Imperial College London
Alternate

PROFESSOR AZEEM MAJEED

Faculty of Medicine, School of Public Health

Chair - Primary Care and Public Health & Head of Department
 
 
 
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Contact

 

+44 (0)20 7594 3368a.majeed Website

 
 
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Assistant

 

Ms Dorothea Cockerell +44 (0)20 7594 3368

 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Greenfield:2021:10.1136/bmjopen-2020-044033,
author = {Greenfield, G and Shmueli, L and Harvey, A and Quezada-Yamamoto, H and Davidovitch, N and Pliskin, J and Rawaf, S and Majeed, FAA and Hayhoe, B},
doi = {10.1136/bmjopen-2020-044033},
journal = {BMJ Open},
pages = {1--7},
title = {Patient-initiated second medical consultations: patient characteristics and motivating factors, impact on care and satisfaction: A systematic review},
url = {http://dx.doi.org/10.1136/bmjopen-2020-044033},
volume = {11},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives: To review the characteristics and motivations of patients seeking second opinions, and the impact of such opinions on patient management, satisfaction, and cost-effectiveness. Data sources: Embase, Medline, PsycINFO and HMIC databases.Study design: A systematic literature search was performed for terms related to second opinion and patient characteristics. Study quality was assessed using the National Institutes of Health (NIH) Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Data collection / Extraction methods: We included articles focused on patient-initiated second opinions, which provided quantitative data on their impact on diagnosis, treatment, prognosis or patient satisfaction, described the characteristics or motivating factors of patients who initiated a second opinion, or the cost-effectiveness of patient-initiated second opinions. Principal findings: Thirty-one articles were included in the review. 27 studies considered patient characteristics, 18 patient motivating factors, 10 patient satisfaction, and 17 clinical agreement between the first and second opinion. Seeking a second opinion was more common in women, middle age patients, more educated patients; and in people having a chronic condition, with higher income or socioeconomic status or living in central urban areas. Patients seeking a second opinion sought to gain more information or reassurance about their diagnosis or treatment. While many second opinions confirm the original diagnosis or treatment, discrepancies in opinions had a potential major impact on patient outcomes in up to 58% of cases. No studies reporting on the cost-effectiveness of patient initiated second opinions.Conclusions: Seeking a second opinion was more common in women, middle-age patients, and more educated patients, and in people having a chronic condition, with higher income or socioeconomic status or living in central urban areas. Patients seeking a second opinion sought to gain m
AU  - Greenfield,G
AU  - Shmueli,L
AU  - Harvey,A
AU  - Quezada-Yamamoto,H
AU  - Davidovitch,N
AU  - Pliskin,J
AU  - Rawaf,S
AU  - Majeed,FAA
AU  - Hayhoe,B
DO  - 10.1136/bmjopen-2020-044033
EP  - 7
PY  - 2021///
SN  - 2044-6055
SP  - 1
TI  - Patient-initiated second medical consultations: patient characteristics and motivating factors, impact on care and satisfaction: A systematic review
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2020-044033
UR  - https://bmjopen.bmj.com/content/11/9/e044033
UR  - http://hdl.handle.net/10044/1/91273
VL  - 11
ER  -
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