{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T02:18:31Z","timestamp":1767665911730,"version":"build-2065373602"},"reference-count":31,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T00:00:00Z","timestamp":1642723200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The relationship between general practitioners and patients is privileged. The aim of this study was to assess the concordance between the health profile perceived by the patient and the one described by the doctor. We conducted a cross-sectional study between 2019\u20132020. Patients completed the 5d-5L (EQ-p) and clinicians completed it \u201cfrom the patient\u2019s perspective\u201d (EQ-d), also consulting the clinical diary. Statistical analysis was performed using Stata 14 (Cohen\u2019s kappa; Fisher\u2019s exact test). The sample consisted of 423 patients. The mean age was 56.7 \u00b1 19.2. There were significant differences by gender in usual activities, pain, and anxiety\/depression (74.6% of men had no limitation in usual activities versus 64.5% of women (p &lt; 0.01), 53.9% of men had no pain versus 38.5% of women (p &lt; 0.01), and 60.3% of men had no anxiety\/depression versus 38.5% of women (p &lt; 0.01)). Physicians did not detect these differences. The concordance between EQ-p and EQ-d was substantial for mobility (k = 0.62; p &lt; 0.01), moderate for self-care (k = 0.48; p &lt; 0.01) and usual activities (k = 0.50; p &lt; 0.01). Concordance was fair for pain\/discomfort (k = 0.32; p &lt; 0.01), anxiety\/depression (k = 0.38; p &lt; 0.01), and EQ Index (k = 0.21; p &lt; 0.01). There was greater agreement for \u201cobjective \u201cdimensions (mobility, self-care, and usual activities). A good doctor, to be considered as such, must try to put himself in the \u201cpatient\u2019s pajamas\u201d to feel his feelings and be on the same wavelength.<\/jats:p>","DOI":"10.3390\/ijerph19031201","type":"journal-article","created":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T08:37:18Z","timestamp":1642754238000},"page":"1201","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Game of Mirrors: Health Profiles in Patient and Physician Perceptions"],"prefix":"10.3390","volume":"19","author":[{"given":"Daniele","family":"Fineschi","sequence":"first","affiliation":[{"name":"Local Health Unit Tuscany South-East, 53100 Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Acciai","sequence":"additional","affiliation":[{"name":"Local Health Unit Tuscany South-East, 53100 Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margherita","family":"Napolitani","sequence":"additional","affiliation":[{"name":"Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Scarafuggi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Neuroscience, University of Siena, 53100 Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Messina","sequence":"additional","affiliation":[{"name":"Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy"},{"name":"Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1469-7294","authenticated-orcid":false,"given":"Giovanni","family":"Guarducci","sequence":"additional","affiliation":[{"name":"Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2040-9562","authenticated-orcid":false,"given":"Nicola","family":"Nante","sequence":"additional","affiliation":[{"name":"Post Graduate School of Public Health, University of Siena, 53100 Siena, Italy"},{"name":"Department of Molecular and Developmental Medicine, University of Siena, 53100 Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.socscimed.2019.05.032","article-title":"Investigating the relative value of health and social care related quality of life using a discrete choice experiment","volume":"233","author":"Mulhern","year":"2019","journal-title":"Soc. 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