Evidence map›Paper›PMID 23211176›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2012

'I need her to be a doctor': patients' experiences of presenting health information from the internet in GP consultations.

Parvathy Bowes, Fiona Stevenson, Sanjiv Ahluwalia, Elizabeth Murray

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Parvathy Bowese-Health Unit, Research Department of Primary Care and Population Health, University College London, London, UK. parvathy@doctors.org.uk
Fiona Stevenson
Sanjiv Ahluwalia
Elizabeth Murray

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients are increasingly using the internet for health-related information and may bring this to a GP consultation. There is scant information about why patients do this and what they expect from their GP.

aimThe aim was to explore patients' motivation in presenting information, their perception of the GP's response and what they wanted from their doctor. DESIGN AND

settingQualitative study based in North London involving patients with experience of bringing health information from the internet to their GP.

methodSemi-structured face-to-face and telephone interviews using a critical incident technique, recorded, transcribed verbatim, and subjected to thematic analysis by a multidisciplinary team of researchers.

resultsTwenty-six interviews were completed. Participants reported using the internet to become better informed about their health and hence make best use of the limited time available with the GP and to enable the GP to take their problem more seriously. Patients expected their GP to acknowledge the information; discuss, explain, or contextualise it; and offer a professional opinion. Patients tended to prioritise the GP opinion over the internet information. However, if the GP appeared disinterested, dismissive or patronising patients reported damage to the doctor-patient relationship, occasionally to the extent of seeking a second opinion or changing their doctor.

conclusionThis is the first in-depth qualitative study to explore why patients present internet information to their GP within the consultation and what they want when they do this. This information should help GPs respond appropriately in such circumstances.

Indexed as

General PracticeInternetPhysician's RoleAdolescentAdultAgedAttitude of Health PersonnelFemaleHumansLondonMaleMiddle AgedPatient Education as TopicPatient SatisfactionPhysician-Patient RelationsQualitative Research

Identifiers

PMID23211176
PMCPMC3481513

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.