The elicitation and management of multiple health concerns in GP consultations.

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dc.cclicenceCC-BY-NCen
dc.contributor.authorStuart, B.en
dc.contributor.authorLeydon, G.en
dc.contributor.authorWoods, C.en
dc.contributor.authorGennery, E.en
dc.contributor.authorSummers, R.en
dc.contributor.authorStevenson, F.en
dc.contributor.authorChew-Graham, C.en
dc.contributor.authorBarnes, R.en
dc.contributor.authorMoore, M.en
dc.contributor.authorLittle, P.en
dc.contributor.authorElsey, Christopheren
dc.contributor.authorDrew, Paulen
dc.date.acceptance2018-11-10en
dc.date.accessioned2018-12-13T15:36:40Z
dc.date.available2018-12-13T15:36:40Z
dc.date.issued2018-11-14
dc.descriptionopen access articleen
dc.description.abstractObjective: 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.en
dc.exception.reasonThe output was published as gold open accessen
dc.funderSchool for Primary Care Researchen
dc.identifier.citationSTUART, B., LEYDON, G., WOODS, C., GENNERY, E., ELSEY, C., SUMMERS, R., STEVENSON, F., CHEW-GRAHAM, C., BARNES, R., DREW, P., MOORE, M. & LITTLE, P. (2018) The elicitation and management of multiple health concerns in GP consultations. Patient Education and Counseling,en
dc.identifier.doihttps://doi.org/10.1016/j.pec.2018.11.009
dc.identifier.urihttp://hdl.handle.net/2086/17349
dc.language.isoenen
dc.peerreviewedYesen
dc.projectidSouthampton Communication Study (SoCS)en
dc.publisherElsevieren
dc.researchinstituteInstitute for Allied Health Sciences Researchen
dc.subjectGeneral Practiceen
dc.subjectConversation Analysisen
dc.subjectMultiple concernsen
dc.subjectManagement and elicitation of concernsen
dc.subjectVideo analysisen
dc.titleThe elicitation and management of multiple health concerns in GP consultations.en
dc.typeArticleen

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