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Findings from a feasibility study to improve GP elicitation of patient concerns in UK General Practice consultations

Chew-Graham, Carolyn

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Abstract

Objectives To establish: a) feasibility of training GPs in a communication intervention to solicit additional patient concerns early in the consultation, using specific lexical formulations (“do you have ‘any’ vs. ‘some’ other concerns?”) noting the impact on consultation length, and b) whether patients attend with multiple concerns and whether they voiced them in the consultation. Methods A mixed-methods three arm RCT feasibility study to assess the feasibility of the communication intervention. Results Intervention fidelity was high. GPs can be trained to solicit additional concerns early in the consultation (once patients have presented their first concern). Whilst feasible the particular lexical variation of ‘any’ vs ‘some’ seemed to have no bearing on the number of patient concerns elicited, on consultation length or on patient satisfaction. The level of missing questionnaire data was low, suggesting patients found completion of questionnaires acceptable. Conclusion GPs can solicit for additional concerns without increasing consultation length, but the particular wording, specifically ‘any’ vs. ‘some’ may not be as important as the placement of the GP solicitation.

Citation

Chew-Graham, C. (2018). Findings from a feasibility study to improve GP elicitation of patient concerns in UK General Practice consultations. Patient Education and Counseling, https://doi.org/10.1016/j.pec.2018.03.009

Acceptance Date Mar 7, 2018
Publication Date Mar 23, 2018
Journal Patient Education and Counseling
Print ISSN 0738-3991
Publisher Elsevier
DOI https://doi.org/10.1016/j.pec.2018.03.009
Keywords Agenda setting; Feasibility study; Communication; General practice consultations; Eliciting patients multiple concerns
Publisher URL http://doi.org/10.1016/j.pec.2018.03.009

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