How do we study what is not said: a review on hidden agenda
DOI:
https://doi.org/10.5712/rbmfc11(38)1250Keywords:
Physician-Patient Relations. Communication. Health Services Needs and Demand. Primary Health Care.Abstract
Objectives: People with apparently well-defined demands may often have hidden or lately presented complaints or concerns, called hidden agenda, by the way syndrome or doorknob syndrome. Few studies that address the phenomenon in a clinical context discuss aspects or consequences on the care from a sociocultural perspective. A qualitative research on men’s health conducted by the authors required to study the scientific literature related to hidden agenda in a descriptive and interpretative way. Methods: This state of question review encompasses articles that addressed hidden agenda (or similar expressions) in general or specialized, medical or multidisciplinary clinical settings, in Portuguese, English or Spanish, from 2000 to 2014. Starting from 210 results from three international databases, we selected 39 publications, which were evaluated for objective and subjective characteristics. Results: Identifying the predominant subjects of the publications, we noticed that hidden agenda is the most specific term, being demanda oculta its best translation to Portuguese. Almost all studies related attention to hidden demands to better outcomes or results of care, although none of them evaluated those consequences in depth. Conclusions: The review makes it clear that hidden agenda is a problem-solving element to think about medical practice and an enhancer to the clinic, especially when looking for a comprehensive care and an effective dialogue between professional and user. Studies relating the phenomenon to sociocultural or healthcare service-related aspects are needed, as well as studies that include discussion about demand making, absent in the revised articles.
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