Abstract
A prospective, observational study of chronic disease surveillance consultations over a six-month period was performed in one semi-rural general practice in order to determine the content of the consultations, including incidental items not relevant to the chronic disease. At least one incidental item was recorded during 43% of consultations. There was substantial clinical content in these items: 23% of items required a prescription to be issued and 7% referral to a specialist. It is concluded that chronic disease surveillance consultations in general practice are frequently extended by patients who are anxious to discuss issues which may not be relevant to their chronic diseases. General practitioners must be sensitive to such patient expectations when they instigate chronic disease management clinics.
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Selected References
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- Ettlinger P. R., Freeman G. K. General practice compliance study: is it worth being a personal doctor? Br Med J (Clin Res Ed) 1981 Apr 11;282(6271):1192–1194. doi: 10.1136/bmj.282.6271.1192. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Foulkes A., Kinmonth A. L., Frost S., MacDonald D. Organized personal care--an effective choice for managing diabetes in general practice. J R Coll Gen Pract. 1989 Nov;39(328):444–447. [PMC free article] [PubMed] [Google Scholar]
- Kinmonth A. L., Murphy E., Marteau T. Diabetes and its care--what do patients expect? J R Coll Gen Pract. 1989 Aug;39(325):324–327. [PMC free article] [PubMed] [Google Scholar]
- Malins J. M., Stuart J. M. Diabetic clinic in a general practice. Br Med J. 1971 Oct 16;4(5780):161–161. doi: 10.1136/bmj.4.5780.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Martin F. J., Bass M. J. The impact of discussion of non-medical problems in the physician's office. Fam Pract. 1989 Dec;6(4):254–258. doi: 10.1093/fampra/6.4.254. [DOI] [PubMed] [Google Scholar]
- Middleton J. F. The exceptional potential of the consultation revisited. J R Coll Gen Pract. 1989 Sep;39(326):383–386. [PMC free article] [PubMed] [Google Scholar]
- Stern D. Management of hypertension in twelve Oxfordshire general practices. J R Coll Gen Pract. 1986 Dec;36(293):549–551. [PMC free article] [PubMed] [Google Scholar]
- Stott N. C., Davis R. H. The exceptional potential in each primary care consultation. J R Coll Gen Pract. 1979 Apr;29(201):201–205. [PMC free article] [PubMed] [Google Scholar]
- Taylor M. P. Epilepsy in a Doncaster practice: audit and change over eight years. J R Coll Gen Pract. 1987 Mar;37(296):116–119. [PMC free article] [PubMed] [Google Scholar]
- Thomas K. B. Temporarily dependent patient in general practice. Br Med J. 1974 Mar 30;1(5908):625–626. doi: 10.1136/bmj.1.5908.625. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thorn P. A., Russell R. G. Diabetic clinics today and tomorrow: mini-clinics in general practice. Br Med J. 1973 Jun 2;2(5865):534–536. doi: 10.1136/bmj.2.5865.534. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Whitfield M., Grol R., Mokkink H. General practitioners' opinions about their responsibility for medical tasks: comparison between England and The Netherlands. Fam Pract. 1989 Dec;6(4):274–278. doi: 10.1093/fampra/6.4.274. [DOI] [PubMed] [Google Scholar]
- Wilkes E., Lawton E. E. The diabetic, the hospital and primary care. J R Coll Gen Pract. 1980 Apr;30(213):199–206. [PMC free article] [PubMed] [Google Scholar]
- Wojciechowski M. T. Systematic care of diabetic patients in a general practice. J R Coll Gen Pract. 1982 Sep;32(242):531–533. [PMC free article] [PubMed] [Google Scholar]