BMJ 1998;317:211 ( 18 July )

Letters

Doctors' perceptions of patients' wishes influence decision to prescribe drugs

The first 150 words of the full text of this article appear below.

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 . . . [Full text of this article]


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Relevant Article

Prescribing behaviour in clinical practice: patients' expectations and doctors' perceptions of patients' expectations—a questionnaire study
Jill Cockburn and Sabrina Pit
BMJ 1997 315: 520-523. [Abstract] [Full Text]




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