Objectives To pilot the use of a range of complementary risk communication tools in simulated general practice consultations ; to gauge the responses of general practitioners in training to these new consultation aids.
Design Qualitative study based on focus group discussions.
Setting General practice vocational training schemes in South Wales.
Participants 39 general practice registrars and eight course organisers attended four sessions ; three simulated patients attended each time.
Method Registrars consulting with simulated patients used verbal or « qualitative » descriptions of risks, then numerical data, and finally graphical presentations of the same data.
Responses of doctors and patients were explored by semistructured discussions that had been audiotaped for transcription and analysis.
Results The process of using risk communication tools in simulated consultations was acceptable to general practitioner registrars.
Providing doctors with information about risks and benefits of treatment options was generally well received.
Both doctors and patients found it helped communication.
There were concerns about the lack of available, unbiased, and applicable evidence and a shortage of time in the consultation to discuss treatment options adequately.
Graphical presentation of information was often favoured-an approach that also has the potential to save consultation time. (...)
Mots-clés Pascal : Royaume Uni, Europe, Epidémiologie, Homme, Santé, Consultation, Médecine générale, Modèle, Aide décision, Information, Risque, Bénéfice, Traitement, Communication, Relation médecin malade
Mots-clés Pascal anglais : United Kingdom, Europe, Epidemiology, Human, Health, Consultation, Internal medicine, Models, Decision aid, Information, Risk, Profit, Treatment, Communication, Physician patient relation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0471610
Code Inist : 002B30A01A2. Création : 22/03/2000.