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Prim Care Respir J. 2006 Jun;15(3):159-65. Epub 2006 Mar 31.

Sub-optimal patient and physician communication in primary care consultations: its relation to severe and difficult asthma.

Author information

1
Department of General Practice and Primary Care, University of Aberdeen, UK. m.moffat@abdn.ac.uk

Abstract

INTRODUCTION:

Asthma control can be influenced by a range of non-medical issues, including psychosocial factors. Little is known about the views of patients, particularly those with severe and/or difficult asthma, towards their asthma control and their asthma-related primary care consultations.

AIMS AND OBJECTIVES:

To explore patients' experiences of their asthma and primary care asthma consultations in order to identify target areas for intervention.

METHODS:

This was a qualitative study of 14 asthma patients based in grounded theory. Questions were asked about: asthma understanding; control issues; and interactions with primary care health professionals. Data were analysed using the constant comparative method and framework approach.

RESULTS:

Participants with severe and/or difficult asthma normalised control issues, were reluctant to discuss non-medical factors with healthcare professionals (HCPs), reported poorer communication with HCPs, and were reluctant to raise relevant but non-medical factors in the consultation.

CONCLUSIONS:

Our data identifies that patients, particularly those with severe and/or difficult asthma and poor control, underplay symptoms and do not discuss non-medical factors which may impact on asthma control in primary care consultations. This poor communication is associated with patients underestimating disease severity and/or what could be achieved in terms of disease control. Training HCPs in the use of patient-centred communication skills may optimise asthma management in primary care.

PMID:
16757396
PMCID:
PMC6730700
DOI:
10.1016/j.pcrj.2006.02.006
[Indexed for MEDLINE]
Free PMC Article

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