“…11,12 Patients also seek a SO when they are dissatisfied with an impersonal communication or feel that their physician had not spent enough time with them, feel they did not get the information they need, or lack trust in the physician. 4,11,[13][14][15][17][18][19][20][21][22] Despite the importance of the SO tool, only a few studies evaluated how many patients seek SOs, 23 and they are limited to self-report surveys in particular patient groups (e.g., cancer patients). We were aware of only one survey that estimated SO utilization in a general population, conducted in the US in 1994, where 18.8% of the respondents received a SO.…”