ArticleBMC family practice2012
GPs' decision-making--perceiving the patient as a person or a disease.
Article in BMC family practice, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed.
- Is ageism among prescribers an influential factor in the management of depression in the elderly? A vignette-based study.Family practice · 2026Article
- General practice - a fertile lagoon in the ocean of medical knowledge.Scandinavian journal of primary health care · 2021Article
- Observational
- Care managers can be useful for patients with depression but their role must be clear: a qualitative study of GPs' experiences.Scandinavian journal of primary health care · 2019Article
- [Learning concepts of diagnosis in family medicine: the "mark robinson sign" - the traces that should not be there].Atencion primaria · 2015Article
- Article
- Managing risk in cancer presentation, detection and referral: a qualitative study of primary care staff views.BMJ open · 2014Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to analyse the clinical decision making strategies of GPs with regard to the whole range of problems encountered in everyday work.
methodsA prospective questionnaire study was carried through, where 16 General practitioners in Sweden registered consecutively 378 problems in 366 patients.
results68.3% of the problems were registered as somatic, 5.8% as psychosocial and 25.9% as both somatic and psychosocial. When the problem was characterised as somatic the main emphasis was most often on the symptoms only, and when the problem was psychosocial main emphasis was given to the person. Immediate, inductive, decision-making contrary to gradual, analytical, was used for about half of the problems. Immediate decision-making was less often used when problems were registered as both somatic and psychosocial and focus was on both the symptoms and the person. When immediate decision-making was used the GPs were significantly more often certain of their identification of the problem and significantly more satisfied with their consultation. Rules of thumb in consultations registered as somatic with emphasis on symptoms only did not include any reference to the individual patient. In consultations registered as psychosocial with emphasis on the person, rules of thumb often included reference to the patient as a known person.
conclusionsThe decision-making (immediate or gradual) registered by the GPs seemed to have been adjusted on the symptom or on the patient as a person. Our results indicate that the GPs seem to recognise immediately both problems and persons, hence the quintessence of the expert skill of the GP as developed through experience.
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