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Communication in general practice: differences between European countries.

A van den Brink-Muinen1, P F M Verhaak, J M Bensing

  • 1NIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN Utrecht, The Netherlands. A.vandenbrink@nivel.nl

Family Practice
|July 24, 2003
PubMed
Summary
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Doctor-patient communication varies across Europe. Patient and general practitioner (GP) characteristics significantly influence interactions more than a GP

Area of Science:

  • General Practice
  • Health Services Research
  • Cross-cultural Communication

Background:

  • Healthcare system variations, including the gatekeeping role of General Practitioners (GPs), may influence doctor-patient communication across European countries.
  • Diverging characteristics of GPs and patients at the microlevel also contribute to communication differences.

Purpose of the Study:

  • To compare doctor-patient communication in general practice across different European countries.
  • To investigate the impact of gatekeeping systems and GP/patient characteristics on doctor-patient communication.

Main Methods:

  • A study involving 190 GPs and 2825 patients from six European countries (gatekeeping: Netherlands, Spain, UK; non-gatekeeping: Belgium, Germany, Switzerland).
  • Data collection via patient and GP questionnaires and observation of videotaped consultations.

Related Experiment Videos

  • Analysis using one-way and multilevel, multivariate statistical methods.

    • Main Results:

    • Significant cross-country differences were observed in affective/instrumental behavior, biomedical/psychosocial talk, GP gaze, and consultation length.
    • The gatekeeping role of GPs was found to be less influential on communication than anticipated.
    • Patient factors (gender, age, psychosocial issues, familiarity) and GP characteristics were key predictors of communication variations.

    Conclusions:

    • The gatekeeping function of GPs has minimal impact on doctor-patient communication, contrary to expectations.
    • Doctor-patient communication dynamics are more complex, with patient and GP characteristics playing a more significant role.
    • Future research should incorporate cultural factors to further elucidate communication patterns.