[Negotiations between a general practitioner and the patient after his visit to a private physician].
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.
Extremera Montero
F
F
Centro de Salud Palma-Palmilla, Unidad Docente de Medicina Familiar y Comunitaria, Málaga.
Angel Maqueda
R
R
Ariza González
M
M
de la Rubia Loriguillo
A
A
Moya Lao
G
G
Torras Sendra
M
M
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
La negociación médico de cabecera-paciente tras acudir a un médico privado.