A STUDY OF THE RELATIONSHIP BETWEEN PATIENTS ATTITUDES AND DOCTORS PRESCRIBING

被引：62
作者：
VIRJI, A
BRITTEN, N
机构：
[1] Department of General Practice, United Medical and Dental Schools of Guy’s, St. Thomas’s Hospitals, London, SEI 9RT, St Thomas Street
来源：
FAMILY PRACTICE | 1991年 / 8卷 / 04期
关键词：
D O I：
10.1093/fampra/8.4.314
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Questionnaires were given to 139 appointment attenders and 141 open access attenders prior to consultations at one general practice. These enquired about patients' attitudes toward common illness and its treatment. Data on prescribing were obtained from the general practitioners after the consultation. The results suggested that two sets of attitudes were present in the sample: a preference for self care and a preference for drug treatment. They did not suggest that open access attenders were more in favour of drug treatment than appointment attenders. Although the issuing of prescriptions was broadly in line with patients' attitudes, the only attitudinal statement significantly associated with doctors' prescribing behaviour was one reflecting a preference for drug treatment. A logit analysis showed that the effect of patients' attitudes was apparent for open access attenders but not appointment attenders. The data lend support to the hypothesis that doctors are more aware of the pressure to prescribe than of the preference for self care.
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页码：314 / 319
页数：6
相关论文
共 17 条
[1]  
Cartwright A., Erson R., General Practice Revisited, (1981)
[2]  
Fitton F., Acheson H., The Doctor/Patient Relationship, (1979)
[3]  
Marinker M., The doctor’s Role in Prescribing JR Coll Gen Pract, 23, pp. 26-29, (1973)
[4]  
Hemminki E., Review of literature on the factors affecting drug prescribing, Soc Sci Med, 9, pp. 111-115, (1975)
[5]  
Schwartz R.K., Souraerai S.B., Avom J., Physician motivations tor non scientific drug prescribing, Soc Sci Med, 28, pp. 577-582, (1989)
[6]  
Comaroff J., A bitter pill to swallow: Placebo therapy in general practice, Soc Review, 24, pp. 79-96, (1976)
[7]  
Palmer K., Prescribing. Practitioner, 233, pp. 1464-1465, (1989)
[8]  
Palmer K., Prescribing. Practitioner, 234, pp. 888-890, (1990)
[9]  
Taylor B., Patient use of a mixed appointment system in an urban practice, Br Med J, 289, pp. 1277-1278, (1984)
[10]  
Field J., Problems of urgent consultations within an appointment system, JR Coll Gen Pract, 30, pp. 173-177, (1980)
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