Extremera Montero F, Angel Maqueda R, Ariza González M, de la Rubia Loriguillo A, Moya Lao G, Torras Sendra M
Centro de Salud Palma-Palmilla, Unidad Docente de Medicina Familiar y Comunitaria, Málaga.
Aten Primaria. 1995 Mar 31;15(5):305-7.
To find what patients request from their general practitioner after they have seen a doctor privately and the type of negotiation which follows.
A descriptive observation study of a crossover type.
Palma-Palmilla Health Centre (Málaga); within the primary care ambit.
Everyone at the on-demand clinics of five general medical practices, who requested something concrete from their general practitioner after they had seen a doctor privately, in the period from june to october 1993.
There were 83 patients who attended a clinic after seeing a doctor privately, which was 0.63% of the total consultations during this period. 69 of these patients asked their general practitioner to give them the same prescriptions that they had been prescribed privately. In 77% of the cases there was negotiation with the patient, a mutual promise being the most common result. There was no negotiation with 19 patients (23%). In 74% of the cases the medication prescribed privately was considered necessary. The wishes of the patients were fulfilled in practice in 65% of cases.
In most cases there was negotiation with patients. doctors agreed to a high degree with patients' requests, which doctors considered sufficient and necessary for the diagnosis and/or treatment of their condition.
了解患者在私下看过医生后向其全科医生提出的要求以及随后的协商类型。
交叉类型的描述性观察研究。
帕尔马 - 帕尔米拉健康中心（马拉加）；在初级保健范围内。
1993年6月至10月期间，五家普通医疗诊所按需就诊的所有人，他们在私下看过医生后向其全科医生提出了具体要求。
有83名患者在私下看过医生后到诊所就诊，占该期间总咨询量的0.63%。其中69名患者要求全科医生给他们开具与私下所开相同的处方。在77%的案例中与患者进行了协商，最常见的结果是达成相互承诺。有19名患者（23%）未进行协商。在74%的案例中，私下开具的药物被认为是必要的。在65%的案例中，患者的愿望在实际中得到了满足。
在大多数情况下会与患者进行协商。医生高度认同患者的要求，医生认为这些要求对于诊断和/或治疗病情是充分且必要的。
