Table 3 Practice patterns of GPs with the fundamental elements of patient-centred care
From: The role of older patients’ goals in GP decision-making about medicines: a qualitative study
Practice pattern | Patient-centred care (PCC) fundamental elements |
|---|---|
‘Directive’ | • Followed clinical practice guidelines with a focus on medication adherence, encouraged patients to try to think in the same way a doctor would, perceived older patients prefer not to have an active role in decision-making |
‘Goal-oriented’ | • Eliciting patients’ goals and preferences seen as fundamental for providing good quality care, confident to deviate from guidelines, encouraged patients to be involved in decision-making some without consideration of the patient’s actual preferred level of involvement |
‘Tacit’ | • Patients’ goals and preferences used in an intrinsic way without necessarily asking them, prioritised avoiding risks and medication safety, assumed patients prefer their doctor to make decisions, relying on their doctor’s expertise and their longstanding relationship with the patient |