title: [Decision support in primary care--a vertical second opinion].
abstract: This comment concerns a specific second opinion practice in Amsterdam. In this practice a physician limits her consultations by optimally preparing patients for their subsequent encounter with the responsible clinician. It is argued that this type of practice must be discouraged, as due to its limited goal, lack of personal responsibility and subordination of 'confidence' in doctor-patient relationships, it constitutes a strongly deviant form of clinical practice.
authors.forename: R S
authors.initials: RS
authors.lastname: Holdrinet
mesh_terms: D000328:Adult; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D009426:Netherlands; D010353:Patient Education as Topic; D010358:Patient Participation; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000592:standards*; D012017:Referral and Consultation / Q000592:standards / Q000639:trends*