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How patients experience discussing couple relationship problems with GPs: an interview study.

Siri Dalsmo Berge1, Mette Brekke2, Eivind Meland3

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Patients value their General Practitioners (GPs) for addressing couple relationship issues. They appreciate a holistic, supportive approach and constructive challenges, despite concerns about GP time availability.

Keywords:
ConsultationFamily relationshipsGeneral practitionersPrimary healthcareQualitative research

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Area of Science:

  • Family Medicine
  • General Practice
  • Qualitative Research

Background:

  • Couple relationship satisfaction is linked to physical health, mental well-being, and longevity.
  • Patients often wish to discuss sensitive relationship issues with their General Practitioner (GP).
  • Patients seek personalized care and support for relationship concerns within primary care settings.

Purpose of the Study:

  • To explore patient experiences of discussing couple relationship problems during General Practitioner (GP) consultations.
  • To understand patient perspectives on sensitive health discussions in primary care.

Main Methods:

  • Qualitative study utilizing semi-structured interviews with 18 patients in Norway.
  • Thematic analysis using systematic text condensation was applied to interview data.
  • Participants were recruited via social and traditional media, with a diverse sample of men and women.

Main Results:

  • Patients desire GPs to act as facilitators, not just process information, and value continuity of care for building trust.
  • Discussing relationship issues requires navigating sensitive topics, with patients appreciating a biopsychosocial approach.
  • Patients valued GPs' biomedical competence combined with their role as 'life witnesses,' offering support and constructive challenges.

Conclusions:

  • Patients highly value a holistic, supportive, and direct approach from GPs regarding couple relationship problems.
  • Continuity of care and a biopsychosocial perspective are crucial for addressing sensitive relationship issues in primary care.
  • Patients appreciate GPs who offer constructive challenges to encourage personal responsibility for relationship improvement.