Patients and providers view gout differently: a qualitative study
UMass Chan Affiliations
Department of Medicine, Division of Cardiovascular MedicineDepartment of Medicine, Division of Rheumatology
Meyers Primary Care Institute
Document Type
Journal ArticlePublication Date
2010-12-03Keywords
AdultAged
Aged, 80 and over
*Attitude of Health Personnel
Colchicine
Cross-Sectional Studies
Female
Food Habits
Gout
Gout Suppressants
*Health Knowledge, Attitudes, Practice
Health Maintenance Organizations
Humans
Interviews as Topic
Male
Massachusetts
Medication Adherence
Middle Aged
Patient Education as Topic
Professional-Patient Relations
Qualitative Research
Health Services Research
Primary Care
Metadata
Show full item recordAbstract
OBJECTIVES: We sought to examine patients' and providers' views on the treatment of gout to better understand why management is suboptimal. METHODS: In-depth telephone interviews were conducted with gout patients (n = 26) who initiated treatment with a urate-lowering drug (ULD) in the previous 6 months and with providers who care for gout patients (n = 15). The interviews were audiotaped and transcribed verbatim. Using qualitative methods, results were analysed and themes were identified. Interviews focused on the acute management, chronic management and prevention and improvement strategies. RESULTS: Providers viewed the majority of patients as having excellent relief with non-steroidal anti-inflammatories, colchicine and glucocorticoids, while some patients felt these medications were ineffective. Providers felt that most patients had a good understanding of the rationale for ULD therapy and that patients responded well. Some patients felt ULDs triggered, worsened or had no impact on their disease. Most providers thought medication adherence was relatively good. Some patients reported discontinuing medications. Discontinuations were largely purposeful and due to clinical or financial concerns. Most providers thought they had adequate skills to teach disease self-management behaviours. Patients requested more information and longer visit times. CONCLUSIONS: Providers view gout as easily managed, while patients report challenges and purposeful non-adherence.Source
Chronic Illn. 2010 Dec;6(4):263-71. Epub 2010 Jul 30. Link to article on publisher's siteDOI
10.1177/1742395310378761Permanent Link to this Item
http://hdl.handle.net/20.500.14038/37101PubMed ID
20675361Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1177/1742395310378761