Prescribing behaviour in clinical practice : patients'expectations and doctors'perceptions of patients'expectations-a questionnaire study.
To examine the effect of patients'expectations for medication and doctors'perceptions of patients'expectations on prescribing when patients present with new conditions.
Questionnaire study of practitioners and patients.
General practice in Newcastle, Australia.
22 non-randomly selected general practitioners and 336 of their patients with a newly diagnosed medical condition.
Main outcome measures
Prescription of medication and expectation of it Results : Medication was prescribed for 169 (50%) patients.
After controlling for the presenting condition, patients who expected medication were nearly three times more likely to receive medication (odds ratio=2.9,95% confidence interval 1.3 to 6.3).
When the general practitioner thought the patient expected medication the patient was 10 times more likely to receive it (odds ratio=10.1,5.3 to 19.6).
A significant association existed between patients'expectation and doctors'perception of patients'expectation (X2=52.0, df=4, P=0.001).
For all categories of patient expectation, however, patients were more likely to receive medication when the practitionerjudged the patient to want medication than when the practitioner ascribed no expectation to the patient Conclusions : Although patients brought expectations to the consultation regarding medication, the doctors'opinions about their expectations were the strongest determinants of prescribing.
Mots-clés Pascal : Prescription médicale, Relation médecin malade, Enquête opinion, Observance thérapeutique, Expectation, Diagnostic, Evaluation, Homme, Chimiothérapie
Mots-clés Pascal anglais : Medical prescription, Physician patient relation, Opinion inquiry, Treatment compliance, Expectation, Diagnosis, Evaluation, Human, Chemotherapy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0450609
Code Inist : 002B30A01C. Création : 03/02/1998.