Details

Autor(en) / Beteiligte

• Leydon, Geraldine M.
• Stuart, Beth
• Summers, Rachael H.
• Little, Paul
• Ekberg, Stuart
• Stevenson, Fiona
• Chew-Graham, Carolyn A.
• Brindle, Lucy
• Heritage, John
• Drew, Paul
• Moore, Michael V.

Titel

Findings from a feasibility study to improve GP elicitation of patient concerns in UK general practice consultations

Ist Teil von

• Patient education and counseling, 2018-08, Vol.101 (8), p.1394-1402

Ort / Verlag

Ireland: Elsevier B.V

Erscheinungsjahr

2018

Quelle

MEDLINE

Beschreibungen/Notizen

• •Recruitment of patients and GPs to such a communication intervention is feasible.•GPs can be trained to elicit additional concerns early in the consultation.•Control recordings suggest patients play a role in presenting additional concerns.•Control GPs solicited for additional concerns during later phases of consultations.•Communication interventions to support soliciting concerns early may be beneficial. To establish: a) feasibility of training GPs in a communication intervention to solicit additional patient concerns early in the consultation, using specific lexical formulations (“do you have ‘any’ vs. ‘some’ other concerns?”) noting the impact on consultation length, and b) whether patients attend with multiple concerns and whether they voiced them in the consultation. A mixed-methods three arm RCT feasibility study to assess the feasibility of the communication intervention. Intervention fidelity was high. GPs can be trained to solicit additional concerns early in the consultation (once patients have presented their first concern). Whilst feasible the particular lexical variation of ‘any’ vs ‘some’ seemed to have no bearing on the number of patient concerns elicited, on consultation length or on patient satisfaction. The level of missing questionnaire data was low, suggesting patients found completion of questionnaires acceptable. GPs can solicit for additional concerns without increasing consultation length, but the particular wording, specifically ‘any’ vs. ‘some’ may not be as important as the placement of the GP solicitation. GPs can solicit early for additional concerns and GPs can establish patients’ additional concerns in the opening of the consultation, which can help to plan and prioritise patients multiple concerns.