“I have a few patients who have negative attitudes to proactive care. Most of them can be persuaded to accept particular tests when the reason is explained and personalised for them. Those who resist are usually the ones who get as far as establishing, in statistical terms, the likely benefit of the test, and they often have a fair point when they say it’s not worth the candle.” Trish Greenhalgh writing in BGJP.
NEGATIVE attitudes? What about patient autonomy – is my attitude negative simply because it does not conform/differs from a doctor’s? And ‘most of them can be persuaded’ – a doctor’s job is not to persuade, but to provide honest information so that a patient can make a valid choice/decision which may include valid consent. When will they learn? http://www.ingentaconnect.com/content/rcgp/bjgp/2013/00000063/00000606/art00022