Prescribing behaviour in clinical practice: patients' expectations and doctors' perceptions of patients' expectations a questionnaire study

Cockburn, Jill; Pit, Sabrina

doi:10.1136/bmj.315.7107.520

Cited by 420 publications

(341 citation statements)

References 13 publications

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“…The 117 consultations had a median length as reported by doctors of 10 min (interquartile range [5][6][7][8][9][10][11][12][13][14][15]. Patient questionnaires were returned in a median time of 7 days following the consultation (interquartile range 5-12).…”

Section: Resultsmentioning

confidence: 99%

“…7 Certainly doctorsÕ assessments of whether their patients want a prescription are not always correct, 3 and their decisions to prescribe are more closely related to perceived than actual patient expectations. [8][9][10][11] In the same way, doctors who perceive greater pressure from patients to make a referral are more likely to refer. 11,12 In one study where a patient presented with fatigue but with no neurological symptoms and asked for a neurology referral, 53% of doctors agreed to the patient's request.…”

Section: Introductionmentioning

confidence: 99%

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Unmet expectations in primary care and the agreement between doctor and patient: a questionnaire study

Hooper

Rona

French

et al. 2005

Health Expectations

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Unmet expectations in primary care and the agreement between doctor and patient: a questionnaire study

Hooper

Rona

French

et al. 2005

Health Expectations

View full text Add to dashboard Cite

show abstract

“…In an extensive series of instruments studied, [2][3][4]15,23 the rate of response is often mentioned as a methodological hindrance. This parameter varied extensively (from 27% to 96% in a series of revisions).…”

Section: Discussionmentioning

confidence: 99%

The role of discriminant analysis in the refinement of customer satisfaction assessment

Verdessi¹,

Jara²,

Fuentes³

et al. 2000

Rev. Saúde Pública

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OBJECTIVE: To test discriminant analysis as a method of turning the information of a routine customer satisfaction survey (CSS) into a more accurate decision-making tool. METHODS: A 7-question, 10-multiple choice, self-applied questionnaire was used to study a sample of patients seen in two outpatient care units in Valparaíso, Chile, one of primary care (n=100) and the other of secondary care (n=249). Two cutting points were considered in the dependent variable (final satisfaction score): satisfied versus unsatisfied, and very satisfied versus all others. Results were compared with empirical measures (proportion of satisfied individuals, proportion of unsatisfied individuals and size of the median). RESULTS: The response rate was very high, over 97.0% in both units. A new variable, medical attention, was revealed, as explaining satisfaction at the primary care unit. The proportion of the total variability explained by the model was very high (over 99.4%) in both units, when comparing satisfied with unsatisfied customers. In the analysis of very satisfied versus all other customers, significant relationship was identified only in the case of the primary care unit, which explained a small proportion of the variability (41.9%). CONCLUSIONS: Discriminant analysis identified relationships not revealed by the previous analysis. It provided information about the proportion of the variability explained by the model. It identified non-significant relationships suggested by empirical analysis (e.g. the case of the relation very satisfied versus others in the secondary care unit). It measured the contribution of each independent variable to the explanation of the variation of the dependent one.

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“…Patients' views and especially GPs' perception of patients' views towards medication seem to have a major influence on GPs' management of respiratory tract symptoms, especially regarding prescribing antibiotics [21][22][23][24][25]. Cockburn and Pit showed in an Australian study that patients who expected to receive medication were nearly three times more likely to actually receive medication, and GPs who perceived that patients expected to receive medication prescribed 10 times more than those who did not perceive [26].…”

Section: Introductionmentioning

confidence: 99%

Views on respiratory tract symptoms and antibiotics of Dutch general practitioners, practice staff and patients

Duijn

Kuyvenhoven

Schellevis

et al. 2006

Patient Education and Counseling

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Objectives: To explore views on respiratory tract symptoms (cough, sore throat and earache) and antibiotics of GPs, practice staff, and patients. Methods: In a nationwide study, 181 GPs, 204 practice staff members and 1250 patients from 90 practices participated by answering 14 items relating to views on respiratory tract symptoms and antibiotics in a written questionnaire. Differences in means were compared. Results: Patients more than GPs endorsed the seriousness of respiratory tract symptoms, the need to consult a GP, the need to prescribe antibiotics, and the ability of antibiotics to speed up recovery. GPs were more than patients convinced of the self-limiting character of respiratory tract symptoms and of the fact that antibiotics have side effects. Practice staff took a middle ground in most of these views. Conclusions: Differences between GPs, practice staff and patients must be taken into account when exploring patients' complaints and advising on treatment. Education and knowledge programmes for practice staff might be advocated. #

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Prescribing behaviour in clinical practice: patients' expectations and doctors' perceptions of patients' expectations a questionnaire study

Abstract: Objectives: To examine the effect of patients' expectations for medication and doctors' perceptions of patients' expectations on prescribing when patients present with new conditions.

Cited by 420 publications

References 13 publications

Unmet expectations in primary care and the agreement between doctor and patient: a questionnaire study

Unmet expectations in primary care and the agreement between doctor and patient: a questionnaire study

The role of discriminant analysis in the refinement of customer satisfaction assessment

Views on respiratory tract symptoms and antibiotics of Dutch general practitioners, practice staff and patients

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