Consultation in general practice: a standard operating procedure?

Deveugele, Myriam; Derese, Anselm; Bacquer, Dirk De; Brink-Muinen, A. van den; Bensing, J.M.; Maeseneer, Jan De

doi:10.1016/s0738-3991(03)00239-8

Cited by 35 publications

(27 citation statements)

References 19 publications

(23 reference statements)

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“…In our study, the average duration of consultation depended on physician specialization and was greater than the average consultation length observed in Germany (13.0 vs. 7.6 min for GPs), or in the Netherlands, Spain, or the UK, but similar to that observed in Belgian and Swiss GPs [26]. However, unique national features and different healthcare settings must be taken into account, limiting the generalisability of this finding.…”

Section: Discussioncontrasting

confidence: 59%

Diagnostic Profiles and Prescribing Patterns in Everyday Anthroposophic Medical Practice – a Prospective Multi-Centre Study

Jeschke

Ostermann²,

Tabali³

et al. 2009

Forsch Komplementmed

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Background: Although anthroposophic medicine has been used for more than 80 years and global interest in complementary treatments is increasing, a comprehensive and long-term description of everyday anthroposophic care is still lacking. Our study aims to evaluate how anthroposophic medicine is practised under everyday conditions. Methods: A total of 38 primary-care physicians in Germany participated in this prospective, multi-centre observational study. Prescriptions, diagnoses, and non-pharmacological therapies were reported for each consecutive patient. Results: In 2005, 95,116 prescriptions for 32,839 patients (56.2% children, 57.3% female) were recorded. The median duration of consultation depended on physician specialization (general practitioners: 9.5 min; paediatricians: 8.1 min). The most frequent single diagnoses were acute upper respiratory tract infections (URTI), otitis media, and bronchitis in children; hypertension, breast cancer, and depressive episodes in adult females; and hypertension, URTI, and asthma in adult males. Anthroposophic remedies accounted for 41.8% of all drugs prescribed. The odds ratio (OR) for receiving an anthroposophic remedy was very high for cancer (OR = 4.5; 95% CI: 4.2–4.8) and >1 for dorsopathies (OR = 1.5; CI: 1.3–1.6), otitis media (OR = 1.3; CI: 1.2–1.3), and URTI (OR = 1.1; CI: 1.1–1.2). Of the 5,289 therapeutic procedures prescribed, 27% were anthroposophic. Conclusion: A broad range of anthroposophic remedies and non-pharmacological therapies are prescribed for a specific set of diseases in everyday anthroposophic practice. Particularly, patients <60 years received anthroposophic care. Our findings will help in the planning and implementation of further studies.

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Section: Discussioncontrasting

confidence: 59%

Diagnostic Profiles and Prescribing Patterns in Everyday Anthroposophic Medical Practice – a Prospective Multi-Centre Study

Jeschke

Ostermann²,

Tabali³

et al. 2009

Forsch Komplementmed

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“…Higher quality in terms of less prescriptions of drugs, more health promotion and better outcomes has been found to be positively related to the length of the consultation (Freeman et al 2002;Wilson and Childs 2002). A study on consultation length in six European countries showed that longer visits tended to include more information to the patient and a higher degree of psychosocial talk (Deveugele et al 2004).…”

Section: Discussionmentioning

confidence: 99%

Utilisation of physician services in the 50+ population: the relative importance of individual versus institutional factors in 10 European countries

Bolin

Lindgren

et al. 2008

Int J Health Care Finance Econ

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We analysed the relative importance of individual versus institutional factors in explaining variations in the utilisation of physician services among the 50+ in ten European countries. The importance of the latter was investigated, distinguishing between organisational (explicit) and cultural (implicit) institutional factors, by analysing the influence of supply side factors, such as physician density and physician reimbursement, and demand side factors, such as co-payment and gate-keeping, while controlling for a number of individual characteristics, using cross-national individual-level data from SHARE. Individual differences in health status accounted for about 50% of the between-country variation in physician visits, while the organisational and cultural factors considered each accounted for about 15% of the variation. The organisational variables showed the expected signs, with higher physician density being associated with more visits and higher co-payment, gate-keeping, and salary reimbursement being associated with less visits. When analysing specialist visits separately, however, organisational and cultural factors played a greater role, each accounting for about 30% of the between-country variation, whereas individual health differences only accounted for 11% of the variation.

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“…Uncertainty can be separated into two kinds: behavioral uncertainty and cognitive uncertainty (Berger & Bradac, 1982). The anxiety high-CA patients feel may not come strictly from behavioral uncertainty, as an initial consultation is likely to proceed in a fairly predictable fashion (Deveugele et al, 2004). However, uncertainty is not just about predicting other people's behaviors, but also explaining them; offering the why and the reasons behind their behaviors (Berger & Gudykunst, 1991).…”

Section: Theoretical Rationalementioning

confidence: 99%

Reducing Communication Apprehension for New Patients Through Information Found Within Physicians’ Biographies

Perrault

Silk

2015

Journal of Health Communication

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This study investigated whether state communication apprehension (CA) with physicians, for high CA patients, can be reduced before consultations by manipulating information found within physicians' online biographies. Participants were presented with three experimentally manipulated physician biographies and asked to choose which physician they would want to visit to get a hypothetical ailment checked out. Guided by uncertainty reduction theory, results support a path model where increases in perceived similarities between a patient and doctor led to greater uncertainty reduction, greater liking, and subsequent reductions in CA with the physician for high CA participants. In addition, the majority of participants decided to visit the physician with whom they perceived the greatest similarity. The importance of reducing CA in the medical context is discussed, as well as theoretical implications for communication researchers. The results also provide practical guidance for health care systems to help improve their current physician biographical offerings available to prospective patients.

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Consultation in general practice: a standard operating procedure?

Cited by 35 publications

References 19 publications

Diagnostic Profiles and Prescribing Patterns in Everyday Anthroposophic Medical Practice – a Prospective Multi-Centre Study

Diagnostic Profiles and Prescribing Patterns in Everyday Anthroposophic Medical Practice – a Prospective Multi-Centre Study

Utilisation of physician services in the 50+ population: the relative importance of individual versus institutional factors in 10 European countries

Reducing Communication Apprehension for New Patients Through Information Found Within Physicians’ Biographies

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