BMJ  2003;327:1403 (13 December), doi:10.1136/bmj.327.7428.1403-b

Letter

Communicating risk

Patients often have complex understanding of risk

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

EDITOR—Why do doctors make such heavy weather of risk? The discussion of risk assessment and communication still slips into patronising patients and oversimplifying issues.1 We think that individual decisions are almost always reasoned and that patients often have more complex understanding of risk than their doctors.

There are two dimensions to understanding health risks from a citizen's perspective: their estimation of the probability and impact of any action or inaction, and their position on a spectrum from conformist to dissenting attitude.

Driving children to school does expose them to the risk of road crashes, but the probability of this happening is decreasing as the volume of traffic rises and the rate of serious crashes falls. The impact of accidents can be reduced by individual action (careful driving), technological innovation (safer cars), and social measures (traffic calming).

Similarly, the possibility of a connection between the vaccine for measles, mumps, . . . [Full text of this article]

Steve Iliffe, reader in general practice

Royal Free and University College London Medical School, London NW3 2PF s.iliffe@pcps.ucl.ac.uk

Jill Manthorpe, professor of social work

Social Care Workforce Research Unit, Franklin Wilkin Building, King's College, London SE1


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