Document Detail

What did the doctor do? When physicians and patients disagree.
MedLine Citation:
PMID:  7994433     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: A serendipitous finding in a study of routine clinical encounters was that physicians and patients frequently gave discrepant reports of what had happened during a clinic visit. This report examines the conditions under which these discrepant perceptions occurred. DESIGN: Five experienced physicians and 189 patients completed postencounter questionnaires immediately following visits to an academic family practice clinic. After each encounter, the physician and patient estimated the duration of the visit and reported whether each of seven clinical events had occurred. RESULTS: The most common disagreements concerned whether the physician had provided counseling or performed a treatment procedure. Multiple regression analyses suggest that patient characteristics contributed to specific forms of physician-patient disagreement but that overall discrepancy was greatest in cases in which the physician minimized the importance of psychosocial issues and/or felt relatively confident about understanding the patient's problem. CONCLUSIONS: Although correlation need not imply causality, the results raise the possibility that physicians can promote shared physician-patient understanding by paying more attention to psychosocial factors and being more circumspect in drawing conclusions about patients' problems.
M Rohrbaugh; J C Rogers
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of family medicine     Volume:  3     ISSN:  1063-3987     ISO Abbreviation:  Arch Fam Med     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1995-01-18     Completed Date:  1995-01-18     Revised Date:  2004-11-18    
Medline Journal Info:
Nlm Unique ID:  9300357     Medline TA:  Arch Fam Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  125-8; discussion 129     Citation Subset:  E; IM    
School of Family and Consumer Resources, University of Arizona, Tucson.
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MeSH Terms
Academic Medical Centers
Aged, 80 and over
Analysis of Variance
Dissent and Disputes*
Family Practice / standards
Group Processes*
Middle Aged
Outcome Assessment (Health Care)
Patient Satisfaction
Patients / psychology*
Physician-Patient Relations*
Physicians, Family / psychology*
Regression Analysis
Socioeconomic Factors
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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