Reach Us +32 466902153


Cardiovascular-risk patients’ experienced benefits and unfulfilled expectations from preventive consultations: a qualitative study

Background The development of consultations towards more patient centredness and shared decision making has greatly influenced general practice. Several patient-based studies have been published on shared decision making in screening and health checks.However, few studies have explored the process in-depth to understand perspectives of patients at high cardiovascular risk and their experiences of preventive consultations.Aim To explore and analyse experiences of preventive consultations in patients at high cardiovascular risk.Method Individual, semi-structured interviews with 12 patients at increased risk of cardiovasculardisease (CVD) conducted within two weeks of a dedicated preventive consultation. Grounded theory was used in the analysis.Results The patients’ experienced benefits from the consultation included changed emotions, thoughts, readiness to change lifestyle and perceived knowledge related to health and risk. Patients reported that their experienced benefits were related to the general practitioner’s (GP’s) professional competence, communication in the consultation and especially the doctor–patient relationship. Patients also expressed a number of unfulfilled expectations concerning their opportunities to contribute their personal perspectives to the consultation, short consultation duration, problems with appropriate timing and personal relevance of content and insufficient tailoring to their personal situation. GPs’ communication skills and scheduling of follow-up consultations were reported by the patients as essential for these specific aspects to be addressed successfully.Conclusion Patients reported a number of benefits from preventive consultations. However, their unfulfilled expectations suggest the benefits could be even greater, both with enhanced communication skills from doctors, and attention to appropriate timing of the consultations at stages of life when patients are more able to make changes.


Dea Kehler, Bo Christensen, Torsten Lauritzen, Morten Bondo Christensen, Adrian Edwards, Mette Bech Ris?r

Abstract | Full-Text | PDF

Share this  Facebook  Twitter  LinkedIn  Google+
30+ Million Readerbase
Recommended Conferences
Flyer image
Abstracted/Indexed in
  • Index Copernicus
  • Genamics JournalSeek
  • JournalTOCs
  • China National Knowledge Infrastructure (CNKI)
  • CiteFactor
  • CINAHL Complete
  • Social care institute for Excellence(SCIE)
  • Scimago
  • Ulrich's Periodicals Directory
  • Electronic Journals Library
  • Directory of Research Journal Indexing (DRJI)
  • WorldCat
  • Proquest Summons
  • MIAR
  • ResearchGate
  • University Grants Commission
  • Secret Search Engine Labs