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Consulting patterns: comparison between doctors' perceptions and patients' behaviour.

E Martin, S Goodwin

    The Journal of the Royal College of General Practitioners
    |January 1, 1987
    PubMed
    Summary
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    Patient consulting behavior did not align with doctor expectations. Women patients increasingly chose female doctors after practice gender shifts, highlighting the impact of doctor demographics on patient choice.

    Area of Science:

    • General Practice
    • Health Services Research
    • Sociology of Health

    Background:

    • The structure of medical practices and partner demographics can influence patient care dynamics.
    • Understanding patient consulting behavior is crucial for effective healthcare delivery.

    Purpose of the Study:

    • To investigate the relationship between practice structural changes, partner gender, and patient consulting behavior.
    • To compare doctors' perceptions of patient consultations with actual patient behavior.
    • To examine gender-based patient preferences in consulting physicians.

    Main Methods:

    • A questionnaire assessed doctors' opinions on patient consulting behavior.
    • Patient records (100 per doctor) were analyzed for consultation patterns in 1980 and 1984.

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  • Changes in practice structure and partner gender composition were documented.

    • Main Results:

    • Doctors were unaware of the specific reasons patients consulted different partners.
    • Discrepancies were found between doctors' expectations of patient consultations and actual patient behavior.
    • An increase in female partners correlated with a higher consultation rate of female patients with female doctors.

    Conclusions:

    • Patient consulting behavior is complex and not fully understood by physicians.
    • Changes in the gender composition of medical practices can influence patient-doctor relationships and choices.
    • Healthcare practice structures and demographics significantly impact patient care dynamics.