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Communications of Adverse Effects of Medications: Physician Challenges and Informatics Readiness
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I read with great interest the article by Ziegler et al1
on patients' views about learning more about medication adverse effects. This
study suggests discordance between expectation of patients and physician encounter.
Outpatient practice presents with numerous challenges to the physician-patient
encounter. Braddock et al,2 in a study of
outpatient decision making using the mnemonic PAR to remind the physician
to disclose the nature of Procedure, Alternatives, and Risks involved in any consent
discussion, identified that about 33.4% of the visits to primary care physicians
involved discussion about medications. They reported that clinical discussion
was complete in only 4.6% of cases using the PAR technique. An expert's perception
of risk is based on the likelihood of risk and potential outcome of risk,
such as disease, injury, and death. Patients, however, evaluate risk as a
combination of likelihood of risk x outcome of risk x outrage
factors.3 Outrage . . . [Full Text of this Article]
RELATED ARTICLE
How Much Information About Adverse Effects of Medication Do Patients Want From Physicians?
Dewey K. Ziegler, Michael C. Mosier, Maritza Buenaver, and Kola Okuyemi
Arch Intern Med. 2001;161(5):706-713.
ABSTRACT
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