The Impact of Discussion of Non-Medical Problems in the Physician's Office |
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Authors: | MARTIN, FRANCIS J BASS, MARTIN J |
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Affiliation: | University of Manitoba, Department of Family Medicine 2300 McPhillips Street, Winnipeg, Manitoba, R2V 3M3, Canada *University of Western Ontario, Department of Family Medicine London, Ontario, Canada |
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Abstract: | Martin FJ, Bass MJ. The impact of discussion of non-medicalproblems in the physician's office. Family Practice 1989; 6:254258. To determine the impact of discussion of non-medical problemswith the physician, patients with at least one chronic illnesswho were taking medication were interviewed in their familydoctor's office. Of 149 patients interviewed, 90.6% reportedat least one non-medical problem. Half (51%) of those patientswith a problem had discussed it with their doctor. More thanhalf (55%) of those patients discussing a problem reported thatthe discussion was helpful. Patient compliance and satisfactionwere positively associated with helpful discussion,but not with discussion per Se. In particular, the two aspectsof doctor-patient communication which were significantly associatedwith feeling helped were: Doctor tells me all I wantto know about my illness and Doctor gives me achance to say what is really on my mind. Both factorsreflect care which is oriented to patient concerns. The studyresults provide support for a patient-centred approach to care. |
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