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Biomedical subjects

J A Burdette

Publications and source records attributed to J A Burdette.

12 recordsLinked to original sources
PubMed1980

Purpose of the medical encounter: identification and influence on process and outcome in 200 encounters in a model family practice center.

This study concerned two questions: Why does the patient come to the physician? And, how does patient-physician agreement as to the primary purpose affect the process and outcome of the medical encounter? Separate interviews of patients and physicians following 200 medical encounters revealed a preponderance of visits for continuing care, a paucity of visits for social and emotional problems, and a number of visits in which "concern" as the patient's primary purpose was misperceived by the physician. There was no statistically significant relationship when agreement (or lack of agreement) between patient and physician as to the purpose of the encounter was compared with patient age and sex, number of previous visits of the patient to the physician, and subsequent patient-physician agreement as to the diagnosis, prognosis, therapy, and satisfaction. There was also no statistically significant relationship when patient-physician concordance as to visit purpose was compared with education level of the patient or with physician perception of the patient's intended compliance. In both concordance and non-concordance groups, physicians underestimated both patient satisfaction with the encounters and intended compliance.

Adult↗
PubMed1978

The routine sexual history.

A routine, practiced and comfortable sexual history can elicit problems of personal adjustment. This format fits smoothly and logically into the rest of the medical history. It includes a numerical rating of personal satisfaction and the perceived satisfaction of the partner. On another occasion, similar questions are answered by the partner and the responses are assessed. Information and simple counseling are then provided and can be of significant help in the relationship.

Adult↗
PubMed1977

Primary care.

Explore the source record for details and available documents.

Family Practice↗
PubMed1976

Communication, compliance, and concordance between physicians and patients with prescribed medications.

Forty-six practicing physicians and 357 patients with diabetes mellitus or congestive heart failure were the subjects for this study, which focuses on the impact of medication regimen and doctor-patient communication in affecting patient medication-taking behavior and physician awareness of these behaviors. Four types of medication errors were defined: omissions, commissions, scheduling misconceptions and scheduling non-compliance. The average error rates were 19 per cent, 19 per cent, 17 per cent and 3 per cent, respectively. The combined average error was 58 per cent; scheduline non-compliance on the part of the patient was a minor component. Specific aspects of the medication regimen were associated with increased errors: (1) the more drugs involved between the doctor-patient pair, the greater the errors of omission and commission; and (2) the greater the complexity of the scheduling, the greater the errors of commission and scheduling misconceptions. If the patient did not know the function of all his drugs, errors of commission and scheduling misconception increased. Neither characteristics of patients nor the severity of disease were influential in determining the extent of medication errors. For patients with congestive heart failure, good communication of instructions and information from physician to patient was associated with low levels of all types of errors.

Aged↗