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General medicine
Evidence-based management as a basis for evidence-based medical consultation
  1. Edris Hasanpoor1,
  2. Mohammadkarim Bahadori2,
  3. Maryam Yaghoubi2,
  4. Elaheh Haghgoshayie1,
  5. Alireza Mahboub-Ahari3
  1. 1 Department of Healthcare Management, Maragheh University of Medical Sciences, Maragheh, Iran
  2. 2 Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  3. 3 Department of Health Economics, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
  1. Correspondence to Dr Elaheh Haghgoshayie, Department of Healthcare Management, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran; ezd_ehm2010{at}yahoo.com

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Introduction

Healthcare quality is a basic demand of patients in a health services delivery system, and it is one of the rights of every patient.1 Therefore, a high-quality consultation is part of the rights of a patient as a citizen.1 2 On the other hand, most physicians, healthcare managers and policymakers will express that the patient–physician relationship is central to healthcare; unfortunately, despite this advocacy, patients seem to be easily overlooked.3 4 Medical consultation is essential to all aspects of healthcare, from history taking to providing information to patients, as it provides the primary means for the diagnosis of a disease, treatment of illness and prevention of health problems.1 2 5 6 Medical consultation is a dynamic, interactive process, during which the physician and the patient co-construct and negotiate the meanings and means of talk.4 7 8 Its success is seen as the joint responsibility of the doctor and the patient. Understanding patients’ concerns, preferences and requests is vital in order for physicians to improve the …

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