Abstract
This chapter identifies some of the ways in which patients can contribute to their consultations with general practitioners, not simply by giving an account of the symptoms they wish the doctor to consider, but by presenting their ideas about the diagnosis, cause or treatment of their problem, and by commenting on or seeking clarification of information, instructions and advice offered by the doctor. The author considers what might be the causes and consequences of patients’ making or failing to make these kinds of contributions, and suggests possible ways of encouraging patients to make contributions which might help achieve the aims of the consultation.
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References
Anderson, J.L. (1979) Patients’ recall of information and its relation to the nature of the consultation, in Research in Psychology and Medicine, vol. 2, (eds D.J. Oborne, M.M. Gruneberg and J.R. Eiser), Academic Press, London pp. 238–246
Anderson, J.L., Dodman, S., Kopelman, M. and Fleming, A. (1979) Patient information recall in a rheumatology clinic. Rheumatology and Rehabilitation, 18, 18–22.
Baxter, M. (1983) The causes of disease. Social Science and Medicine, 17, 59–69
Bensing, J. and Verhaak, P. (1982) Room for the patient. Nederlands Tijdschrift voor de Psychologie, 37, (English version available), 19–31.
Boreham, P. and Gibson, D. (1978) The informative process in private medical consultations. Social Science and Medicine, 12, 409–16.
Bradshaw, P.W., Ley, P. and Kincey, J.A. (1975) Recall of medical advice: comprehensibility and specificity. British Journal of Social and Clinical Psychology, 14, 55–62.
DiMatteo, M.R. and DiNicola, D.D. (1982) Achieving Patient Compliance, Pergamon, New York.
Eisenthal, S. and Lazare, A. (1979) Adherence and the negotiated approach to patienthood. Archives of General Psychiatry, 36, 393–8.
Eisenthal, S., Koopman, C. and Lazare, A. (1983) Process analysis of two dimensions of the negotiated approach in relation to satisfaction in the initial interview. Journal of Nervous and Mental Disease, 171, 49–54.
Heszen-Klemens, I. and Lapinska, E. (1984) Doctor-patient interaction, patients’ health behaviour and effects of treatment. Social Science and Medicine, 19, 9–18.
Hinckley, J.J., Craig, H.K. and Anderson, L.A. (1989) Communication characteristics of provider-patient information exchanges, in Handbook of Language and Social Psychology, (eds) H. Giles and W.P. Robinson, Wiley, Chichester. pp. 519–536.
Kindelan, K. and Kent, G. (1986) Patients’ preferences for information. Journal of the Royal College of General Practitioners, 36, 461–3.
Kindelan, K. and Kent, G. (1988) Concordance between patients’ information preferences and general practitioners’ perceptions. Psychology and Health, 1, 399–410.
Kleinman, A., Eisenberg, L. and Good, B. (1978) Clinical lessons from anthropologic and cross-cultural research. Annals of Internal Medicine, 88, 251–8.
Lazare, A., Eisenthal, S. and Wasserman, L. (1975) The customer approach to patienthood. Archives of General Psychiatry, 32, 553–8.
Ley, P. (1976) Towards better doctor-patient communication, in Communication between Doctors and Patients, (ed) Bennett, A.E., Oxford University Press, Oxford. pp. 75–98.
Ley, P. (1982) Satisfaction, compliance and communication. British Journal of Clinical Psychology, 21, 241–54.
Ley, P. (1983) Patients’ understanding and recall in clinical communication, in Doctor-Patient Communication, (eds) Pendleton, D. and Hasler, J., Academic Press, London, pp. 89–108.
Ley, P. and Spelman, M.S. (1965) Communications in an outpatient setting. British Journal of Social and Clinical Psychology, 4, 114–16.
Ley, P. Bradshaw, P., Eaves, D. and Walker, CM. (1973) A method for increasing patients’ recall of information presented by doctors. Psychological Medicine, 3, 217–20.
Pendleton, D., Schofield, T., Tate, P. and Havelock, P. (1984) The Consultation: An Approach to Learning and Teaching, Oxford University Press, Oxford.
Pill, R. and Stott, N. (1982) Concepts of illness causation and responsibility: some preliminary data from a sample of working class mothers. Social Science and Medicine, 16, 43–52.
Robinson, E.J. and Ross E. (1990) Match or Mismatch Between Patient’s and Doctor’s Ideas in Relation to Patient’s Recall and Understanding of the Doctor’s Suggestions, Unpublished manuscript, University of Birmingham.
Robinson, E.J. and Whitfield, M.J. (1985) Improving the efficiency of patients’ comprehension monitoring. Social Science and Medicine, 21, 915–19.
Robinson, E.J. and Whitfield, M.J. (1987a) Participation of patients during general practice consultations: consultations of trainees compared with those of experienced doctors. Family Practice, 4, 5–10.
Robinson, E.J. and Whitfield, M.J. (1987b). Participation of patients during general practice consultations. Psychology and Health, 1, 123–32.
Robinson, E.J. and Whitefield, M.J. (1988) Contributions of patients to GP consultations in relation to their understanding of doctors’ instructions and advice. Social Science and Medicine, 27, 895–900.
Roter, D.L. (1977) Patient participation in patient-provider interaction: the effect of patient question asking on the quality of interaction, satisfaction and compliance. Health Education Monographs, 5, 281–315.
Stewart, M. and Roter D. (eds) (1989) Communicating with Medical Patients, Sage, London.
Stimson, G. and Webb, B. (1975) Going to See the Doctor, Routledge and Kegan Paul, London.
Tuckett, D., Boulton, M. and Olson, C. (1985) A new approach to the measurement of patients’ understanding of what they are told in medical consultations. Journal of Health and Social Behaviour, 26, 27–38.
Tuckett, D., Boulton, M., Olson, C. and Williams, A. (1982) Final Report on the Patient Project, Health Education Council, London.
Tuckett, D., Boulton, M., Olson, C. and Williams, A. (1985) Meetings between Experts, Tavistock, London.
Verhaak, P. (1986) Detection of Psychological Complaints by General Practitioners. Paper given at conference on The Doctor, the Patient, the Illness, Durham, July, 1986.
Weston, W.W. and Brown, J.B. (1989) The importance of Patients’ beliefs, in Communicating with Medical Patients, (eds) M. Stewart and D. Roter, Sage, London, pp. 77–85.
Wilson, M., Robinson, E.J., Blenkinsopp, A. and Panton R. (1992) Customers’ recall of information given in community pharmacies. International Journal of Pharmacy Practice, 1, 152–9.
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Robinson, E.J. (1995). Patients’ contributions to the consultation. In: Broome, A., Llewelyn, S. (eds) Health Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3226-6_8
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DOI: https://doi.org/10.1007/978-1-4899-3226-6_8
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