General practitioner responses to concerns in chronic care consultations for patients with a history of cancer

Anne Beiter Arreskov; Johanna Falby Lindell; Annette Sofie Davidsen

doi:10.1177/13591053211025593

General practitioner responses to concerns in chronic care consultations for patients with a history of cancer

Anne Beiter Arreskov^*, Johanna Falby Lindell, Annette Sofie Davidsen

^*Corresponding author af dette arbejde

Forskningsenheden for Almen Praksis

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

2 Citationer (Scopus)

Abstract

We investigated general practitioners’ (GPs’) responses to patients’ concerns in chronic care consultations. Video recordings of 14 consultations were analyzed with conversation analysis. We found two categories of responses: exiting and exploring the patient’s concerns. Most GPs exited the concern by interrupting the patient, acknowledging the concern but then referring back to the progression of the consultation, or affiliating with the concern without exploring it. Only a few raised concerns were explored, and then most often the somatic rather than the emotional aspects of them. The findings point to the risk of missing patients’ voiced concerns in consultations with a fixed agenda.

Originalsprog	Engelsk
Tidsskrift	Journal of Health Psychology
Vol/bind	27
Udgave nummer	10
Sider (fra-til)	2261-2275
Antal sider	15
ISSN	1359-1053
DOI	https://doi.org/10.1177/13591053211025593
Status	Udgivet - 2022

Bibliografisk note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The study was funded by The Health Sciences Research Fund of Region Zealand, The Danish Cancer Society, Committee of Multipractice Studies in General Practice, The Fund for General Practice, The Fund of M.L. Jørgensen and Gunnar Hansen and University of Copenhagen.

Publisher Copyright:
© The Author(s) 2021.

Adgang til dokumentet

10.1177/13591053211025593

Citationsformater

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title = "General practitioner responses to concerns in chronic care consultations for patients with a history of cancer",

abstract = "We investigated general practitioners{\textquoteright} (GPs{\textquoteright}) responses to patients{\textquoteright} concerns in chronic care consultations. Video recordings of 14 consultations were analyzed with conversation analysis. We found two categories of responses: exiting and exploring the patient{\textquoteright}s concerns. Most GPs exited the concern by interrupting the patient, acknowledging the concern but then referring back to the progression of the consultation, or affiliating with the concern without exploring it. Only a few raised concerns were explored, and then most often the somatic rather than the emotional aspects of them. The findings point to the risk of missing patients{\textquoteright} voiced concerns in consultations with a fixed agenda.",

keywords = "Chronic care consultation, concern, conversation analysis, general practitioner, lifeworld",

author = "Arreskov, {Anne Beiter} and Lindell, {Johanna Falby} and Davidsen, {Annette Sofie}",

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doi = "10.1177/13591053211025593",

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T1 - General practitioner responses to concerns in chronic care consultations for patients with a history of cancer

AU - Arreskov, Anne Beiter

AU - Lindell, Johanna Falby

AU - Davidsen, Annette Sofie

N1 - Publisher Copyright: © The Author(s) 2021.

PY - 2022

Y1 - 2022

N2 - We investigated general practitioners’ (GPs’) responses to patients’ concerns in chronic care consultations. Video recordings of 14 consultations were analyzed with conversation analysis. We found two categories of responses: exiting and exploring the patient’s concerns. Most GPs exited the concern by interrupting the patient, acknowledging the concern but then referring back to the progression of the consultation, or affiliating with the concern without exploring it. Only a few raised concerns were explored, and then most often the somatic rather than the emotional aspects of them. The findings point to the risk of missing patients’ voiced concerns in consultations with a fixed agenda.

AB - We investigated general practitioners’ (GPs’) responses to patients’ concerns in chronic care consultations. Video recordings of 14 consultations were analyzed with conversation analysis. We found two categories of responses: exiting and exploring the patient’s concerns. Most GPs exited the concern by interrupting the patient, acknowledging the concern but then referring back to the progression of the consultation, or affiliating with the concern without exploring it. Only a few raised concerns were explored, and then most often the somatic rather than the emotional aspects of them. The findings point to the risk of missing patients’ voiced concerns in consultations with a fixed agenda.

KW - Chronic care consultation

KW - concern

KW - conversation analysis

KW - general practitioner

KW - lifeworld

U2 - 10.1177/13591053211025593

DO - 10.1177/13591053211025593

M3 - Journal article

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VL - 27

SP - 2261

EP - 2275

JO - Journal of Health Psychology

JF - Journal of Health Psychology

SN - 1359-1053

IS - 10

ER -