Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 Jan;19(1):18-26.
doi: 10.1177/19322968241285045. Epub 2024 Oct 6.

Discordance Between Clinician and Person-With-Diabetes Perceptions Regarding Technology Barriers and Benefits

Ananta Addala  1 , Kelsey R Howard  2 , Yasaman Hosseinipour  3 , Laya Ekhlaspour  3
Affiliations
Review

Discordance Between Clinician and Person-With-Diabetes Perceptions Regarding Technology Barriers and Benefits

Ananta Addala et al. J Diabetes Sci Technol. 2025 Jan.

Abstract

The quality of clinician-patient relationship is integral to patient health and well-being. This article is a narrative review of published literature on concordance between clinician and patient perspectives on barriers to diabetes technology use. The goals of this manuscript were to review published literature on concordance and to provide practical recommendations for clinicians and researchers. In this review, we discuss the qualitative and quantitative methods that can be applied to measure clinician and patient concordance. There is variability in how concordance is defined, with some studies using questionnaires related to working alliance, while others use a dichotomous variable. We also explore the impact of concordance and discordance on diabetes care, barriers to technology adoption, and disparities in technology use. Published literature has emphasized that physicians may not be aware of their patients' perspectives and values. Discordance between clinicians and patients can be a barrier to diabetes management and technology use. Future directions for research in diabetes technology including strategies for recruiting and retaining representative samples, are discussed. Recommendations are given for clinical care, including shared decision-making frameworks, establishing social support groups optimizing clinician-patient communication, and using patient-reported outcomes to measure patient perspectives on outcomes of interest.

Keywords: barrier; diabetes; discordance; technology.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: AA, KH, and YH do not have any relevant disclosures. LE receives salary support from NIDDK; has received research support from Breakthrough T1D, Medtronic, Abbot, and Mannkind; has served on the advisory board of Diabetes Center Berne and Medtronic. She has received consulting fees from Jaeb, Tandem Diabetes Care and Ypsomed, Sequel and has received honorarium fee from Medtronic and Insulet.

Figures

Figure 1.
Figure 1.
Domains of concordance between clinicians and persons with diabetes.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Speedling EJ, Rose DN. Building an effective doctor-patient relationship: from patient satisfaction to patient participation. Soc Sci Med. 1985;21(2):115-120. doi:10.1016/0277-9536(85)90079-6. - DOI - PubMed
    1. Stewart MA. Effective physician-patient communication and health outcomes: a review. CMAJ. 1995;152(9):1423-1433. - PMC - PubMed
    1. Haverfield MC, Tierney A, Schwartz R, et al.. Can patient-provider interpersonal interventions achieve the quadruple aim of healthcare? a systematic review. J Gen Intern Med. 2020;35(7):2107-2117. doi:10.1007/s11606-019-05525-2. - DOI - PMC - PubMed
    1. Kennedy BM, Rehman M, Johnson WD, Magee MB, Leonard R, Katzmarzyk PT. Healthcare providers versus patients’ understanding of health beliefs and values. Patient Exp J. 2017;4(3):29-37. - PMC - PubMed
    1. Oo NM, Scott IA, Maggacis R, Rajakaruna N. Assessing concordance between patient preferences in advance care plans and in-hospital care. Aust Health Rev. 2019;43(4):425-431. doi:10.1071/AH18011. - DOI - PubMed