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EDITOR
The BMJ published several studies last year on
the influence of the expectations that patients have of
prescriptions.1-3 One of the most striking results of
these studies is the fact that not only do patients' expectations
influence a doctor's decision to prescribe but so also do the
doctor's perceptions of these expectations, whether these perceptions
are accurate or not.
This corresponds to the findings of a study we conducted on patients' attitudes towards drug prescriptions in general practices in Germany.4 We found that nearly all patients who, in their doctor's opinion, expected a drug left the surgery with a prescription. However, doctors accurately perceived the patient's wish for a drug prescription in only 41% of cases. We did not detect any differences in patient satisfaction whether or not patients' expectations with regard to a prescription were fulfilled.
These results do not really support the stereotype of the demanding