GPs asking patients to self-rate their health: a qualitative study

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
Göran WallerAnnika Forssén

Abstract

In epidemiological research, self-rated health is an independent predictor of mortality, cardiovascular diseases, and other critical outcomes. It is recommended for clinical use, but research is lacking. To investigate what happens in consultations when the question 'How would you assess your general health compared with others your own age?' is posed. Authentic consultations with GPs at health centres in Sweden. Thirty-three planned visits concerning diabetes, pain, or undiagnosed symptoms were voice-recorded. Dialogue regarding self-rated health was transcribed verbatim and analysed using a systematic text condensation method. Speaking time of patients and doctors was measured and the doctors' assessment of the value of the question was documented in a short questionnaire. Two overarching themes are used to describe patients' responses to the question. First, there was an immediate reaction, often expressing strong emotions, setting the tone of the dialogue and influencing the continued conversation. This was followed by reflection regarding their functional ability, management of illnesses and risks, and/or situation in life. The GPs maintained an attitude of active listening. They sometimes reported a slight increase in con...Continue Reading

References

Mar 1, 1993·Scandinavian Journal of Primary Health Care·S O AnderssonB Mattsson
Mar 1, 1997·Journal of Health and Social Behavior·E L Idler, Y Benyamini
Apr 5, 2002·Patient Education and Counseling·Debra Roter, Susan Larson
May 4, 2004·Scandinavian Journal of Primary Health Care·Kirsti Malterud, Hanne Hollnagel
Aug 4, 2004·Patient Education and Counseling·Myriam DeveugeleJan De Maeseneer
Aug 26, 2006·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Sandra L Siedlecki
Jun 29, 2011·Scandinavian Journal of Primary Health Care·Anni B S NielsenNiels de Fine Olivarius
Oct 11, 2012·BMC Medical Research Methodology·Göran WallerAnnika Forssén
Dec 1, 2012·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Kenzie Latham, Chuck W Peek
Dec 12, 2012·Scandinavian Journal of Public Health·Kirsti Malterud
Jun 6, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Petre JonesRebecca Viney

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Citations

Apr 18, 2012·PloS One·Marjolein GyselsUNKNOWN Project PRISMA
Dec 9, 2015·Scandinavian Journal of Public Health·Göran WallerAnnika Forssén
Feb 7, 2018·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Sara Wallström, Inger Ekman
May 14, 2016·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Karin OlssonUlf Näslund
May 1, 2018·Scandinavian Journal of Public Health·Øystein HetlevikDavid Jahanlu

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