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Family Practice Vol. 9, No. 1, 61-67
© Oxford University Press 1992

other

What Can Doctors Do to Achieve a Successful Consultation? Videotaped Interviews Analysed by the ‘Consultation Map’ Method

ELISABETH ARBORELIUS and SVEN BREMBERG*

Department of Community Medicine, Faculty of Health Sciences S-581 85 Linkoping, and National Institute for Psychological Factors and Health Box 60210, S-104 01 Stockholm
* Department of Social Medicine, Karolinski Institute S-172 83 Sundbyberg, Sweden

Correspondence to: E. Arborelius, FSrgargirdstorget 52, S-l 16 43 S, Sweden

Positive consultations, where both the GP and the patient had a positive impression, were compared with negative consultations, where both the GP and the patient had a negative impression. The consultations were compared with respect to tasks listed by Pendelton et al. in their ‘consultation map’, constituting satisfying and efficient consultation. The determining points in the positive consultations were that the GP and the patient were in agreement about the reason for the consultation and that the GP asked about the patients' ideas and concerns or health beliefs. In consequence, the GP used more time to achieve a shared understanding with the patient and involved the patient in the management. This last point seemed to be the most discriminating between the positive and the negative consultations.


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