Author/Editor		Paulus, Dominique; Marshall, Martin; Kuenzi, Beat; Kersnik, Janko; Glehr, Reinhold
Title		Divergences d'opinion entre patients et medecins generalistes
Translated title		Disagreement during the consultations in family practice
Type		članek
Source		Rev Prat
Vol. and No.		Letnik 16, št. 564
Publication year		2002
Volume		str. 263-5
Language		fre
Abstract		Objectives: To review the literature dealing with disagreement, discord or conflict in the consultation in family practice. Methods: Medline and Embase search using the MeSH terms: <physician/doctor patient relationship> <family/general practice> <consultation> with the following text words: <disagreement/disconcordance>. Results: Very little is known about the prevalence, severity and the outcomes of the disagreement during the consultations in family practice. The literature identified two issuess causing disagreement in the consultation i.e. the GP's refusal to follow the patient's demand (prescription, test) and a delayed or missed diagnosis by the GP which the patient believes to be a mistake. Consequences of the disagreement for the GP are mainly job dissatisfaction, tension and stress. The patient will change or shop the doctors with potential subsequent worse outcomes. Conclusion: Most papers stress the importance of actively using effective communication skills to prevent and to minimise disagreements between the GP and his patient.
Descriptors		PHYSICIAN-PATIENT RELATIONS FAMILY PRACTICE PATIENT SATISFACTION