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

作者: J. Cockburn , S. Pit

DOI: 10.1136/BMJ.315.7107.520

关键词: PsychiatryMedical prescriptionMEDLINEPerceptionOdds ratioPublic healthConfidence intervalPatient satisfactionQuestionnaire studyMedicine

摘要: OBJECTIVES: To examine the effect of patients' expectations for medication and doctors' perceptions on prescribing when patients present with new conditions. DESIGN: Questionnaire study practitioners patients. SETTING: General practice in Newcastle, Australia. SUBJECTS: 22 non-randomly selected general 336 their a newly diagnosed medical condition. MAIN OUTCOME MEASURES: Prescription expectation it. RESULTS: Medication was prescribed 169 (50%) After controlling presenting condition, who expected were nearly three times more likely to receive (odds ratio = 2.9, 95% confidence interval 1.3 6.3). When practitioner thought patient 10 it 10.1, 5.3 19.6). A significant association existed between perception (chi 2 52.0, df 4, P 0.001). For all categories expectation, however, judged want than ascribed no patient. CONCLUSIONS: Although brought consultation regarding medication, opinions about strongest determinants prescribing.

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