The workload of general practitioners does not affect their awareness of patients' psychological problems

Patient Education and Counseling

Volumn 67, Issue 1-2, 2007, Pages 93-99

  Zantinge, Else M ^a   Verhaak, Peter F M ^a   de Bakker, Dinny H ^a   Kerssens, Jan J ^a   van der Meer, Klaas ^b   Bensing, Jozien M ^a  

^a NETHERLANDS INSTITUTE FOR HEALTH SERVICES RESEARCH   (Netherlands)

^b UNIVERSITY OF GRONINGEN   (Netherlands)

Author keywords

Communication; Consultation; General practitioner; Psychological problems; Workload

Indexed keywords

ARTICLE; COMMUNICATION SKILL; CONSULTATION; DOCTOR PATIENT RELATION; EMPATHY; FEMALE; GENERAL PRACTITIONER; HEALTH CARE QUALITY; HUMAN; INTERPERSONAL COMMUNICATION; MALE; MENTAL DISEASE; NORMAL HUMAN; OUTCOME ASSESSMENT; PATIENT ASSESSMENT; PRIORITY JOURNAL; REGRESSION ANALYSIS; VIDEORECORDING; VIDEOTAPE; WORKLOAD;

ADULT; COMMUNICATION; CROSS-SECTIONAL STUDIES; FAMILY PRACTICE; FEMALE; HUMANS; MALE; MENTAL DISORDERS; MIDDLE AGED; MULTIVARIATE ANALYSIS; NETHERLANDS; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIAN-PATIENT RELATIONS; REGRESSION ANALYSIS; SOCIAL SUPPORT; WORKLOAD;

EID: 34249952192     PISSN: 07383991     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.pec.2007.02.006     Document Type: Article

References (36)

