Chronic illness from the perspective of patients and health professionals: a qualitative study in Mexico

• Published in: Cadernos de saúde pública Vol. 23; no. 9; pp. 2178 - 2186
• Main Authors: Mercado-Martínez, Francisco J, Hernández-Ibarra, Eduardo
• Format: Journal Article
• Language: Spanish
• Published: Brazil 01.09.2007
• Subjects: Adult; Aged; Attitude of Health Personnel; Chronic Disease - psychology; Chronic Disease - therapy; Female; Focus Groups; Health Knowledge, Attitudes, Practice; Health Personnel - psychology; Humans; Male; Mexico; Middle Aged; Patient-Centered Care; Professional-Patient Relations; Qualitative Research; Mexico
• ISSN: 0102-311X
• DOI: 10.1590/S0102-311X2007000900025

Chronic diseases are leading causes of morbidity, mortality, and increasing expenditures in numerous countries. However, little is known about how chronic diseases are perceived and managed by social actors. This article aims to compare the perspectives of health professionals and patients towards chronic diseases, besides analyzing the relationship between these two groups. A qualitative, multi-center study was conducted in three Mexican cities: Guadalajara, San Luis Potosí, and Mexico City. Participants included chronically ill individuals, physicians, and other health professionals from primary and secondary health care centers. Data collection used focus groups and interviews. The data were analyzed using discourse analysis. Participants' perceptions varied, from the medicalized view of physicians to that of patients focused on illness and the lifeworld. The participants agreed that there are unequal relationships between health professionals, families, and the chronically ill, but that relationships are more equal among the chronically ill themselves. The article includes by discussing various implications of the findings.