Mayou pandora rings, for example, reported that patients attending a cardiac clinic who were told there was nothing wrong with their hearts expressed fears about heart disease three months later,4 and many patients who have been informed of normal results from echocardiography remain anxious about their hearts.2 Similarly https://www.pandorajewellrycanada.ca, 40% of patients with benign headache who had been reassured by neurologists expressed concern that their symptoms reflected serious disease one month later.5Poor communication is commonly cited as a reason for patients behaving unexpectedly (such as not complying with treatment or expressing unfounded anxieties). 6 7 Solutions are then couched in terms of improving the delivery of information from clinician to patient by, for example, providing written information8 or more patient centred consultations.9 There have been calls for the provision of patient information to increase reassurance.10Sociological research has shown that patients and doctors can have different perspectives of a clinical encounter,11 13 and that patients make sense of their clinical experience in the context of their own views and beliefs.14 16 Within a study of information exchange in rheumatology clinics, we explored commonly used methods of reassurance and their interpretation by patients, to investigate why some patients are reassured but others are not in routine consultations.Participants and methodsWe obtained ethical approval to investigate information exchange between doctors and patients in rheumatology clinics in two large British cities. The patients ranged across the socioeconomic spectrum as one clinic was situated in a deprived inner city area and the other near both affluent and more disadvantaged areas.
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