PMID: 11604372Oct 18, 2001Paper

Inside the routine general practice consultation: an observational study of consultations for sore throats

Family Practice
Stephen RollnickL Anderson

Abstract

The aims of this study were to examine how GPs manage the consultation for upper resiratory tract infections (URTIs) and the prescribing of antibiotics, to understand what skills and strategies are used in managing URTIs without antibiotics, and to note evidence of pressure on doctors to prescribe and whether there are signs of overt disagreement about prescribing in the consultation. A qualitative analysis of audiotaped consultations was carried out. The setting was a general practice in South Wales and the subjects were five GPs and 29 parents presenting children with URTIs over a 2-week period. The main outcome measures were skills and strategies identified from audiotapes of consultations. This group of GPs used a set of readily identifiable consulting skills for managing the consultation without prescribing. Their consultations had a highly routinized quality. There was little evidence of either conflict or overt pressure from parents to prescribe. The word 'antibiotics' was seldom mentioned. Clinicians did not elicit patient expectations for receiving antibiotics. Doctors use a set of readily identifiable skills in managing the URTI consultation. Avoiding the prescribing of antibiotics is not necessarily a simple and stra...Continue Reading

References

Jun 1, 1996·Family Practice·P Little, I Williamson
Mar 4, 2000·BMJ : British Medical Journal·N BrittenC P Bradley
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Apr 3, 2001·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Glyn ElwynRichard Grol

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Citations

Apr 10, 2002·Medical Education·Stephen RollnickChris Butler
Jul 12, 2002·Medical Education·Stephen RollnickKarenza Hood
Dec 7, 2006·Annals of Family Medicine·Mieke L van DrielThierry Christiaens
May 26, 2006·Journal of Advanced Nursing·Clive SealePaul Kinnersley
Apr 15, 2014·Social Science & Medicine·Alex BroomEmma Kirby
Dec 7, 2007·Communications Medicine·Clive SealeStephen Rollnick
Jun 20, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Evi GermeniNicky Britten
Sep 26, 2012·Social Psychiatry and Psychiatric Epidemiology·Alan QuirkClive Seale
Dec 20, 2005·Scandinavian Journal of Infectious Diseases·Malin AndréUNKNOWN Swedish Study Group on Antibiotic Use

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