General Practitioners' Perceptions of Patient Involvement—An Interview Study

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-04-06 DOI:10.1111/jep.70077

Birgitte Nørgaard, Elisa Simonsen, Nanna Aarup Skotte, Michael Marcussen

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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.

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

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.