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Revista Clínica de Medicina de Familia

 ISSN 2386-8201 ISSN 1699-695X

ESTRADA, María et al. Percepción de la población general de nuestra especialidad: ¿están de acuerdo los pacientes con las decisiones diagnósticas y terapéuticas adoptadas por el médico de familia?. []. , 9, 3, pp.146-151. ISSN 2386-8201.

Objective: To determine patients' degree of agreement with Family Doctor's decisions and their knowledge about our speciality. Design: Cross-sectional descriptive study. Location and Participants: The study was carried out in two urban primary care health centres with a sample of adults older than 18 years. 660 patients were selected through stratified sampling, using the health card as data source. Main measures: Socio-demographic variables, health care service use indicators, knowledge about our speciality and attitudes towards potential conflicts were registered. A specific questionnaire was designed and a letter was sent to the selected patients before telephone survey. Results: 43.6 % (CI 95 %: 38.2-49) patients know that postgraduate specialised training is required to become family doctor. 38 % (CI 95 %: 32.9-43.3) always agree with changes in medication proposed by the Family Doctor. 51 % (CI 95 %: 45.6-56.4) would agree with their doctor's refusal of referral to hospital care. 57 % (CI 95 %: 51.6-62.4) would agree with a doctor's refusal to make a complementary test although the patient had requested it. 82.7 % (CI 95 %: 78.6- 86.8) would agree with not being prescribed antibiotics although the patient had requested it. Conclusions: Family doctor's specialized training is still unknown for many of our patients. They agree with the doctor's decision about their demands of inappropriate antibiotic prescription easier than with decisions about refusal to complementary tests or referral to Specialist Care.

: Health surveys; Physician-patient relations; Family Practice.

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