Document Detail


The 'sense of alarm' ('gut feeling') in clinical practice. A survey among European general practitioners on recognition and expression.
MedLine Citation:
PMID:  20184496     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Most general practitioners in the Netherlands and Flanders (Belgium) are familiar with that special feeling during certain consultations: 'There's something wrong here, though I have no specific indications yet'. This 'sense of alarm' alerts the doctor, activates the diagnostic process and induces him to initiate specific management to prevent serious health problems. We wanted to know whether this sense of alarm is a typical phenomenon among Dutch-speaking GPs or is also recognized by GPs elsewhere in Europe. METHODS: A short questionnaire survey was held among 128 GPs in 28 countries included in the European General Practitioners Research Network (EGPRN). GPs were asked if they recognized our description of the 'sense of alarm' and if they used a typical phrase in their language to express this uneasy feeling. RESULTS: We received 30 replies from GPs in 16 European countries, plus Israel and South-Africa. They all recognized our description and 25 GPs reported typical expressions in their own language. The GPs' uneasy feeling was sometimes perceived as a bodily sensation. CONCLUSION: The 'sense of alarm' is a familiar phenomenon in general practices in Europe. We propose to use the English phrase 'gut feelings' in further research reports.
Authors:
Erik Stolper; Paul van Royen; Geert Jan Dinant
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The European journal of general practice     Volume:  16     ISSN:  1751-1402     ISO Abbreviation:  Eur J Gen Pract     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-27     Completed Date:  2010-09-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9513566     Medline TA:  Eur J Gen Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  72-4     Citation Subset:  IM    
Affiliation:
University of Maastricht, Caphri School for Public Health and Primary Care, Department of General Practice, Maastricht, The Netherlands. cf.stolper@hag.unimaas.nl
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel*
Data Collection
Decision Making*
Diagnosis
Europe
Family Practice / methods
Humans
Physician's Practice Patterns
Physicians, Family / psychology*
Comments/Corrections
Comment In:
Eur J Gen Pract. 2010 Jun;16(2):70-1   [PMID:  20370355 ]

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


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