Familiarity between patient and general practitioner does not influence the content of the consultation

Jabaaij, Lea; Fassaert, Thijs; Dulmen, Sandra van; Timmermans, Arno; Essen, G A van; Schellevis, François G.

doi:10.1186/1471-2296-9-51

Cited by 5 publications

(6 citation statements)

References 24 publications

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“…Therefore, results in this study may imply equity in the provision of patient-centred care during GP consultations regardless of familiarity between GPs and patients. To some extent, the results were similar to Jabaaij’s study that familiarity did not influence the GPs’ interaction with patients during the consultations [ 9 ]. GPs’ communication skills enable them to discuss any issue with patients tailoring with patients’ values and needs, thereby guaranteeing 'patient-centred care', whether they are familiar with the patient or not [ 25 ].…”

Section: Discussionsupporting

confidence: 85%

“…GP perceived doctor-patient familiarity was collected after each consultation. The variable, ‘knowing the patient well’ answered by GP, with binary results ‘Yes’ or ‘No’ was used as a proxy measure for GP perceived doctor-patient familiarity [ 9 ]. When the GP rates “yes”, it indicates that he knows the patient well.…”

Section: Methodsmentioning

confidence: 99%

“…Patients may see a familiar GP to a high extent, regardless of reasons for visits, and perceived seriousness of symptoms [ 8 ]. Jabaaij’s study indicated that when GPs were familiar with the patient, GPs may discuss more and provide more information to the patient towards the topic in questions [ 9 ]. Yu’s study analyzed the consultation length and waiting time of general practice in community health centres in China and found that the consultation length was significantly related to doctor-patient familiarity [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Association between doctor-patient familiarity and patient-centred care during general practitioner's consultations: a direct observational study in Chinese primary care practice

et al. 2021

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Background Patient-centred care is a core attribute of primary care. Not much is known about the relationship between patient-centred care and doctor-patient familiarity. This study aimed to explore the association between general practitioner (GP) perceived doctor-patient familiarity and the provision of patient-centred care during GP consultations. Methods This is a direct observational study conducted in eight community health centres in China. Level of familiarity was rated by GPs using a dichotomized variable (Yes/No). The provision of patient-centred care during GP consultations was measured by coding audiotapes using a modified Davis Observation Code (DOC) interactional instrument. Eight individual codes in the modified DOC were selected for measuring the provision of patient-centred care, including ‘family information’, ‘treatment effects’, ‘nutrition guidance’, ‘exercise guidance’, ‘health knowledge’, ‘patient question’, ‘chatting’, and ‘counseling’. Multivariate analyses of covariance were adopted to evaluate the association between GP perceived doctor-patient familiarity and patient-centred care. Results A total of 445 audiotaped consultations were collected, with 243 in the familiar group and 202 in the unfamiliar group. No significant difference was detected in overall patient-centred care between the two groups. For components of patient-centred care, the number of intervals (1.36 vs 0.88, p = 0.026) and time length (7.26 vs. 4.40 s, p = 0.030) that GPs spent in ‘health knowledge’, as well as time length (13.0 vs. 8.34 s, p = 0.019) spent in ‘patient question’ were significantly higher in unfamiliar group. The percentage of ‘chatting’ (11.9% vs. 7.34%, p = 0.012) was significantly higher in the familiar group. Conclusions This study suggested that GP perceived doctor-patient familiarity may not be associated with GPs’ provision of patient-centred care during consultations in the context of China. Not unexpectedly, patients would show more health knowledge and ask more questions when GPs were not familiar with them. Further research is needed to confirm and expand on these findings.

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Section: Discussionsupporting

confidence: 85%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between doctor-patient familiarity and patient-centred care during general practitioner's consultations: a direct observational study in Chinese primary care practice

et al. 2021

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“…Future research is needed to explore why patients stay with a GP they feel humiliated by. A recently published study confirms that good communication skills of GPs, whether they are familiar with the patient or not, enable patients to discuss any issue [ 33 ]. However, future research is needed to explain why patients who were satisfied with the trainee often preferred to see their regular GP.…”

Section: Discussionmentioning

confidence: 94%

It's all about recognition! Qualitative study of the value of interpersonal continuity in general practice

2009

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Background: Continuity of care has traditionally been regarded as a core quality of general practice, but the long-term doctor-patient relationship has been put under pressure. In many places practices are expanding, with larger teams and more registered patients, thereby threatening the possibility of patients staying with their own general practitioner (GP). GPs often take it for granted that interpersonal continuity is valuable. However, little is known about how patient satisfaction is related to interpersonal continuity. The purpose of this study is to explore the creation of patient satisfaction or dissatisfaction in the interpersonal relation with the GP, and in a comprehensive way to investigate how this is related to continuity of care.

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“…In these consultations, in the judgement of experienced observers, a low score on communication skills items of the MAAS-Global is still accompanied by adequate professional performance. Several of the context factors we found point to the essence of general practice, such as continuity of care, a systems approach, prevention, treating (minor) ailments and problems with a psychosocial background [ 33 - 35 ].…”

Section: Discussionmentioning

confidence: 99%

Identifying context factors explaining physician's low performance in communication assessment: an explorative study in general practice

et al. 2011

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BackgroundCommunication is a key competence for health care professionals. Analysis of registrar and GP communication performance in daily practice, however, suggests a suboptimal application of communication skills. The influence of context factors could reveal why communication performance levels, on average, do not appear adequate. The context of daily practice may require different skills or specific ways of handling these skills, whereas communication skills are mostly treated as generic. So far no empirical analysis of the context has been made. Our aim was to identify context factors that could be related to GP communication.MethodsA purposive sample of real-life videotaped GP consultations was analyzed (N = 17). As a frame of reference we chose the MAAS-Global, a widely used assessment instrument for medical communication. By inductive reasoning, we analyzed the GP behaviour in the consultation leading to poor item scores on the MAAS-Global. In these cases we looked for the presence of an intervening context factor, and how this might explain the actual GP communication behaviour.ResultsWe reached saturation after having viewed 17 consultations. We identified 19 context factors that could potentially explain the deviation from generic recommendations on communication skills. These context factors can be categorized into doctor-related, patient-related, and consultation-related factors.ConclusionsSeveral context factors seem to influence doctor-patient communication, requiring the GP to apply communication skills differently from recommendations on communication. From this study we conclude that there is a need to explicitly account for context factors in the assessment of GP (and GP registrar) communication performance. The next step is to validate our findings.

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Familiarity between patient and general practitioner does not influence the content of the consultation

Cited by 5 publications

References 24 publications

Association between doctor-patient familiarity and patient-centred care during general practitioner's consultations: a direct observational study in Chinese primary care practice

Association between doctor-patient familiarity and patient-centred care during general practitioner's consultations: a direct observational study in Chinese primary care practice

It's all about recognition! Qualitative study of the value of interpersonal continuity in general practice

Identifying context factors explaining physician's low performance in communication assessment: an explorative study in general practice

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