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Annals of Family Medicine 5:21-28 (2007)
© 2007 Annals of Family Medicine, Inc.
doi: 10.1370/afm.621
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Exploring and Validating Patient Concerns: Relation to Prescribing for Depression

Ronald M. Epstein, MD1,2,3, Cleveland G. Shields, PhD1,2,3, Peter Franks, MD4, Sean C. Meldrum, MS1,3, Mitchell Feldman, MD, MPhil5 and Richard L. Kravitz, MD, MSPH4

1 Department of Family Medicine, University of Rochester Medical Center, Rochester, NY
2 Department of Psychiatry, University of Rochester Medical Center, Rochester, NY
3 Rochester Center to Improve Communication in Health Care, Rochester, NY
4 Division of General Medicine, Department of Internal Medicine and Center for Health Services Research in Primary Care, UC Davis School of Medicine, Sacramento, Calif
5 Department of Medicine, University of California, San Francisco, San Francisco, Calif


Figure 1
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  		Figure 1. Study design.

Six standardized clinical portrayals were created by crossing 2 condition roles (major depression or adjustment disorde)r with 3 drug request types (brand-specific, general, or none).

 

Figure 2
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  		Figure 2. Patients’ receipt of prescriptions for antidepressant medications by clinical role, EVC score, and request condition.

EVC = exploration and validation of patient concerns.

 




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