Lifestyle consultation in general practice-the doctor's toolbox: a qualitative focus group study

被引：13

作者：

Abildsnes, Eirik ^{[1
]}

Walseth, Liv T. ^{[2
]}

Flottorp, Signe A. ^{[3
]}

Stensland, Per S. ^{[1
]}

机构：

[1] Univ Bergen, Branch Gen Practice, Inst Publ Hlth & Social Med, Bergen, Norway

[2] Unifob Hlth, Res Unit Gen Practice, Oslo, Norway

[3] Norwegian Knowledge Ctr, Hlth Serv, Oslo, Norway

来源：

FAMILY PRACTICE | 2011年 / 28卷 / 02期

关键词：

Communication; family practice; focus groups; lifestyle; qualitative research; PRIMARY-CARE PHYSICIANS; CLINICAL-PRACTICE; SICK INDIVIDUALS; PRACTITIONERS; PROFESSIONALS; POPULATIONS; GUIDELINES;

D O I：

10.1093/fampra/cmq093

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective. To investigate what tools GPs utilize in individual consultations concerning lifestyle change. Methods. Qualitative analysis of six focus groups with 50 GPs sharing and commenting each other's case stories. Results. To enhance change of lifestyle, GPs adjusted the organization of their practice and utilized visualization tools. They established doctor-patient relationships based on shared decision making and trust, and gave their patients advice and tips to accomplish change, but also used paternalistic approaches and rhetoric manipulation. Conclusions. GPs use a variety of tools in consultations about lifestyle change. A patient-centred approach is shown, but GPs also deliberately use distressing communication tools.

引用

页码：220 / 225

页数：6

共 30 条

[1] Attitudes, norms and controls influencing lifestyle risk factor management in general practice [J].