Health promotion in primary care : physician-patient communication and decision making about prescription medications.
To examine health promotion in a primary-care context, we studied perceived and actual communication in 271 consultations between general practitioners and patients in Oxford (England).
Although health promotion is a term usually reserved for public-health or wellness programs, a health promotion perspective enriches the examination of communication in physician-patient interactions by emphasizing issues of empowerment, competence and control.
Accordingly, we are interested in how communication during medical encounters can improve patients'abilities to exercise appropriate control over their health.
A major factor in enabling patients to increase control over their health involves developing their competencies for making decisions and enacting behaviors that can lead to desired, and attainable, health outcomes.
This report focuses on communication and decision making about prescription medications, since whether and how to use medications are among the most common and important decisions in which patients can participate.
With respect to communication about prescription medications, physicians most frequently mentioned product name (78.2% of consultations) and instructions for use (86.7% of consultations).
Patients were extremely passive, rarely offering their opinion or initiating discussion about any aspect of the treatment.
We suggest that improving patien.
Mots-clés Pascal : Soin santé primaire, Communication, Relation médecin malade, Médecin généraliste, Personnel sanitaire, Homme, Interaction sociale, Royaume Uni, Prise décision, Prescription médicale, Promotion santé, Europe
Mots-clés Pascal anglais : Primary health care, Communication, Physician patient relation, General practitioner, Health staff, Human, Social interaction, United Kingdom, Decision making, Medical prescription, Health promotion, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0550401
Code Inist : 002B30A03A. Création : 01/03/1996.