General Practitioners' Perceptions of Patient Involvement—An Interview Study

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Birgitte Nørgaard, Elisa Simonsen, Nanna Aarup Skotte, Michael Marcussen
{"title":"General Practitioners' Perceptions of Patient Involvement—An Interview Study","authors":"Birgitte Nørgaard,&nbsp;Elisa Simonsen,&nbsp;Nanna Aarup Skotte,&nbsp;Michael Marcussen","doi":"10.1111/jep.70077","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Rationale and Aim</h3>\n \n <p>General practitioners (GPs) play an increasingly important role in the healthcare system, wherein patient involvement is a key element in delivering individualized and tailored treatment. This study aimed to explore GPs' perceptions of user involvement and their considered challenges and opportunities regarding user involvement.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A qualitative study with semi-structured interviews was conducted. The approach was inductive and open, and data were analysed thematically. Twelve GPs were recruited through snowball sampling and individually interviewed in March–April 2021.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Six themes were generated: Relation and knowledge; Negotiation; Compliance; Information, communication and dialog; Time and process; and GPs' considerations of involvement. The GPs described a plethora of tools and strategies to shape their relationship with the patient, individually inform the patient, and negotiate their power to achieve compliance and, thus, the best treatment for the patient.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>GPs consider patient involvement equal to information as a means to compliance to some extent, but they also consider information and compliance interdependent. However, patient involvement is challenging for the GPs when the patient is misinformed or when the GP's current status is poor.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 3","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70077","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of evaluation in clinical practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jep.70077","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Rationale and Aim

General practitioners (GPs) play an increasingly important role in the healthcare system, wherein patient involvement is a key element in delivering individualized and tailored treatment. This study aimed to explore GPs' perceptions of user involvement and their considered challenges and opportunities regarding user involvement.

Methods

A qualitative study with semi-structured interviews was conducted. The approach was inductive and open, and data were analysed thematically. Twelve GPs were recruited through snowball sampling and individually interviewed in March–April 2021.

Results

Six themes were generated: Relation and knowledge; Negotiation; Compliance; Information, communication and dialog; Time and process; and GPs' considerations of involvement. The GPs described a plethora of tools and strategies to shape their relationship with the patient, individually inform the patient, and negotiate their power to achieve compliance and, thus, the best treatment for the patient.

Conclusion

GPs consider patient involvement equal to information as a means to compliance to some extent, but they also consider information and compliance interdependent. However, patient involvement is challenging for the GPs when the patient is misinformed or when the GP's current status is poor.

Abstract Image

全科医生对病人参与的认知——一项访谈研究
基本原理和目的全科医生(全科医生)在医疗保健系统中发挥着越来越重要的作用,其中患者参与是提供个性化和量身定制治疗的关键因素。本研究旨在探讨全科医生对用户参与的看法,以及他们在用户参与方面所考虑的挑战和机遇。方法采用半结构化访谈法进行定性研究。该方法是归纳和开放的,并对数据进行主题分析。通过滚雪球抽样招募了12名全科医生,并于2021年3月至4月进行了单独访谈。结果共生成6个主题:关系与知识;谈判;合规;信息、沟通和对话;时间和过程;以及全科医生介入的考虑。全科医生描述了大量的工具和策略,以塑造他们与患者的关系,单独告知患者,并协商他们的权力,以实现依从性,从而为患者提供最佳治疗。结论全科医生在一定程度上将患者参与等同于信息作为依从性的手段,但同时也认为信息与依从性是相互依赖的。然而,当病人被误导或当全科医生的现状很差时,病人参与是全科医生的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信