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Table 4 Themes derived from the data

From: “I can’t bend it and it hurts like mad”: direct observation of gout consultations in routine primary health care

Themes that are the focus of this paper

 • The importance of gout

  - Gout as an ‘incidental’ part of the consultation

  - The impact of gout on patients

 • ‘Telling’ versus ‘listening’ in consultations

Medicine-related themesa

 • Level of patient knowledge

 • Patient attitudes to medicines

 • Attributes of practitioner communication

  - Delivery and content of information provided

  - Taking the opportunities presented

Other themes

 • Patient interpretation of symptoms

 • Patient understanding of gout management

 • Patient understanding of uric acid levels

  1. aDescribed in detail elsewhere [40]