This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (23)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

R. W. Burgoyne, MD; Fred R. Staples, PhD; Joe Yamamoto, MD; George H. Wolkon, PhD; Frank Kline, MD

Arch Gen Psychiatry. 1979;36(4):400-403.

Abstract
Three-hundred-twenty-five consecutive predominantly lowerclass new patients at a psychiatric outpatient clinic rated the importance they attached to each of 14 categories of treatment needs or requests. Psychiatric residents subsequently rated the importance of each request for each patient at the conclusion of their initial assessment interview. Requests reflecting needs for intrapsychic therapy, clarification, and control of feelings were considered very important by approximately two thirds of the patients; needs for institutionalized contact, advice, and community triage by one half; and other requests for medication, reality contact, succorance, ventilation, confession, social intervention, administrative requests by a minority (one fourth to one third). Residents significantly underestimated the importance their patients attached to 10 of 14 requests. Factor analyses confirmed several systematic sources of disparity between patient and therapist perception of lower-class patient needs.

Author Affiliations
From the Department of Psychiatry, University of Southern California School of Medicine, and the Emergency Psychiatric Services, Los Angeles County-University of Southern California Medical Center, Los Angeles (Drs Burgoyne and Staples); University of California at Los Angeles Neuropsychiatric Institute (Dr Yamamoto); University of Southern California, Los Angeles (Dr Wolkon); and University of California, Irvine (Dr Kline).

Footnotes
Accepted for publication March 28, 1978.

Reprint requests to University of Southern California Medical Center, 1934 Hospital Pl, Los Angeles, CA 90033 (Dr Burgoyne).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Direct Observation of Requests for Clinical Services in Office Practice: What Do Patients Want and Do They Get It?
Kravitz et al.
Arch Intern Med 2003;163:1673-1681.
ABSTRACT | FULL TEXT  

The Effect of Unmet Expectations among Adults Presenting with Physical Symptoms
Jackson and Kroenke
ANN INTERN MED 2001;134:889-897.
ABSTRACT | FULL TEXT  

Patients' Expectations for Medical Care: An Expanded Formulation Based on Review of the Literature
Kravitz
Med Care Res Rev 1996;53:3-27.
ABSTRACT  

A Comparison of Usa and New Zealand Patients' Requests and Clinicians Understanding of Patients' Requests
Deane
Int J Soc Psychiatry 1987;33:277-284.
ABSTRACT  

Measuring Patient Perceptions of the Patient-Doctor Interaction: Development of the PDIS
Smith et al.
Eval Health Prof 1984;7:77-94.
ABSTRACT