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1st appeared 4 January 1999

Study Finds Patients Willing to Talk about Risky Behavior

A new UCSF study has found that patients are willing to discuss risky behavior with their primary care physicians and that it matters little whether they do that face-to-face or with the help of technology.
   
The study, published in the January edition of the journal Medical Care, found that patients are willing to disclose behavior that puts them at risk for conditions ranging from HIV to domestic violence regardless of whether they believe their doctors will receive the information. In addition, the study found that patients are as willing to disclose such information in oral or written interviews -- methods previously thought to hamper discussions -- as they are with the aid of technology, such as computers.
   
The findings are a key step in opening up dialogue about sensitive subjects -- including risky sexual behavior, drug and alcohol use and domestic violence -- between doctors and their patients, said UCSF psychologist Barbara Gerbert, professor and chair of UCSF's Behavioral Sciences Division in the School of Dentistry and the study's principal investigator.
   
Though such discussions can ultimately help reduce patients' health risks, they all too often don't take place because physicians don't know how to broach the issues and believe patients don't want to be asked about them, Gerbert said.
   
The study's findings, however, should help break down such barriers, as now there is proof that patients believe that it is within their doctors' domain to know about behavior that can put their health at risk -- and it doesn't much matter what method they use to find out, Gerbert said.
   
"Now we know that if asked patients will tell," Gerbert said. "So the asking on the part of physicians is the important part."

Source: Lordelyn del Rosario, News Services


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