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July 27, 1979, Vol 242, No. 4 >
ARTICLE | July 27, 1979

Patient-Doctor Agreement About Problems Needing Follow-up Visit

Barbara Starfield, MD, MPH; Donald Steinwachs, PhD; Ira Morris, MD; George Bause; Stephen Siebert; Craig Westin, MD
JAMA. 1979;242(4):344-346. doi:10.1001/jama.1979.03300040030019.
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In this study in an urban prepaid group practice, patients and practitioners agreed less than half the time as to what problems required follow-up at a subsequent visit. Problems that were mentioned by both practitioner and patient were much more likely to be followed up subsequently by the practitioner than problems initially mentioned only by the practitioner or only by the patient. Patients reported much more improvement of problems at follow-up when both practitioner and patient mentioned the problem as requiring follow-up than when they had been mentioned only by the patient. The involvement of patients in the process of care may be augmented by a variety of mechanisms. We believe greater patient participation in the processes of care should result in better follow-up of problems and better results, at least as perceived by patients.

(JAMA 242:344-346, 1979)

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