes
id
1cdbbf62-f08b-4f60-9f77-4d374b47ce44 (old id 143899)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16137547&dopt=Abstract
date added to LUP
2007-06-26 14:10:08
date last changed
2017-01-01 04:22:48
@article{1cdbbf62-f08b-4f60-9f77-4d374b47ce44,
  abstract     = {Background<br/><br>
Many patients who are discharged from the hospital without receiving a clear-cut diagnosis of their chest pain continue to consume health care because of disabling physical and psychological symptoms. By identifying their experiences and concerns following hospitalization, an empirical basis for discussions on ways of improving the care of these particular patients will be obtained.<br/><br>
<br/><br>
Methods<br/><br>
A qualitative analysis of semi-structured interviews with 38 patients with a diagnosis of unspecified chest pain was carried out.<br/><br>
<br/><br>
Results<br/><br>
Two-thirds of the respondents had unanswered questions and concerns that had not been addressed. They found it difficult to understand why they had not undergone more tests. They requested an explanation for their chest pain, at the very least, or were worried about the future. Some respondents accepted the fact that they had not been given a sufficient amount of time and information. They referred to the stressful working situation of the physicians, the view that their admission could be regarded as unnecessary or that physicians at the hospital could not be expected to do more than exclude serious diseases.<br/><br>
<br/><br>
Conclusions<br/><br>
Health professionals should address their patients' questions and fears properly and provide them with the most probable explanation for their symptoms. When taking the harmlessness of their symptoms or the situation of their caregivers into account, patients may find it inappropriate to impose further demands on care.},
  author       = {Ågård, Anders and Bentley, Louise and Herlitz, Johan},
  issn         = {1879-0828},
  keyword      = {Ethics,Cardiac observation unit,Doctor–patient relationship,Information disclosure,Chest pain},
  language     = {eng},
  number       = {5},
  pages        = {44--339},
  publisher    = {Elsevier},
  series       = {European Journal of Internal Medicine},
  title        = {Experiences and concerns among patients being treated for atypical chest pain.},
  url          = {http://dx.doi.org/10.1016/j.ejim.2004.11.019},
  volume       = {16},
  year         = {2005},
}