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EDITOR
From their study of general practices in Australia, Cockburn and
Pit suggested that patients who expect a prescription are more likely
to be given one by their doctor.1 We found similar results
in an unpublished study that looked at all consultations in five Oxford
general practices over one week in 1994. Questionnaires were given to
patients before consultation to ascertain age, sex, and whether a
prescription was expected. Patients were excluded from the study if
they were attending for special clinics, receiving repeat
prescriptions, or less than 18 years old. For each eligible patient
(n=371) the doctors received a complementary questionnaire asking
whether they prescribed a drug and, if they did, to indicate their
confidence in its pharmacological efficacy on a visual analogue scale
(0-100%). Doctors were blinded to the patients' responses.
We found that 184 (50%) patients received a prescription
the
same proportion as that in Cockburn and Pit's study