ArticleJournal of general internal medicine2009
Physician response to "by-the-way" syndrome in primary care.
Article in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Visit Linearity in Primary Care Visits for Patients with Chronic Pain on Long-term Opioid Therapy.Journal of general internal medicine · 2022Article
- Norwegian women's experiences and opinions on contraceptive counselling: A systematic textcondensation study.European journal of midwifery · 2021Article
- Erectile Dysfunction in Brazilian Primary Health Care: Dealing with Medicalization.American journal of men's health · 2018Article
- Building trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study.BMC medical education · 2017Article
- Patient-physician communication about early stage prostate cancer: analysis of overall visit structure.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- An academic-marketing collaborative to promote depression care: a tale of two cultures.Patient education and counseling · 2013Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objective"By-the-way" syndrome, a new problem raised by the patient at an encounter's closure, is common, but little is known about how physicians respond when it occurs. We analyzed the content of the syndrome, predictors of its appearance, and the physician response. DESIGN/
participantsCross-sectional study of 92 videotaped encounters in an academic primary care clinic.
resultsThe syndrome occurred in 39.1% of observed encounters. Its major content was bio-psychosocial (39%), psychosocial (36%), or biomedical (25%), whereas physician responses were mostly biomedical (44%). The physician response was concordant with the patient's question in 61% of encounters if the content of the question was psychosocial, 21% if bio-psychosocial, and 78% if biomedical; 32% of physicians solicited the patient's agenda two times or more in the group without, versus 11% in the group with, the syndrome (P = 0.02). In 22% of the encounters, physicians did not give any answer to the patient's question, particularly (38.5%) if it was of psychosocial content.
conclusions"By-the-way" syndrome is mainly bio-psychosocial or psychosocial in content, whereas the physician response is usually biomedical. Asking about the patient's agenda twice or more during the office visit might decrease the appearance of this syndrome.
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Registered trials
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