title: Further observations on diagnosis and management of general practice respiratory illness using simulated patient consultations.
abstract: Twenty general practitioners co-operated in a study of the decision-making process in general practice respiratory illness. Ten simulated standard-patient consultations were used, each being included twice, once to make a decision on diagnosis and once to make a decision on management.Comparison of simulated behaviour with previous studies of observed and self-recorded behaviour showed encouraging agreement. Examination of 200 pairs of management and treatment decisions showed that fewer pieces of information were required for a management than a diagnostic decision on 111 occasions; in 43 pairs the quantity required was the same for each decision. The exact information required to make a decision on diagnosis was included in the information required to decide management on only 30 (15%) of the 200 possible occasions.When disagreement was found over management of a simulated case a decision to prescribe an antibiotic required less information than a decision not to prescribe an antibiotic.
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003657:Decision Making; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records; D008954:Models, Biological; D008960:Models, Psychological; D010817:Physician-Patient Relations; D012017:Referral and Consultation; D012140:Respiratory Tract Diseases / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents