ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2025
Physicians' appraisal of parental concerns: a qualitative assessment.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIn clinical encounters with children and their parents, physicians rely on both analytical and non-analytical factors to assess the clinical problem. Research on clinical gut feeling has recognised this as a significant diagnostic factor, yet little is known about how physicians evaluate parental concerns.
aimTo investigate which parent- and physician-related factors influence a physician's assessment of parental concerns. DESIGN AND
settingNine qualitative semi-structured focus group interviews were conducted with 15 GPs and 15 paediatricians in Belgium between May and August 2022.
methodThe interview transcripts were independently coded and analysed thematically using the constant comparative analysis method.
resultsThe factors that physicians use to assess parental concerns can be categorised into four groups: parent-related, physician-related, context-related, and child-related factors. Within each category, there are multiple determinants, with the most influential being having multiple children as a parent, the physician's work experience, and disease severity.
conclusionThis study confirms some determining factors that have already been described in the literature, but it also identifies new determinants (for example, having multiple children as a parent and physician fatigue). Quantitative research could assess the extent to which the identified factors are involved in the assessment of gut feeling.
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