The elicitation and management of multiple health concerns in GP consultations
The elicitation and management of multiple health concerns in GP consultations
Objective:
To describe the nature of patient concerns and to explore if, when and how they are addressed by GPs in the UK.
Methods:
Detailed coding and descriptive analysis of 185 video recordings from the EPaC study (Elicitation of Patient Concerns, EPaC)
Results:
An average of 2.1 concerns were raised per consultation and the most common concerns were musculoskeletal, administrative (e.g. test results and medication related issues), and skin symptoms. GPs who had been trained as part of the EPaC intervention to solicit for additional concerns in the opening phase of the consultation did so 92.6% of the time. In contrast, those in the control arm did so only 7% of the time. However, the particular formulation of the GP soliciting question does not seem to be associated with the likelihood of the patient volunteering an additional concern.
Conclusions:
GP consultations are complex encounters in which multiple concerns are dealt with across a wide range of disease areas. GPs can be trained to solicit for problems/concerns early in the consultation.
Practice implications:
Soliciting for additional concerns is not routinely done. But very brief training can substantially help in eliciting concerns early in the consultation, which may help with organising the consultation.
Stuart, Beth
626862fc-892b-4f6d-9cbb-7a8d7172b209
Leydon, Geraldine
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Woods, Catherine
239255f5-6dfe-43c4-9650-56ee03f2b06c
Gennery, Elizabeth
84e0fd21-e779-4e74-8a02-c50b06691f75
Elsey, Christopher
84517d6b-7d37-482e-9020-56c4c27976d5
Summers, Rachael
811d6b74-d5f4-4e92-a507-9bdca978fda5
Stevenson, Fiona
881eb2a9-d7a8-449d-be50-ead6fda5cd3e
Chew-Graham, Carolyn
096f0516-848f-4841-8263-940ec284d3ef
Barnes, Rebecca
5f2ab8e7-129c-4ca2-8022-dc371e740597
Drew, Paul
36efdaea-4a0e-4d1e-95ac-ea9ab74f065b
Moore, Michael
1be81dad-7120-45f0-bbed-f3b0cc0cfe99
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Stuart, Beth
626862fc-892b-4f6d-9cbb-7a8d7172b209
Leydon, Geraldine
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Woods, Catherine
239255f5-6dfe-43c4-9650-56ee03f2b06c
Gennery, Elizabeth
84e0fd21-e779-4e74-8a02-c50b06691f75
Elsey, Christopher
84517d6b-7d37-482e-9020-56c4c27976d5
Summers, Rachael
811d6b74-d5f4-4e92-a507-9bdca978fda5
Stevenson, Fiona
881eb2a9-d7a8-449d-be50-ead6fda5cd3e
Chew-Graham, Carolyn
096f0516-848f-4841-8263-940ec284d3ef
Barnes, Rebecca
5f2ab8e7-129c-4ca2-8022-dc371e740597
Drew, Paul
36efdaea-4a0e-4d1e-95ac-ea9ab74f065b
Moore, Michael
1be81dad-7120-45f0-bbed-f3b0cc0cfe99
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Stuart, Beth, Leydon, Geraldine, Woods, Catherine, Gennery, Elizabeth, Elsey, Christopher, Summers, Rachael, Stevenson, Fiona, Chew-Graham, Carolyn, Barnes, Rebecca, Drew, Paul, Moore, Michael and Little, Paul
(2018)
The elicitation and management of multiple health concerns in GP consultations.
Patient Education and Counseling.
(doi:10.1016/j.pec.2018.11.009).
Abstract
Objective:
To describe the nature of patient concerns and to explore if, when and how they are addressed by GPs in the UK.
Methods:
Detailed coding and descriptive analysis of 185 video recordings from the EPaC study (Elicitation of Patient Concerns, EPaC)
Results:
An average of 2.1 concerns were raised per consultation and the most common concerns were musculoskeletal, administrative (e.g. test results and medication related issues), and skin symptoms. GPs who had been trained as part of the EPaC intervention to solicit for additional concerns in the opening phase of the consultation did so 92.6% of the time. In contrast, those in the control arm did so only 7% of the time. However, the particular formulation of the GP soliciting question does not seem to be associated with the likelihood of the patient volunteering an additional concern.
Conclusions:
GP consultations are complex encounters in which multiple concerns are dealt with across a wide range of disease areas. GPs can be trained to solicit for problems/concerns early in the consultation.
Practice implications:
Soliciting for additional concerns is not routinely done. But very brief training can substantially help in eliciting concerns early in the consultation, which may help with organising the consultation.
Text
1-s2.0-S0738399118303720-main
- Version of Record
More information
Accepted/In Press date: 10 November 2018
e-pub ahead of print date: 14 November 2018
Identifiers
Local EPrints ID: 426482
URI: http://eprints.soton.ac.uk/id/eprint/426482
ISSN: 0738-3991
PURE UUID: bf10b5f3-0ba7-4848-bbfa-98c3499df521
Catalogue record
Date deposited: 28 Nov 2018 17:30
Last modified: 12 Jul 2024 01:44
Export record
Altmetrics
Contributors
Author:
Catherine Woods
Author:
Elizabeth Gennery
Author:
Christopher Elsey
Author:
Rachael Summers
Author:
Fiona Stevenson
Author:
Carolyn Chew-Graham
Author:
Rebecca Barnes
Author:
Paul Drew
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics