From: What makes up good consultations? A qualitative study of GPs’ discourses
Themes | Preferred problems | Difficulties | |
---|---|---|---|
Biomedically-centered discourse | - Executing guidelines | - Medically ‘interesting’ problems | - Lack of knowledge or expertise |
- Scientific interest | |||
- Referring patients to specialists | - Problems that can be framed biomedically | - Making bad impression to specialists | |
- Medical expertise | |||
Communication-focused discourse | - Decoding messages and signs | - Problems with deeper psychosocial ground | - Not being able to decode messages |
- Verbalizing thoughts and emotions | - Patient not open to communication | ||
Problem-solving discourse | - Pragmatic solution seeking | - Clear-cut questions or problems for which the GP can provide a satisfying solution | - Stress of finding solutions for problems |
- Advising patients | |||
- Convincing patients | - Finding right balance in advising and convincing | ||
- Time management | |||
Satisfaction-oriented discourse | - Satisfying your patients | - Nature of problem of minor importance; satisfaction and patient’s expectations rule | - Angry, dissatisfied, demanding or intimidating patients |
- Economic thinking | |||
- Positive rapport | |||
- Patient’s lack of trust |