• 作者：José ; Joaquí ; n Mira ; ^{jose.mira@umh.es} ; Virtudes Pé ; rez-Jover ; Inmaculada Blaya ; Alejandro Garcí ; a ; Olga Tomá ; s ; Jesú ; s Rodrí ; guez-Marí ; n
• 关键词：Segunda opinió ; n ; Relació ; n mé ; dico-paciente ; Satisfacció ; n del paciente ; Calidad percibida
• 刊名：Revista de Calidad Asistencial
• 出版年：2006
• 期刊代码：pca305_1134282X
• 类别：med
• 出版时间：May 2006
• 卷：21
• 期：3
• 页码：120-128
• 文件大小：86 K

Introduction

To identify the most important advantages of and obstacles against the right to a second opinion, as well as the most effective new proposals for establishing this right.

Material and method

The following issues were analyzed through various qualitative methods: the advantages of a second opinion, ways to provide the right to a second opinion, obstacles against establishing this right, expected changes in the doctor-patient relationship, and ways to improve patient access to health information. Twenty-six experts from diverse second opinion-related fields took part in the working groups.

Results

All the experts agreed that the main advantages of a second opinion were that this option increases the quality, reliability and credibility of the health system. The principal obstacle to a second opinion was loss of reputation and patient distrust when a medical mistake occurs.

Conclusions

The right to a second opinion provides a positive response to patients and helps to improve the quality of healthcare. This right must be accompanied by an intense information campaign aimed at both patients and health professionals. Such a campaign should clearly explain the limits of this right and the procedures to be followed.