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J R Soc Med. 2003 Apr;96(4):180-4.

The doctor-patient relationship in US primary care.

Author information

1
Institute of General Practice (now the Peninsula Medical School), School of Sport and Health Sciences, University of Exeter, Barrack Road, UK. pam.lings@pms.ac.uk

Abstract

Changes in the organization of primary care in the UK are driven by a need to improve access and availability, but doctor-patient relationships may suffer. To investigate the importance of such relationships in a different setting, we analysed focus-group data obtained in a primary care facility in the USA (Rochester, NY). The findings pointed to three key factors in these relationships-namely, an asymmetry of perceptions on the two sides, belying the notion of a meeting of experts; the importance on both sides of 'liking'; and the value set by both parties on development of trust. The last two of these factors are probably related to continuity of care, now under threat.

Comment in

PMID:
12668705
PMCID:
PMC539446
DOI:
10.1258/jrsm.96.4.180
[Indexed for MEDLINE]
Free PMC Article

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