Old authoritarian patterns of doctors’ behaviour are still alive and well in California, study shows

BMJ 2012; 344 doi: (Published 14 May 2012) Cite this as: BMJ 2012;344:e3408
  1. Bob Roehr
  1. 1Washington, DC

Patients have a strong desire to engage in shared decision making about treatment with their doctor, but the way the doctor behaves can inhibit this interaction, a new study concludes.

The issue is important for reasons of patient satisfaction, compliance in following the prescribed regimen, and in achieving less aggressive and less expensive care, it says.

The study, conducted by the Palo Alto Medical Foundation Research Institute, randomly recruited 48 people aged 40 years or older from among primary care practices serving well educated, upper income people in the San Francisco Bay area to …

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