Table 1.

Helpers and Detractors of Opportunistic Care

HelpersDetractors
Note: both lists ranked in decreasing order of frequency of spontaneous mention.
Particular components of the chartDisorganized, unavailable, or poorly fitting information sources
Organized, up-to-date, and clear records
Patient promptingTime constraints
Good support from medical assistantVague, complex, long, or acute patient complaints
Time
Familiarity with the patientOther demands on physician
Prompt and reminder systemPatient desire to discuss
Receptive patientNoncontinuous care
Simple problemsPatient noncompliance
Cues in patient appearance
Physical environment
Recent educational experience
Potential regret