ArticleScandinavian journal of primary health care2022
GP strategies to avoid imaging overuse. A qualitative study in Norwegian general practice.
Article in Scandinavian journal of primary health care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Danish GP trainees' experiences of navigating patient expectations for non-indicated procedures or tests: a qualitative interview study.Scandinavian journal of primary health care · 2026Article
- Challenging Encounters: A Systematic Scoping Review to Understand Patients' Influence on GPs' Compliance With Imaging Guidelines.Journal of evaluation in clinical practice · 2026Article
- Patient Agency in Imaging: Radiologists' Insights.Public health challenges · 2025Article
- 'None of Them Know Me': A Qualitative Study of the Implications of Locum Doctor Working for Patient Experience.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Continuity and breaches in GP care and their associations with mortality for patients with chronic disease: an observational study using Norwegian registry data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Observational
- Irish general practitioner (GP) perspectives on impact of direct access radiology on patient care in the community: results from a mixed-methods study.Irish journal of medical science · 2024Article
- How should a general practitioner say no to a patient?Scandinavian journal of primary health care · 2023Article
- Patients' requests for radiological imaging: A qualitative study on general practitioners' perspectives.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Does clinical decision support system promote expert consensus for appropriate imaging referrals? Chest-abdominal-pelvis CT as a case study.Insights into imaging · 2023Article
- The use of low-value imaging: the role of referral practice and access to imaging services in a representative area of Norway.Insights into imaging · 2023Article
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Authors and funding
3 authors.
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Abstract
objectivesThe aim of the study was to identify general practitioners' (GPs) strategies to avoid unnecessary diagnostic imaging when encountering patients with such expectations and to explore how patients experience these strategies. DESIGN, SETTING AND SUBJECTS: We conducted a qualitative study that combined observations of consultations and interviews with GPs and patients. A total of 24 patients visiting nine different GPs in two Norwegian urban areas were included in the study. Of these, 12 consultations were considered suitable for studying GP strategies and were therefore selected for a more thorough analysis.
main outcome measuresGPs' communication strategies to avoid unnecessary medical imaging and patients' experiences with such strategies.
resultsFive categories of strategies were identified: (1) wait and see - or suggest an alternative; (2) the art of rejection; (3) seek support from a professional authority; (4) partnership and shared decision-making and (5) reassurance, normalisation and recognition. The GPs often used multiple strategies. Factors related to a long-term doctor-patient relationship seemed to influence both communication and how both parties experienced the decision. Three important factors were evident: the patient trusted the doctor, the doctor knew the patient's medical history and the doctor knew the patient as a person. The patients seemed to be generally satisfied with the outcomes of the consultations.
conclusionGPs largely combine different strategies when meeting patients' expectations of diagnostic imaging that are not strictly medically indicated. Continuity of the doctor-patient relationship with good personal knowledge and trust between doctor and patient appeared crucial for patients to accept the doctors' decisions.Key pointsGPs usually combine a broad range of strategies to avoid unnecessary medical imagingThe patients appeared generally satisfied regardless of the strategy the strategy used by the GPs and even where their referral request were rejectedFactors related to a long-term doctor-patient relationship appeared decisive.
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