PT - JOURNAL ARTICLE AU - Stéphanie Sidorkiewicz AU - Alexandre Malmartel AU - Lea Prevost AU - Henri Partouche AU - Juliette Pinot AU - Armelle Grangé-Cabane AU - Céline Buffel du Vaure AU - Serge Gilberg TI - Patient-Physician Agreement in Reporting and Prioritizing Existing Chronic Conditions AID - 10.1370/afm.2444 DP - 2019 Sep 01 TA - The Annals of Family Medicine PG - 396--402 VI - 17 IP - 5 4099 - http://www.annfammed.org/content/17/5/396.short 4100 - http://www.annfammed.org/content/17/5/396.full SO - Ann Fam Med2019 Sep 01; 17 AB - PURPOSE In this study, we aimed to assess (1) the agreement between patient self-reports and general practitioner (GP) reports of the chronic conditions affecting the patients and (2) the agreement between patients and GPs on health priorities in a primary care setting.METHOD Patients were recruited in the Parisian area of France by a convenience sample of GPs; eligibility criteria required that the GP was the patient’s listed primary care provider for at least 12 months. Participants were asked to report all the patient’s current chronic conditions by using a previously developed list of 124 chronic conditions and write a list of up to 3 priority conditions.RESULTS From April to May 2017, 233 patients were recruited from 16 GP practices. Agreement between the number of conditions reported by patients and by GPs was moderate (intraclass correlation coefficient 0.59, 95% CI, 0.50 to 0.69). Agreement between patient self-reports and GP reports of each chronic condition ranged from very good (eg, κ = 0.85 for hypothyroidism) to poor (eg, κ = 0.12 for chronic anxiety disorder). Among the 153 patient-GP pairs for which both the patient and GP wrote a priority list, 45 (29.4%) of patients’ first priorities did not appear anywhere on the corresponding GPs’ lists, and 19 (12.4%) pairs had no matching priority condition.CONCLUSIONS Agreement between patients and their GPs varied widely depending on the diseases reported. Low agreement on health priorities suggests a need for improvement to ensure better alignment between patient and physician perspectives.