Description of Medication Inquiry and Impact on the Clinical Encounter (n = 58)
| Question | No. | % |
|---|---|---|
| How did the patient hear about the medication? (note: multiple responses allowed) | ||
| Family or friends | 19 | 32.8 |
| Media or advertising | 12 | 20.7 |
| Internet | 2 | 3.5 |
| Other source | 21 | 36.2 |
| Unknown | 6 | 10.3 |
| Did the patient understand the purpose of the medication? | ||
| Yes | 56 | 96.6 |
| No | 2 | 3.4 |
| Would this requested medication have been the clinician’s first choice of treatment? | ||
| Yes | 12 | 20.7 |
| No | 36 | 62.1 |
| No opinion | 10 | 17.2 |
| Did the patient want a prescription for the medication? | ||
| Yes | 43 | 74.1 |
| No | 15 | 25.9 |
| Did the clinician feel pressured to prescribe the medication? | ||
| Significant pressured | 7 | 12.1 |
| Somewhat pressured | 13 | 22.4 |
| Not pressured | 38 | 65.5 |
| Was the requested medication prescribed? | ||
| Yes | 31 | 53.5 |
| No | 27 | 46.5 |
| What was the overall effect of the patient request on the visit? | ||
| Positive | 14 | 24.1 |
| Neutral | 38 | 65.5 |
| Negative | 6 | 10.3 |
| Specific effects of the inquiry/discussion on the visit (multiple responses allowed) | ||
| Facilitated discussion | 33 | 55.1 |
| Educated patient | 28 | 48.3 |
| Improved condition awareness | 21 | 36.2 |
| New conditions identified | 6 | 10.3 |
| Increased visit time | 22 | 37.9 |
| Raised insurance concerns | 8 | 13.8 |
| Negative impact on physician-patient relationship | 3 | 5.2 |