Connections between the quality of consultations and patient compliance in general practice
Abstract
The aim of the study was to generate and test a theory about connections between the quality of consultations and patient compliance in general practice. The theory was empirically based on patient interviews in order to understand the patient's perceptions and behaviour, and on development of a list for mapping of consultations, which in turn allowed coherent descriptions of consultations and compliance. The theory suggests and explains that compliance is connected with the fulfillment of six relatively simple criteria for the quality of consultations. The theory was tested by comparing predictions of compliance derived from analyses of 63 consultations with patient questionnaire based measurements of compliance. The difference between proportions of patients who were complaint after consultations fulfilling and not fulfilling respectively the criteria was 44%. The 95% confidence limits of this difference were 21% and 67%.
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Important determinants for compliance are mainly more information giving, more positive talk and empathy, and an increased participatory style.
“The important determinants for compliance are mainly more information giving, more positive talk and empathy and an increased participatory style.(13,17,18,20)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [20]
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Doctor-patient communication: the Toronto consensus statement.
Simpson, M., Buckman, R. A., Stewart, M., Maguire, P., Lipkin, M., Novack, D. H., & Till, J. E. (1991) · BMJ · doi:10.1136/bmj.303.6814.1385 · Cited by 877 · see citing works
Socio-economic status of the patient and doctor–patient communication: does it make a difference?
Willems, S., De Maesschalck, S., Deveugele, M., Derese, A., & De Maeseneer, J. (2005) · Patient Education and Counseling · doi:10.1016/j.pec.2004.02.011 · Cited by 582 · see citing works
(2002) · Europe PMC (PubMed Central) · Cited by 270 · see citing works
P-R-A-C-T-I-C-A-L: a step-by-step model for conducting the consultation in general practice
Larsen, J.-H. (1997) · Family Practice · doi:10.1093/fampra/14.4.295 · Cited by 63 · see citing works
“Fire away”: the opening sequence in general practice consultations
Gafaranga, J., & Britten, N. (2003) · Family Practice · doi:10.1093/fampra/cmg303 · Cited by 63 · see citing works
Facework and uncertain reasoning in health communication
Pighin, S., & Bonnefon, J. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2010.09.005 · Cited by 60 · see citing works
Campbell, D. J. T., Ronksley, P. E., Manns, B., Tonelli, M. A., Sanmartin, C., Weaver, R. G., Hennessy, D. A., King‐Shier, K. M., Campbell, T. S., & Hemmelgarn, B. R. (2014) · PLoS ONE · doi:10.1371/journal.pone.0094007 · Cited by 55 · see citing works
La información al paciente y su participación en la toma de decisiones clínicas
Fernández, I. B., Miguez, R. P., Martin, P., Alarcón, F. F., Lázaro, G. A., & de Castro, F. L. (2004) · Atención Primaria · doi:10.1016/s0212-6567(04)78886-1 · Cited by 38 · see citing works
Features of good consultation in general practice: Is time important?
Andersson, S., & Mattsson, B. (1994) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813439409029245 · Cited by 30 · see citing works
Variations in general practitioners’ views of asthma management in four European countries
Wahlström, R., Lagerløv, P., Lundborg, C. S., Schuiling‐Veninga, C. C. M., Hummers, E., Dahlgren, L. O., & Denig, P. (2001) · Social Science & Medicine · doi:10.1016/s0277-9536(00)00356-7 · Cited by 26 · see citing works
Wensing, M., & Grol, R. (2000) · Disease Management & Health Outcomes · doi:10.2165/00115677-200007030-00001 · Cited by 20 · see citing works
Arborelius, E. (1996) · Psychology and Health · doi:10.1080/08870449608400280 · Cited by 24 · see citing works
The Danish version of the Nottingham Health Profile: Its adaptation and reliability
Thorsen, H., McKenna, S. P., & Gottschalck, L. (1993) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813439308994914 · Cited by 23 · see citing works
How do GPs discuss subjects other than illness?
Arborelius, E., & Österberg, E. (1995) · Patient Education and Counseling · doi:10.1016/0738-3991(95)00811-d · Cited by 17 · see citing works
A inclusão da perspectiva do paciente na consulta médica: um desafio na formação do médico
Ballester, D., Zuccolotto, S. M., Gannam, S. D. S. A., & Escobar, A. M. (2010) · Revista Brasileira de Educação Médica · doi:10.1590/s0100-55022010000400016 · Cited by 16 · see citing works
Persson, L., Lindström, K., Lingfors, H., & Bengtsson, C. (1996) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813439609024175 · Cited by 12 · see citing works
Cófreces, P., Ofman, S. D., & Stefani, D. (1970) · Revista de Comunicación y Salud · doi:10.35669/revistadecomunicacionysalud.2014.4(1).19-34 · Cited by 9 · see citing works
Bahadori, M., Hasanpoor, E., Yaghoubi, M., & HaghGoshyie, E. (2019) · International Journal of Human Rights in Healthcare · doi:10.1108/ijhrh-05-2019-0031 · Cited by 7 · see citing works
Hable con los pacientes, no para ellos. Análisis de las fuentes de confianza del acto médico
Loriente-Arín, N., & del Rosal, R. S. (2009) · Revista Internacional de Sociología · doi:10.3989/ris.2007.10.10 · Cited by 3 · see citing works
Drug compliance: A continuing problem
Edwards, M. (1996) · Practice Nursing · doi:10.12968/pnur.1996.7.20.21 · Cited by 2 · see citing works
Martin, D. (2011) · TSpace (University of Toronto) · Cited by 2 · see citing works
Doctor-patient communication after endoscopy: drowning in information, starving for knowledge?
O’Connor, J. B. (2001) · The American Journal of Gastroenterology · doi:10.1016/s0002-9270(01)02526-6 · Cited by 1 · see citing works
Critical Paths or Structured Care Plans: Not Just for Nursing
Andrusko-Furphy, K. T. (1994) · Journal of Pharmacy Practice · doi:10.1177/089719009400700607
Andersson, S., Hallberg, H., & Norstrom, V. (1995) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1995.22040759.x
Saldarriaga, C., & Francisco, J. (2015) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas)
Time-efficient consultation hours in the department of gynecological endocrinology
Berger, A., Sourouni, M., Bitterlich, N., Blickenstorfer, K., Bühling, K. J., Lambrinoudaki, I. V., Ruan, X., Schaudig, K. T., von Wolff, M., & Stute, P. (2024) · Gynecological Endocrinology · doi:10.1080/09513590.2024.2396628
- Authors
- LASSEN, L. C.
- Affiliations
- University of Copenhagen (DK)
- Corresponding author
- LASSEN, LARS CHR
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 1991
- Volume
- 8
- Issue
- 2
- Pages
- 154-160
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2046948670
- Cited by
- 27
- References
- 0
- Citations by year
- 2024: 1 · 2019: 1 · 2015: 1 · 2014: 1
- FWCI
- 5.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- Sundhed og Sygdom, Det Frie Forskningsråd
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- consultation quality, medication adherence, general practice, patient perspectives, patient behavior, theory testing, patient satisfaction
- MeSH terms
- Family Practice, Humans, Models, Theoretical, Patient Compliance, Quality of Health Care, Referral and Consultation
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