PMID: 11604371Oct 18, 2001Paper

Knowing patients and knowledge about patients: evidence of modes of reasoning in the consultation?

Family Practice
K Fairhurst, Carl May

Abstract

The idea that the patient is in some way known to the doctor is an important one in general practice. The thrust towards patient-centred medicine, the promotion of open and negotiative consultation skills and the development of a biopsychosocial model of primary care medicine all rely on the patient providing a history composed of more than a list of facts. Our aim was to explore the nature and importance of doctors' knowledge about patients. Fifteen GPs audio-recorded 25-30 consultations with consecutive consenting patients. They scored each consultation according to how satisfying they found it. Semi-structured interviews based on a selection of consultations were conducted to draw out the doctor's views on the factors that were important to their satisfaction. The interviews were transcribed verbatim. Qualitative analysis was inductive and iterative. Within doctors' narratives, we found accounts of two ways of 'knowing' the patient. The first was a deductive mode of reasoning derived from facts about the patient. The facts that were known were specific to the context of the general practice consultation and led to biomedical and biographical knowledge. The second was an inductive mode of reasoning derived from a contextual i...Continue Reading

References

Jan 1, 1995·International Journal of Health Services : Planning, Administration, Evaluation·M Calnan, S Williams
Dec 1, 1995·Family Practice·K Fairhurst, C May
Jun 28, 1997·BMJ : British Medical Journal·G Freeman, P Hjortdahl
Dec 16, 1998·Family Practice·S WilliamsJ Dale

❮ Previous
Next ❯

Citations

Dec 1, 2007·BMC Family Practice·Lea JabaaijFrançois G Schellevis
Sep 26, 2002·European Journal of Cancer Care·J Q Tritter, M Calnan
Apr 7, 2010·Journal of Evaluation in Clinical Practice·Paul R Falzer, Melissa D Garman
Jun 9, 2016·Disability and Rehabilitation·Abigail MethleyCarolyn Chew-Graham
Dec 22, 2012·Qualitative Health Research·Niamh GallagherColin P Bradley
Nov 29, 2017·London Journal of Primary Care·Louise Younie
Apr 3, 2016·Western Journal of Nursing Research·Belinda Dewar, Catriona Kennedy
Oct 11, 2019·Sociology of Health & Illness·Enrico Maria Piras, Francesco Miele
Aug 31, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Louise Younie, Deborah Swinglehurst
Jul 17, 2003·The Medical Journal of Australia·Linda Mann

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

BMJ : British Medical Journal
J E Bain, N S Mackay
Academic Medicine : Journal of the Association of American Medical Colleges
Dennis J Butler
© 2021 Meta ULC. All rights reserved