ArticleScandinavian journal of primary health care2017
Balancing trust and power: a qualitative study of GPs perceptions and strategies for retaining patients in preventive health checks.
Article in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Stakeholders' perceptions and experiences of factors influencing the commissioning, delivery, and uptake of general health checks: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2025Pooled it
- Relationally competent attitudes and actions: a systematic review of general practice literature.Scandinavian journal of primary health care · 2025Pooled it
- Using general practitioners to recruit individuals with low socioeconomic position to preventive health checks is feasible: a cross sectional study.Scandinavian journal of primary health care · 2019Trial
- From Guidelines to Lifelines-An Ethnographic Study of How Diabetes Management Is Emplotted During Clinical Encounters with Young Adults with Type 1 Diabetes.Healthcare (Basel, Switzerland) · 2025Article
- Initial Development of a Patient Reported Experience Measure for Older Adults Attending the Emergency Department: Part I-Interviews with Service Users.Healthcare (Basel, Switzerland) · 2023Article
- Primary Care Networks and Starfield's 4Cs: A Case for Enhanced Chronic Disease Management.International journal of environmental research and public health · 2021Article
- Healthcare Professionals' Perspectives on the Cross-Sectoral Treatment Pathway for Women with Gestational Diabetes during and after Pregnancy-A Qualitative Study.Journal of clinical medicine · 2021Article
- Facilitating participation in cardiovascular preventive initiatives among people with diabetes: a qualitative study.BMC public health · 2021Article
- 'Motivational work': a qualitative study of preventive health dialogues in general practice.BMC family practice · 2020Article
- Why do general practitioners not refer patients to behaviour-change programmes after preventive health checks? A mixed-method study.BMC family practice · 2019Article
- Challenges in promoting clinical empathy skills in medical students: A content analysis study.Medical journal of the Islamic Republic of Iran · 2019Article
- Overcoming Clinician and Parent Ambivalence: General Practitioners' Support of Children of Parents With Physical or Mental Illness and/or Substance Abuse.Frontiers in psychiatry · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveLittle is known about how strategies of retaining patients are acted out by general practitioners (GPs) in the clinical encounter. With this study, we apply Grimens' (2009) analytical connection between trust and power to explore how trust and power appear in preventive health checks from the GPs' perspectives, and in what way trust and power affect and/or challenge strategies towards retaining patients without formal education.
designData in this study were obtained through semi-structured interviews with GPs participating in an intervention project, as well as observations of clinical encounters.
resultsFrom the empirical data, we identified three dimensions of respect: respect for the patient's autonomy, respect for professional authority and respect as a mutual exchange. A balance of respect influenced trust in the relationship between GP and patients and the transfer of power in the encounter. The GPs articulated that a balance was needed in preventive health checks in order to establish trust and thus retain the patient in the clinic. One way this balance of respect was carried out was with the use of humour.
conclusionsTo retain patients without formal education in the clinical encounter, the GPs balanced trust and power executed through three dimensions of respect. In this study, retaining patients was equivalent to maintaining a trusting relationship. A strategic use of the three dimensions of respect was applied to balance trust and power and thus build or maintain a trusting relationship with patients. KEY POINTS Little is known about how strategies for retaining patients are acted out by GPs in preventive health checks. • Retaining patients requires a balance of trust and power, which is executed through three dimensions of respect by the GPs. • Challenges of recruiting and retaining patients in public health initiatives might be associated with the balance of respect.
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