PMID: 3764509Jan 1, 1986Paper

Variations in the diagnosis of psychosocial disorders: a general practice observation study

Social Science & Medicine
P F M Verhaak

Abstract

The factors that influence the interpretation and treatment of psychosocial complaints by general practitioners are discussed. The assessment of complaints differs considerably from one GP to another, in the sense that one will attach significance to psychological and sociological factors in many more cases than another. We investigate the effect of physician characteristics and their styles of communication on their bias over psychosocial assessments and treatment, and the way these effects are interrelated. The interpretation and eventually the treatment of complaints by 30 GPs (complaints presented at approx. 50 consultations per GP) were studied. Data of treatment and communication were collected from observation of the videotaped consultations, data of interpretation were collected on questionnaires for each consultation; doctor characteristics were inventarized by questionnaire. The following results can be reported. When a doctor communicates with a patient in an open manner, more complaints are interpreted as 'non-somatic' and treated as such. The same is the case among doctor's with a 'general medical' approach, rather than a 'clinical' one, when we look at interpretation. The effect on treatment is less marked. Practi...Continue Reading

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Citations

Jan 1, 1991·Social Science & Medicine·J Bensing
Sep 11, 1998·Patient Education and Counseling·M Van der Pasch, P F Verhaak
Aug 26, 1998·The Australian and New Zealand Journal of Psychiatry·J Garcia-CampayoC Monton
Jan 1, 1990·International Journal of Psychiatry in Medicine·P F Verhaak, H J Wennink
Jan 18, 1988·The Medical Journal of Australia·R Rutnam
Aug 6, 1998·Health Affairs·T W CroghanW E Crown
Aug 1, 1992·Journal of Epidemiology and Community Health·D L CrombieD M Fleming
Jan 1, 1987·The Journal of Membrane Biology·E Padan, S Schuldiner
Nov 23, 2019·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Jordi SerraUNKNOWN Functional Constipation Guidelines Working Group
Oct 15, 2009·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·A V EmmanuelN J Talley
Mar 7, 2020·Journal of Health Organization and Management·Amy Beardmore

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