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
收藏
页码：220 / 225
页数：6
相关论文
共 30 条
[11]   Why general practitioners do not implement evidence: qualitative study [J].
Freeman, AC ;
Sweeney, K .
BRITISH MEDICAL JOURNAL, 2001, 323 (7321) :1100-1102A
[12]   European guidelines on cardiovascular disease prevention in clinical practice: Full text [J].
Graham, Ian ;
Atar, Dan ;
Borch-Johnsen, Knut ;
Boysen, Gudrun ;
Burell, Gunilla ;
Cifkova, Renata ;
Dallongeville, Jean ;
De Backer, Guy ;
Ebrahim, Shah ;
Gjelsvik, Bjorn ;
Herrmann-Lingen, Christoph ;
Hoes, Arno ;
Humphries, Steve ;
Knapton, Mike ;
Perk, Joep ;
Priori, Silvia G. ;
Pyorala, Kalevi ;
Reiner, Zeljko ;
Ruilope, Luis ;
Sans-Menendez, Susana ;
Reimer, Wilma Scholte Op ;
Weissbergh, Peter ;
Wood, David ;
Yarnell, John ;
Zamorano, Jose Luis .
EUROPEAN JOURNAL OF CARDIOVASCULAR PREVENTION & REHABILITATION, 2007, 14 :S1-S113
[13]   Medical doctors' perception of the "number needed to treat" (NNT) - A survey of doctors' recommendations for two therapies with different NNT [J].
Halvorsen, PA ;
Kristiansen, IS ;
Aasland, OG ;
Forde, OH .
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE, 2003, 21 (03) :162-166
[14]   The dilemma of patient responsibility for lifestyle change: Perceptions among primary care physicians and nurses [J].
Jallinoja, Piia ;
Absetz, Pilvikki ;
Kuronen, Risto ;
Nissinen, Aulikki ;
Talja, Marttj ;
Uutela, Antti ;
Patja, Kristiina .
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE, 2007, 25 (04) :244-249
[15]  
Kreuger R.A., 2000, FOCUS GROUPS, V3rd
[16]  
Lewin S.A., 2001, Cochrane Data base System Review, V4, P1, DOI [DOI 10.1002/14651858.CD003267, 10.1002/14651858.CD003267]
[17]   SHARED UNDERSTANDING OF THE QUALITATIVE RESEARCH PROCESS - GUIDELINES FOR THE MEDICAL-RESEARCHER [J].
MALTERUD, K .
FAMILY PRACTICE, 1993, 10 (02) :201-206
[18]   Cardiovascular risk of the general population assessed through SCORE and CUORE charts: An extensive survey by the General Practitioners from Abruzzo, Italy [J].
Manzoli, Lamberto ;
Palumbo, Walter ;
Ruotolo, Pierluigi ;
Panella, Massimiliano ;
Mezzetti, Andrea ;
Di Stanislao, Francesco .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2010, 144 (01) :47-52
[19]  
Markova I., 2007, DIALOGUE FOCUS GROUP
[20]  
MASEIDE P, 1991, SOCIOL HEALTH ILL, V13, P545
123