Document Detail


Consultation in general practice: a standard operating procedure?
MedLine Citation:
PMID:  15288919     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objectives of this study were to describe the features of consultation within general practice with special attention to the differences between short, moderate and long consultations. An analysis of 2801 videotaped consultations of 183 General Practitioners from six countries participating in the Eurocommunication Study was made. The communicative behaviour was gauged by means of the Roter Interaction Analysis System. The consultation can be seen as a "standard operating procedure" consisting of 8% social behaviour, 15% agreement, 4% rapport building, 10% partnership building, 11% giving directions, 28% giving information, 14% asking questions and 7% counselling. A short consultation can be described as an encounter with a little bit of social behaviour to set the contact, medical questioning, giving directions for the further consultation and advises in order to solve the problem(s) mentioned. In a long consultation doctors take more time for a social talk, they give more attention to the relation or contact with the patient, they listen more extensively, especially to psychosocial problems, and they give more information.
Authors:
Myriam Deveugele; Anselm Derese; Dirk De Bacquer; Atie van den Brink-Muinen; Jozien Bensing; Jan De Maeseneer
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Patient education and counseling     Volume:  54     ISSN:  0738-3991     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-08-03     Completed Date:  2004-11-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  227-33     Citation Subset:  N    
Affiliation:
Department of General Practice and Primary Health Care, Ghent University, UZ 1K3 De Pintelaan 185, B 9000 Gent, Belgium. myriam.deveugele@ugent.be
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MeSH Terms
Descriptor/Qualifier:
Belgium
Communication*
Cooperative Behavior
Counseling / organization & administration
Cross-Sectional Studies
Family Practice / organization & administration*
Female
Germany
Great Britain
Health Services Research
Humans
Male
Medical History Taking
Netherlands
Patient Education as Topic / organization & administration
Physician's Role
Physician-Patient Relations*
Primary Health Care / organization & administration
Questionnaires
Referral and Consultation / organization & administration*
Social Behavior
Spain
Switzerland
Time Factors
Time and Motion Studies
Videotape Recording

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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