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Research

What makes a good general practice consultation? An exploratory pilot study with people from a low socioeconomic background

Naomi MacPherson, Binh Ta, Lauren Ball, Nilakshi Gunatillaka and Elizabeth Ann Sturgiss
BJGP Open 2024; 8 (2): BJGPO.2023.0160. DOI: https://doi.org/10.3399/BJGPO.2023.0160
Naomi MacPherson
1 School of Primary and Allied Health Care, Monash University, Melbourne, Australia
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Binh Ta
1 School of Primary and Allied Health Care, Monash University, Melbourne, Australia
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Lauren Ball
2 Centre for Community Health and Wellbeing, School of Public Health and School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia
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Nilakshi Gunatillaka
1 School of Primary and Allied Health Care, Monash University, Melbourne, Australia
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Elizabeth Ann Sturgiss
1 School of Primary and Allied Health Care, Monash University, Melbourne, Australia
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  • For correspondence: liz.sturgiss{at}monash.edu
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    Figure 1. Schematic presentation of the data collection process

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    Table 1. Demographic characteristics of nine patients who attended a general practice clinic with a low socioeconomic background (2021–2022)
    Patient numberSexAge, yearsType of low SES statusLength of living with a chronic disease, yearsGP
    P1Female45–54PHL>10GP1
    P2Male45–54PNAGP1
    P3Female35–44PHL>10GP1
    P4Female75–84P5–10GP2
    P5Female75–84PNAGP3
    P6Female25–34U>10GP4
    P7Female45–54P5–10GP4
    P8Female65–74H5–10GP3
    P9Female65–74P>10GP3
    • H = healthcare card holder. L = live in low-income household. NA = not available. P = received government pension. SES = socioeconomic. U = unemployed.

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    Table 2. Key categories and respective sub-codes for what makes up a good consultation experience from the perspective of patients from a low socioeconomic background
    CategoriesCodes
    The doctor’s demeanour and how the patient was made to feel during the consultation drove their engagementDoctor’s demeanour or patient’s feelings
    • Doctor is easy to talk to

    • Patient feels comfortable

    • Patient feels safe

    • Patient feels listened to by doctor

    • Doctor is caring in attitude

    • Doctor is patient

    • Friendly and personable attitude by doctor

    An established and collaborative therapeutic relationship was of high importance to patientsTherapeutic relationship
    • Attentiveness by doctor to details and needs of patient

    • Can laugh together

    • Consistency by doctor across consultations

    • Long therapeutic relationship

    • Trust

    Patient-centred management
    • Doctor advocates for patient

    • Checks on patient outside of working hours

    • Follows up on previous management decisions

    • Patient involved in management decisions

    • Creation of realistic management plans

    A doctor’s therapeutic skillset was integral to patient confidence and comfortTherapeutic skillset
    • Communicative with specialists

    • Positive health outcome from management decision

    • Offers referral

    • Doctor engages with difficult topics

    • Positive perception of doctor’s competency

    • Positive perception of doctor’s thoroughness

    Patients appreciated verbal and non-verbal communication techniquesVerbal techniques
    • Clear and understandable explanations

    • Thorough explanations

    • Patient feels comfortable asking questions

    • Doctor willing to repeat information as needed

    Non-verbal techniques
    • Use of computer

    • Showcasing they are listening

    • Showcasing they have time

    • Using visual aids in consultation

Supplementary Data

  • NM_10.3399BJGPO.2023.0160_supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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What makes a good general practice consultation? An exploratory pilot study with people from a low socioeconomic background
Naomi MacPherson, Binh Ta, Lauren Ball, Nilakshi Gunatillaka, Elizabeth Ann Sturgiss
BJGP Open 2024; 8 (2): BJGPO.2023.0160. DOI: 10.3399/BJGPO.2023.0160

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What makes a good general practice consultation? An exploratory pilot study with people from a low socioeconomic background
Naomi MacPherson, Binh Ta, Lauren Ball, Nilakshi Gunatillaka, Elizabeth Ann Sturgiss
BJGP Open 2024; 8 (2): BJGPO.2023.0160. DOI: 10.3399/BJGPO.2023.0160
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Keywords

  • health inequities
  • general pracitce
  • qualitative research

More in this TOC Section

  • Primary healthcare utilisation among individuals with multimorbidity in deprived communities; a modelling study
  • Older peoples’ perspectives of postural hypotension in general practice: a qualitative study
  • Exploring psychotropic medication use in Dutch primary care: trends, prevalence, and associations with polypsychopharmacy
Show more Research

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