1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address n/a Rights Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). Pages 822-827 Issue 11 Volume 3 Search for Full-text Locate full-text within NEOMED Library's e-journal collections <p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Medical Care Perceptions In Elderly Patients With Musculoskeletal Complaints Publisher An entity responsible for making the resource available Israel Medical Association Journal Date A point or period of time associated with an event in the lifecycle of the resource 2001 2001-11 Subject The topic of the resource arthritis; chronic disease; elderly; General & Internal Medicine; knee; management; musculoskeletal symptoms; osteoarthritis; outcomes; Pain; patient expectations; patient perception; patient satisfaction; physician; satisfaction; treatment regimens Creator An entity primarily responsible for making the resource Hershkovitz A; Rothschild B M; Rose J H; Hornick T; O'Toole E E Description An account of the resource Background: Musculoskeletal complaints represent the second most common reason for visits to a physician, second only to the common cold. The limited capability of medical. treatment for musculoskeletal disease requires modification of communication with patients by attending to their perception of the disease. Objectives: To assess patients' satisfaction with care provided by their primary physicians, and the relationship of patients' satisfaction to their expectations of that care, perceptions of physician performance, and perceived severity of musculoskeletal disease. Methods: Questionnaires were administered to 90 community-dwelling elderly patients (mean age 76+/-8 years) presenting for follow-up appointments with their primary care physicians. Patients were asked to report on their satisfaction with the medical care provided by the primary physicians for musculoskeletal symptoms, their expectations of that care, their perceptions of their primary physicians' interaction (regarding competence, performance, and communication), and their perceptions of disease severity (based on the number of areas involved, pain frequency and intensity, and impact on daily activity). The effects on the degree of satisfaction were assessed with regard to demographic variables, co-morbidity, site involved, and response to recommended treatment. Results: Most patients (> 85%) expressed overall satisfaction with their doctor's interpersonal skills. Fewer (76.9%) were satisfied with the amount of effort their doctors spend evaluating their musculoskeletal symptoms, the information received regarding their musculoskeletal symptoms (75%), the degree of pain relief (75%), and the degree of functional improvement (61.8%). Level of education and response to recommended treatment for musculoskeletal disease were the only parameters associated with degree of satisfaction (higher education P = 0.005; lower education P = 0.059, medication P = 0.008, rehabilitation P = 0.076). A high level of expectations (regarding physician's care and musculoskeletal disease treatment) was noted. Conclusions: The high level of patient satisfaction with their primary physicians' care for musculoskeletal symptoms may reflect the overall tendency of the elderly population to be satisfied with its primary care physicians. However, their high level of expectations (related to perceived efficacy of medical treatment) and their unrealistic perceptions of disease may lead to disappointment and non-compliance with their doctor's recommendations. Management of musculoskeletal disease in the elderly should address the patients' disease perceptions, as well as their therapeutic and functional needs. Identifier An unambiguous reference to the resource within a given context n/a Format The file format, physical medium, or dimensions of the resource Journal Article or Conference Abstract Publication 2001 Arthritis Chronic Disease Elderly General & Internal Medicine Hershkovitz A Hornick T Israel Medical Association Journal Journal Article or Conference Abstract Publication Knee Management musculoskeletal symptoms O'Toole E E Osteoarthritis outcomes Pain patient expectations patient perception Patient Satisfaction physician Rose J H Rothschild B M satisfaction treatment regimens