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THU0437 Understanding Between Physician and Patient with Osteoarthritis as a Key Factor in Increasing the Effectiveness of Therapy
  1. S. Lapshina,
  2. L. Myasoutova
  1. Kazan State Medical University, Kazan, Russian Federation

Abstract

Background Effective long-term treatment of osteoarthritis (OA) is possible with the active participation of the patient in this process. At the same time, the patient and the doctor's opinion on this issue are different, which determines the difficulty of effective communication and collaboration with regard to treatment.

Objectives To identify the most significant problems for the patient with osteoarthritis (OA) in order to create a system of effective interaction between physician and patient in future

Methods 50 patients with confirmed OA diagnosis (the average duration of the disease 12,45±5,53 years, the average age of patients 49,5±15,82 years) responded to 10 questions concerning their relationship to the disease and the impact on the daily life with the need to evaluate the importance of each question on a scale from 1 to 10. Rheumatologists (n=10) and other physicians (n=40) answered the same questions from their point of view, what is important for patients. Responses were ranked and compared.

Results Physicians and patients opinions coincided in answering the most important question - the forecast for the future in relation to the possibility of movement and overall health. The second most important for patients was the cost of treatment, the third - understanding the causes of the disease and its consequences. Thereafter, patients worried about constant pain and the need to take drugs constantly and possible side effects. In contrast, doctors believed that patients are worried about limitations in everyday life and disability, persistent pain. To a lesser extent they are concerned about the causes of disease and the cost of therapy.

Conclusions Understanding the patients opinion to their disease will allow to restructure the communication with the patient, educational programs for them. Physician must pay more attention to the explanation of the causes of disease, the effectiveness and safety of therapy that will improve the quality of life of patients.

Disclosure of Interest None declared

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