The search for person-related information in general practice: a qualitative study

Family Practice
Diego SchransThomas Kühlein

Abstract

General practice is person-focused. Contextual information influences the clinical decision-making process in primary care. Currently, person-related information (PeRI) is neither recorded in a systematic way nor coded in the electronic medical record (EMR), and therefore not usable for scientific use. To search for classes of PeRI influencing the process of care. GPs, from nine countries worldwide, were asked to write down narrative case histories where personal factors played a role in decision-making. In an inductive process, the case histories were consecutively coded according to classes of PeRI. The classes found were deductively applied to the following cases and refined, until saturation was reached. Then, the classes were grouped into code-families and further clustered into domains. The inductive analysis of 32 case histories resulted in 33 defined PeRI codes, classifying all personal-related information in the cases. The 33 codes were grouped in the following seven mutually exclusive code-families: 'aspects between patient and formal care provider', 'social environment and family', 'functioning/behaviour', 'life history/non-medical experiences', 'personal medical information', 'socio-demographics' and 'work-/employme...Continue Reading

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Citations

Mar 30, 2017·Sociology of Health & Illness·Rod SheaffSheena Asthana
Mar 30, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Amy E Binns-CalveyFrances M Weaver
Mar 24, 2017·Family Practice·Susan McInnesElizabeth Halcomb
Apr 16, 2020·Gerodontology·Maha M Al-SahanS Ross Bryant
Jul 25, 2019·International Journal for Equity in Health·Andrew MoscropAndrew Papanikitas

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