To find how often social problems influence clinical management in general practice, how management is changed, and how the characteristics of patients, doctors, and the doctor-patient relationship influence this management Design : Multipractice survey of patients consulting general practitioners.
Doctors completed a questionnaire for each patient Setting : General practices in Buskerud county, Norway.
1401 consecutive adult patients attending 89 general practitioners.
How often management of patients was influenced by different types of social problem and main reasons for consultation ; frequency and intercorrelation of different types of management applied ; odds ratios for social problems'influence on management controlled for by characteristics of doctors, patients, and their relationship.
In 17% of all consultations the doctors'knowledge of patients'social problems influenced their management, stressful working conditions being the most frequent influencing type of problem.
Knowledge of social problems influenced management more often when the doctor knew a patient well, but less often the longer a doctor had worked in a practice.
When social problems influenced management, the commonest types of management offered were extra time for consultation (51%), advice (42%), authorisation of sick leave (28%), and prescription of a psychotropic drug (20%), while referral to community services was used in 2. (...)
Mots-clés Pascal : Médecin généraliste, Pratique professionnelle, Conduite à tenir, Relation médecin malade, Etude comparative, Environnement social, Statut socioéconomique, Sexe, Age, Malade, Norvège, Europe, Homme
Mots-clés Pascal anglais : General practitioner, Professional practice, Clinical management, Physician patient relation, Comparative study, Social environment, Socioeconomic status, Sex, Age, Patient, Norway, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0352616
Code Inist : 002B30A11. Création : 27/11/1998.