Shifts in doctor-patient communication between 1986 and 2002: a study of videotaped General Practice consultations with hypertension patients
Jozien M. BensingFred TrompSandra van DulmenA. van den Brink-MuinenWilliam VerheulFrançois Schellevis
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Departing from the hypotheses that over the past decades patients have become more active participants and physicians have become more task-oriented, this study tries to identify shifts in GP and patient communication patterns between 1986 and 2002. A repeated cross-sectional observation study was carried out in 1986 and 2002, using the same methodology. From two existing datasets of videotaped routine General Practice consultations, a selection was made of consultations with hypertension patients (102 in 1986; 108 in 2002). GP and patient communication was coded with RIAS (Roter Interaction Analysis System). The data were analysed, using multilevel techniques. No gender or age differences were found between the patient groups in either study period. Contrary to expectations, patients were less active in recent consultations, talking less, asking fewer questions and showing less concerns or worries. GPs provided more medical information, but expressed also less often their concern about the patients' medical conditions. In addition, they were less involved in process-oriented behaviour and partnership building. Overall, these results suggest that consultations in 2002 were more task-oriented and businesslike than sixteen years earlier. The existence of a more equal relationship in General Practice, with patients as active and critical consumers, is not reflected in this sample of hypertension patients. The most important shift that could be observed over the years was a shift towards a more businesslike, task-oriented GP communication pattern, reflecting the recent emphasis on evidence-based medicine and protocolized care. The entrance of the computer in the consultation room could play a role. Some concerns may be raised about the effectiveness of modern medicine in helping patients to voice their worries.This essay is a reflection on the planting of the first seed of a staff-student research partnership. Our partnership aimed to grow the profile of partnerships at our Australian University while simultaneously evaluating the efficacy of peer-to-peer (P2P) revision sessions in a newly implemented Medical Imaging (MI) course. We also sought to achievethese two aims through the development of a research project to evaluate the P2P revision sessions that were initiated by Sophie, the student member of this partnership; and through the sharing of our experiences of the partnership process through critical reflective journals over the course of the partnership. We hope that both of these processes will inform thestructure of future P2P revision sessions and also provide others with insights into the partnership process that may assist them to plant their own partnership seeds. Our partnership began only a few months ago when we were introduced by a colleague.
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The subject of partnership is one that is receiving attention in different spheres of life today. Businesses are seeking to expand by bringing together different specialisations to complement each other. All these grew out of a desire to have better output. The Christian missions’ enterprise should not be an exception in the quest for better performance; hence, the need to explore the opportunity of partnership for the expansion of God’s kingdom. This article researched how foreign and local mission agencies could develop an effective partnership in Christian missions. The article considered the concept of partnership, the biblical basis for partnership, the historical development of the partnership, the importance of partnership in the 21st century, the prospect of partnership in the 21st century, challenges of partnership in the 21st century and finally, how both local and foreign mission agencies could build an effective, efficient and dynamics partnership mission project before the conclusion of the 21st century.
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Purpose – The purpose of this paper is to describe a corrections–academic partnership that works, the essential factors that influence its success and productivity, and how this partnership builds the capacity to conduct research on corrections issues.
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The establishing of the partnership's subjective position not only has the according in theory but also accords with the qualification of the independent civil subjective position. But the law only regulates the partnership among the individuals . The partnership between the citizen and the juridical person and the juridical persons is blank except for the regulation of the united management. So we should perfect the legislation so that all civil subject except for the country should become the partnership to meet the need of the market economy.
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This article traces the development of industry–higher education partnership in the UK from the vantage point of the Council for Industry and Higher Education. Here the Council's Director discusses how it has been campaigning for partnership through its publications and analyses their effectiveness in encouraging partnership.
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Edited by Graham CM Watt CRC Press , 2018 , PB, 275 pp, £29.99 , 978-1785231582
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I have to stress the point that the Italian government is trying to combine general practice and emergency service and out-of-hours services into single primary care units that provide 24-hour cover.
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Contents: Preface Introduction and overview Labour management partnership in the UK Employment relations in financial services Partnership with a trade union at NatBank Partnership with a staff union at BuSoc Partnership without unions at WebBank Three cases of partnership compared Partnership prospects Bibliography Appendix Index.
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