General practice consultations: is there any point in being positive?
- 9 May 1987
- Vol. 294 (6581) , 1200-1202
- https://doi.org/10.1136/bmj.294.6581.1200
Abstract
A group of 200 patients who presented in general practice with symptoms but no abnormal physical signs and in whom no definite diagnosis was made were randomly selected for one of four consultations: a consultation conducted in a "positive manner," with and without treatment, and a consultation conducted in a "non-positive manner," called a negative consultation, with and without treatment. Two weeks after consultation there was a significant difference in patient satisfaction between the positive and negative groups but not between the treated and untreated groups. Similarly, 64% of those receiving a positive consultation got better, compared with 39% of those who received a negative consultation (p = 0.001) and 53% of those treated got better compared with 50% of those not treated (p = 0.5).Keywords
This publication has 9 references indexed in Scilit:
- From paternalism to patient autonomy. Can legislation stimulate change?1985
- Patient satisfaction and the content of general practice consultations.1983
- Can the clinical course of acute otitis media be modified by systemic decongestant or antihistamine treatment?BMJ, 1983
- The consultation and the therapeutic illusion.BMJ, 1978
- Randomised controlled trial of antibiotics in patients with cough and purulent sputum.BMJ, 1976
- Temporarily Dependent Patient in General PracticeBMJ, 1974
- Low back pain.1968
- THE WORK OF THE GENERAL PRACTITIONER: AN ANALYTICAL SURVEY OF STUDIES OF GENERAL PRACTICE.1963
- The Problem of Defining the Extent of Morbidity in General Practice.1959