Van Hoof, Elke · Quality in primary care · 2009
This study surveyed 177 ME/CFS patients about their experiences with their doctors. The researchers found that most general practitioners (GPs) do not feel confident diagnosing or treating ME/CFS, and patients often felt their doctors did not understand their condition. Poor communication and lack of GP knowledge about ME/CFS led many patients to feel unsupported and unheard in medical appointments.
This study highlights a critical gap between ME/CFS patient needs and primary care capacity, demonstrating that diagnostic delays and physician knowledge deficits directly impact the therapeutic relationship and quality of care. Understanding these barriers is essential for developing better physician education programs and improving patient outcomes through earlier recognition and supportive management.
This study does not establish whether GP skepticism about CFS is the primary cause of poor outcomes, nor does it prove that increased GP knowledge alone would improve patient satisfaction or health outcomes. The cross-sectional design cannot determine causality or whether doctor-patient dissatisfaction is specific to CFS versus other chronic conditions. The study does not assess clinical outcomes or track whether improved GP knowledge subsequently improves patient care.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Van Hoof, Elke (2009). The doctor-patient relationship in chronic fatigue syndrome: survey of patient perspectives.. Quality in primary care. https://pubmed.ncbi.nlm.nih.gov/19807959/
BibTeX
@article{mecfsatlas-van-hoof-2009-doctor-patient,
author = {Van Hoof, Elke},
title = {The doctor-patient relationship in chronic fatigue syndrome: survey of patient perspectives.},
journal = {Quality in primary care},
year = {2009},
note = {PubMed: 19807959},
url = {https://www.mecfsatlas.com/evidence/van-hoof-2009-doctor-patient},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-26. https://www.mecfsatlas.com/evidence/van-hoof-2009-doctor-patient
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