Imperial College London

DrGevaGreenfield

Faculty of MedicineSchool of Public Health

Research Fellow in Public Health
 
 
 
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Contact

 

+44 (0)20 7594 8595g.greenfield Website

 
 
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Location

 

314Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Shmueli:2017:10.1186/s13584-017-0191-y,
author = {Shmueli, L and Davidovitch, N and Pliskin, JS and Balicer, RD and Hekselman, I and Greenfield, G},
doi = {10.1186/s13584-017-0191-y},
journal = {Israel Journal of Health Policy Research},
title = {Seeking a second medical opinion: composition, reasons and perceived outcomes in Israel.},
url = {http://dx.doi.org/10.1186/s13584-017-0191-y},
volume = {6},
year = {2017}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Background: Seeking a second-opinion (SO) is a common clinical practice that can optimize treatment and reduceunnecessary procedures and risks. We aim to characterize the composition of the population of SO seekers, their reasonsfor seeking a SO and choosing a specific physician, and their perceived outcomes following the SO.Methods: A cross-sectional national telephone survey, using a representative sample of the general Israeli population(n = 848, response rate = 62%). SO utilization was defined as seeking an additional clinical opinion from a specialist withinthe same specialty, for the same medical concern. We describe the characteristics of respondents who obtained SOs, theirreasons for doing so and their perceived outcomes: (1) Satisfaction with the SO; (2) Experiencing health improvementafter receiving a SO; (3) A difference in the diagnosis or treatment suggested in the first opinions and the secondopinions; (4) Preference of the SO over the first one.Results: Most of the respondents who sought a SO (n = 344) were above 60 years old, secular, living with a partner,perceived their income to be above average and their health status to be not so good. For the patients who utilizedSOs, orthopedic surgeons were sought out more than any other medical professional.Reasons for seeking a SO includeddoubts about diagnosis or treatment (38%), search for a sub-specialty expert (19%) and dissatisfaction withcommunication (19%). SO seekers most frequently chose a specific specialist based on a recommendation from afriend or a relative (33%). About half of the SO seekers also searched for information on the internet. Most of therespondents who sought a SO mentioned that they were satisfied with it (84%), felt health improvement (77%),mentioned that there was a difference between the diagnosis or treatment between the first opinion and the SO(56%) and preferred the SO over the first one (91%).Conclusions: Clinical uncertainty or dissatisfaction with patient-physician commun
AU - Shmueli,L
AU - Davidovitch,N
AU - Pliskin,JS
AU - Balicer,RD
AU - Hekselman,I
AU - Greenfield,G
DO - 10.1186/s13584-017-0191-y
PY - 2017///
SN - 2045-4015
TI - Seeking a second medical opinion: composition, reasons and perceived outcomes in Israel.
T2 - Israel Journal of Health Policy Research
UR - http://dx.doi.org/10.1186/s13584-017-0191-y
UR - http://hdl.handle.net/10044/1/55350
VL - 6
ER -