TY - JOUR
T1 - Exploring the relationships between participatory decision-making, visit duration, and general practitioners' provision of argumentation to support their medical advice
T2 - Results from a content analysis
AU - Labrie, Nanon H.M.
AU - Schulz, Peter J.
N1 - Funding Information:
The authors would like to thank the Netherlands Institute for Health Services Research (NIVEL) for providing access to their database of video-taped doctor–patient consultations. Moreover, they acknowledge the assistance of Marieke Benoist with the data collection. This research was funded by a personal study grant awarded by the Swiss National Science Foundation to the principal researcher.
Publisher Copyright:
© 2015 Elsevier Ireland Ltd.
PY - 2015
Y1 - 2015
N2 - Objective: General practitioners' medical recommendations are not always accepted by their patients. As patients bring their own beliefs, knowledge, and preferences to the medical encounter, their opinions concerning diagnosis and treatment may deviate from their doctors'. Aiming to convince their patients of the acceptability of their advice, doctors can advance arguments.Few quantitative studies have been conducted focusing on general practitioners' provision of argumentation and little is known about the relationship between the use of argumentation and characteristics of the medical visit, such as (participatory) decision-making and visit duration. This study seeks to explore these relationships. Methods: An observational study of seventy, randomly drawn videos of general practice consultations was conducted. A theory-based codebook was developed. Two independent coders analyzed doctors' provision of argumentation, their decision-making style, and the duration of each visit. Results: General practitioners' provision of argumentation was found to be associated with lengthier visits and a more participatory decision-making style. In addition, visit duration and participatory decision-making appeared associated. Conclusion: These results suggest that the use of argumentation may contribute toward achieving patient-centered care through communication. Practice implications: As a result, the findings underscore the potential relevance of developing courses focusing on doctors' argumentation skills.
AB - Objective: General practitioners' medical recommendations are not always accepted by their patients. As patients bring their own beliefs, knowledge, and preferences to the medical encounter, their opinions concerning diagnosis and treatment may deviate from their doctors'. Aiming to convince their patients of the acceptability of their advice, doctors can advance arguments.Few quantitative studies have been conducted focusing on general practitioners' provision of argumentation and little is known about the relationship between the use of argumentation and characteristics of the medical visit, such as (participatory) decision-making and visit duration. This study seeks to explore these relationships. Methods: An observational study of seventy, randomly drawn videos of general practice consultations was conducted. A theory-based codebook was developed. Two independent coders analyzed doctors' provision of argumentation, their decision-making style, and the duration of each visit. Results: General practitioners' provision of argumentation was found to be associated with lengthier visits and a more participatory decision-making style. In addition, visit duration and participatory decision-making appeared associated. Conclusion: These results suggest that the use of argumentation may contribute toward achieving patient-centered care through communication. Practice implications: As a result, the findings underscore the potential relevance of developing courses focusing on doctors' argumentation skills.
KW - Argumentation
KW - Doctor-patient interaction
KW - General practice consultation
KW - Observational content analysis
KW - Participatory decision-making style
KW - Visit duration
UR - http://www.scopus.com/inward/record.url?scp=84933058049&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2015.01.017
DO - 10.1016/j.pec.2015.01.017
M3 - Article
C2 - 25746127
AN - SCOPUS:84933058049
SN - 0738-3991
VL - 98
SP - 572
EP - 577
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 5
ER -