Evidence map›Paper›PMID 34128751›Full record

ArticleScandinavian journal of primary health care2021

Personal responsibility for health? A phenomenographic analysis of general practitioners' conceptions.

Joar Björk, Terese Stenfors, Niklas Juth, A Birgitta Gunnarsson

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Joar BjörkStockholm Centre for Healthcare Ethics (CHE), LIME, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-7194-4875
Terese StenforsDepartment of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet, Stockholm, Sweden.
Niklas JuthStockholm Centre for Healthcare Ethics (CHE), LIME, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-1339-4956
A Birgitta GunnarssonDepartment of Research and Development, Region Kronoberg, Växjö, Sweden.ORCID 0000-0002-6976-5154

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse and describe general practitioners' perceptions of the notion of a 'personal responsibility for health'.

designInterview study, phenomenographic analysis.

settingSwedish primary health care. SUBJECTS: General Practitioners (GPs).

main outcome measuresUsing the phenomenographic method, the different views of the phenomenon (here: personal responsibility for health) were presented in an outcome space to illustrate the range of perceptions.

resultsThe participants found the notion of personal responsibility for health relevant to their practice. There was a wide range of perceptions regarding the

conclusionThe notion of personal responsibility for health is relevant to GPs. However, it is open to a broad range of interpretations and modulated by the patient-physician interaction. This may make it unsuitable for usage in health care priority settings. More research is mandated to further investigate how physicians work with patient responsibility, and how this affects the patient-physician relationship and the physician's own well-being.Key PointsThe notion of personal responsibility for health has relevance for discussions about priority setting and person-centred care.This study, using a phenomenographic approach, investigated the views of Swedish GPs about the notion of personal responsibility for health.The participants found the notion relevant to their practice. They expressed a broad range of views of what a personal responsibility for health entails and how it arises. The GP was described as playing a key role in shaping and defining the patient's responsibilities for his/her health.The notion was emotionally charged to the participants, and when patients were seen as offloading all responsibility onto the GP this gave rise to frustration.

Indexed as

General PractitionersAttitude of Health PersonnelFemaleHumansLearningMalePhysician-Patient RelationsPrimary Health CareQualitative ResearchAttitudes of health personnelgeneral practitionershealth prioritiesphenomenographyqualitative researchresponsibility

Identifiers

PMID34128751
PMCPMC8475098

What OpenQuestion holds

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Registered trials

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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.