Table 3.
Influence of uncertainty avoidance within the medical consultation in primary care
| High | Low | References |
|---|---|---|
| Patients have high risk perception of the threat of the disease and possible complication. | Patients have low risk-perception of the threat of the disease and of possible complications. | [19, 21, 27] |
| Patients feel confident only if they have a disease with a clear cause, label and treatment (defensive medicine). | Patients feel confident even in case of uncertainty, accepting that the GP has no specific diagnosis or that no treatment can be given. | [12] |
| Patients prefer a “rather safe than sorry” attitude. | Patients accept a “wait and see” attitude. | [12, 19, 27] |
| The illness is perceived as an evil phenomenon against which you should fight. | The illness is perceived as a natural phenomenon with a natural history to be respected. | [24] |
| GPs feel uncomfortable and are anxious of making mistakes. | GPs are aware of the dangers of a defensive attitude. | [12] |
| GPs see themselves as experts and feel the inner urge to “do something”; prescribe what’s considered to be the less risky for the patient on a short term basis. | GPs accept a degree of uncertainty and a “wait and see” approach. | [12] |
| Prescribing antibiotics decreases the fear linked to uncertainty of both the GP and the patient. | Prescribing antibiotics does not decrease uncertainty-related fear of the GP nor of the patient. | [12, 13, 19, 27] |