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Asia Pacific Family Medicine
Published in: Asia Pacific Family Medicine 1/2015

Open Access 01-12-2015 | Research

Describing the factors that influence the process of making a shared-agenda in Japanese family physician consultations: a qualitative study

Authors: Michiko Goto, Shoji Yokoya, Yousuke Takemura, Alberto Alexander Gayle, Tsukasa Tsuda

Published in: Asia Pacific Family Medicine | Issue 1/2015

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Abstract

Background

Patients cannot always share all necessary relevant information with doctors during medical consultations. Regardless, in order to ensure the best quality consultation and care, it is imperative that a doctor clearly understands each patient’s agenda.
The purpose of this study was to analyze the process of developing a shared-agenda during family physician consultations in Japan.

Methods

We interviewed 15 first time patients visiting the outpatient clinic of the Department of Family Medicine in the hospital chosen for the investigation, and the 8 family physicians who examined them. In total we observed 16 consultations. We analyzed both patients’ and doctors’ narratives using a modified grounded theory approach.

Results

For patients, we found four main factors that influenced the process of making a shared-agenda: past medical experiences, undisclosed but relevant information, relationship with the family physician, and the patient’s own explanatory model. In addition, we found five factors that influenced the shared agenda making process for family physicians: understanding the patient’s explanatory model, constructing the patient-doctor relationship, physical examination centered around the patient’s explanatory model, discussion-styled explanation, and self-reflection on action.

Conclusions

The findings suggest that patient satisfaction would be increased if family physicians are proactive in considering these factors with respect to both the patient’s agenda, and their own.
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Metadata
Title
Describing the factors that influence the process of making a shared-agenda in Japanese family physician consultations: a qualitative study
Authors
Michiko Goto
Shoji Yokoya
Yousuke Takemura
Alberto Alexander Gayle
Tsukasa Tsuda
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Asia Pacific Family Medicine / Issue 1/2015
Electronic ISSN: 1447-056X
DOI
https://doi.org/10.1186/s12930-015-0023-6

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