title: [Negotiations between a general practitioner and the patient after his visit to a private physician].
abstract: OBJECTIVE
  To find what patients request from their general practitioner after they have seen a doctor privately and the type of negotiation which follows.
  
  
  METHODS
  A descriptive observation study of a crossover type.
  
  
  METHODS
  Palma-Palmilla Health Centre (Málaga); within the primary care ambit.
  
  
  METHODS
  Everyone at the on-demand clinics of five general medical practices, who requested something concrete from their general practitioner after they had seen a doctor privately, in the period from june to october 1993.
  
  
  RESULTS
  There were 83 patients who attended a clinic after seeing a doctor privately, which was 0.63% of the total consultations during this period. 69 of these patients asked their general practitioner to give them the same prescriptions that they had been prescribed privately. In 77% of the cases there was negotiation with the patient, a mutual promise being the most common result. There was no negotiation with 19 patients (23%). In 74% of the cases the medication prescribed privately was considered necessary. The wishes of the patients were fulfilled in practice in 65% of cases.
  
  
  CONCLUSIONS
  In most cases there was negotiation with patients. doctors agreed to a high degree with patients' requests, which doctors considered sufficient and necessary for the diagnosis and/or treatment of their condition.
authors.affiliation: Centro de Salud Palma-Palmilla, Unidad Docente de Medicina Familiar y Comunitaria, Málaga.
authors.forename: F
authors.initials: F
authors.lastname: Extremera Montero
authors.forename: R
authors.initials: R
authors.lastname: Angel Maqueda
authors.forename: M
authors.initials: M
authors.lastname: Ariza González
authors.forename: A
authors.initials: A
authors.lastname: de la Rubia Loriguillo
authors.forename: G
authors.initials: G
authors.lastname: Moya Lao
authors.forename: M
authors.initials: M
authors.lastname: Torras Sendra
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D018592:Cross-Over Studies; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D011331:Private Practice; D013030:Spain
vernacular_title: La negociación médico de cabecera-paciente tras acudir a un médico privado.