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Verbal prescribing in general practice consultations.

Mark Gibson¹, K Neil Jenkings, Rob Wilson

¹School of Healthcare Studies, University of Leeds, LS2 9UT, UK. m.j.gibson@leeds.ac.uk

Social Science & Medicine (1982)

|June 10, 2006

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General practitioners (GPs) often make prescribing decisions early in consultations, before or regardless of using a clinical decision support system (CDSS). This "verbal prescription" phenomenon impacts patient involvement and evidence-based medicine.

Area of Science:

Medical Informatics
Health Communication
General Practice

Background:

Doctor-patient communication is crucial for effective healthcare delivery.
Clinical Decision Support Systems (CDSS) aim to aid healthcare professionals in decision-making.
Understanding the integration of technology into clinical practice is essential.

Purpose of the Study:

To analyze how prescribing decisions are made within doctor-patient consultations.
To investigate the role of a technological Clinical Decision Support System (CDSS) in these decisions.
To explore the phenomenon of 'verbal prescriptions' in general practice.

Main Methods:

Analysis of 6 simulated general practitioner (GP) consultations.
Filmed consultations were part of a CDSS evaluation.

Related Experiment Videos

Qualitative analysis of doctor-patient interactions and computer usage.

Main Results:

GPs utilized computers for brief periods during consultations.
Early doctor utterances ('verbal prescriptions') signaled prescribing decisions.
Prescribing decisions were often made independently of the CDSS.

Conclusions:

GP decision-making patterns, including 'verbal prescriptions,' should inform CDSS design.
The 'verbal prescription' phenomenon may affect patient involvement in decision-making.
This phenomenon could influence the application of evidence-based medicine in practice.