1. Howe A. "I know what to do, but it's not possible to do it"-general practitioners' perceptions of their ability to detect psychological distress. Fam Pract 13 (1996) 127-132
2. Telford R., Hutchinson A., Jones R., Rix S., and Howe A. Obstacles to effective treatment of depression: a general practice perspective. Fam Pract 19 (2002) 45-52
3. Zantinge E.M., Verhaak P.F.M., and Bensing J.M. The workload of general practitioners: patients with psychological and somatic problems compared. Fam Pract 22 (2005) 293-297
4. Deveugele M., Derese A., van den Brink-Muinen A., Bensing J., and de M.J. Consultation length in general practice: cross sectional study in six European countries. BMJ 325 (2002) 472-477
5. Carr-Hill R., Jenkins-Clarke S., Dixon P., and Pringle M. Do minutes count? Consultation lengths in general practice. J Health Serv Res Policy 3 (1998) 207-213
6. Cape J. How general practice patients with emotional problems presenting with somatic or psychological symptoms explain their improvement. Br J Gen Pract 51 (2001) 724-729
7. Zantinge E.M., Verhaak P.F.M., Kerssens J.J., and Bensing J.M. The workload of general practitioners: consultations of patients with psychological or somatic problems compared. Br J Gen Pract 55 (2005) 609-614
8. Andersson S.O., Ferry S., and Mattson B. Factors associated with consultation length and characteristics of short and long consultations. Scand J Prim Health Care 11 (1993) 61-67
9. Howie J., Porter A., Heaney D., and Hopton J. Long to short consultation ratio: a proxy measure of quality of care for general practice. Br J Gen Pract 41 (1991) 48-54
10. Morrison I., and Smith R. Hamster health care. BMJ 321 (2000) 1541-1542
11. Burdi M.D., and Baker L.C. Physicians' perceptions of autonomy and satisfaction in California. Health Aff. (Millwood) 18 (1999) 134-145
12. Huby G., Gerry M., McKinstry B., Porter M., Shaw J., and Wrate R. Morale among general practitioners: qualitative study exploring relations between partnership arrangements, personal style, and workload. BMJ 325 (2002) 140-144
13. Robinson J.W., and Roter D.L. Psychosocial problem disclosure by primary care patients. Soc Sci Med 48 (1999) 1353-1362
14. Millar T., and Goldberg D.P. Link between the ability to detect and manage emotional disorders: a study of general practitioner trainees. Br J Gen Pract 41 (1991) 357-359
15. Del Piccolo L., Saltini A., Zimmermann C., and Dunn G. Differences in verbal behaviours of patients with and without emotional distress during primary care consultations. Psychol Med 30 (2000) 629-643
16. Salmon P., Dowrick C.F., Ring A., and Humphris G.M. Voiced but unheard agendas: qualitative analysis of the psychosocial cues that patients with unexplained symptoms present to general practitioners. Br J Gen Pract 54 (2004) 171-176
17. Goldberg D.P., Jenkins L., Millar T., and Faragher E.B. The ability of trainee general practitioners to identify psychological distress among their patients. Psychol Med 23 (1993) 185-193
18. Van der Pasch M., and Verhaak P.F.M. Communication in general practice: recognition and treatment of mental illness. Patient Educ Couns 33 (1998) 97-112
19. Bensing J.M., Kerssens J.J., and Van der Pasch M. Patient directed gaze as a tool for discovering and handling psychosocial problems in general practice. J Nonverb Behav 19 (1995) 223-242
20. Giron M., Manjon-Arce P., Puerto-Barber J., Sanchez-Garcia E., and Gomez-Beneyto M. Clinical interview skills and identification of emotional disorders in primary care. Am J Psychiatry 155 (1998) 530-535
21. Hutten J.B.F. Workload and provision of care in general practice (1998), NIVEL, Utrecht
22. Roter D.L., and Hall J.A. Physician gender and patient-centred communication: a critical review of empirical research. Annu Rev Public Health 25 (2004) 497-519
23. Howie J., Heany D., Maxwell M., Walker J., Freeman G., and Rai H. Quality of general practice consultations: cross sectional survey. BMJ 319 (1999) 738-743
24. Gulbrandsen P., Fugelli P., Sandvik L., and Hjortdahl P. Influence of social problems on management in general practice: multipractice questionnaire survey. BMJ 317 (1998) 28-32
25. Roter D.L., Hall J.A., and Aoki Y. Physician gender effects in medical communication: a meta-analytic review. JAMA 288 (2002) 756-764
26. Brink-Muinen A., van D.A.M., Messerli-Rohrbach V., and Bensing J. Do gender-dyads have different communication patterns? A comparative study in Western-European general practices. Patient Educ Couns 48 (2002) 253-264
27. Brink-Muinen, A. van den, Dulmen, AM, Schellevis, FG, Bensing, JM. Tweede Nationale Studie naar ziekten en verrichtingen in de huisartspraktijk. Oog voor communicatie: huisarts-patiënt communicatie in Nederland [Second Dutch National Survey of General Practice. Focus on communication: doctor-patient communication in the Netherlands]. Utrecht: NIVEL; 2004.
28. Deveugele M., Derese A., and De Maeseneer J. Is GP-patient communication related to their perceptions of illness severity, coping and social support?. Soc Sci Med 55 (2002) 1245-1253
29. Westert G.P., Schellevis F.G., Bakker D.H., Groenewegen P.P., Bensing J.M., and van der Z.J. Monitoring health inequalities through General Practice: the Second Dutch National Survey of General Practice. Eur J Pub Health 15 (2005) 59-65
30. Roter D., and Larson S. The Roter Interaction Analysis System (RIAS): utility and flexibility for analysis of medical interactions. Patient Educ Couns 46 (2002) 243-251
31. Ong L.M.L., Visser M.R.M., Kruyver I.P.M., Bensing J.M., van den B.-M.A., Stouthard J.M.L., Lammes F.B., and de H.J.C.J.M. The Roter Interaction Analysis System (RIAS) in oncological consultations: psychometric properties. Psycho-Oncology 7 (1998) 387-401
32. Roter D.L. The Roter method of interaction process analysis (RIAS manual) (1991), The Johns Hopkins University, Baltimore
33. van W.C., Köning-Zahn C., Touw-Otten F.W.M.M., van D.N.P., and Meyboom-de Jong B. COOP/WONCA charts: a manual (1995), Northern Centre of Health Care Research, Groningen
34. Roter D.L., Hall J.A., Kern D.E., Randol Barker L., Cole K.A., and Roca R.P. Improving physicians' interviewing skills and reducing patients' emotional distress: a randomized clinical trial. Arch Intern Med 155 (1995) 1877-1884
35. Tiemens B.G., Ormel J., and Simon G.E. Occurrence, recognition, and outcome of psychological disorders in primary care. Am J Psychiatry 153 (1996) 636-664
36. Coleman T. Using video-recorded consultations for research in primary care: advantages and limitations. Fam Pract 17 (2000) 422-427