Hospital consultants’ views of their patients

Abstract A sample of 24 hospital consultants was interviewed and asked for their opinions about a proposed policy of patient access to their own general practice records. Tape recordings of 20 recorded interviews were analysed in order to obtain data about consultants’ views of their patients. Consultants were divided into two main groups: those opposed to and those in favour of the proposed policy. Three factors were identified which discriminated between the views of the two groups of consultants: whether or not patients were perceived as being competent to take an active and informed part in the consultation; patients’ access to the truth; and the fallibility of medicine. It is suggested that consultants’ views about patients and patient access to medical records were related to their underlying model of illness: consultants opposed to access held a biomedical model of illness whereas those in favour of access held a more psychosocial model of illness.