NDLI: 'A heartbeat moment': qualitative study of GP views of patients bringing health information from the internet to a consultation.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ahluwalia, Sanjiv Murray, Elizabeth Stevenson, Fiona Kerr, Cicely Burns, Jo
Spatial Coverage	London
Description	Country affiliation: United kingdom Author Affiliation: Ahluwalia S ( Watling Medical Centre, Stanmore, UK. Sanjiv.ahluwalia@londondeanery.ac.uk)
Abstract	BACKGROUND: Government policy is to encourage self-help among patients. The internet is increasingly being used for health information. The literature on the role of the internet in the doctor-patient consultation remains sparse. AIM: To determine the perceived responses of GPs to internet-informed patients in consultations and the strategies GPs use for dealing with information from the internet being brought into consultations. DESIGN OF STUDY: A qualitative study design was used, with semi-structured interviews. SETTING: GPs based in North Central London. METHOD: Analysis was conducted by a multidisciplinary team of researchers. Participants were 11 GPs: five partners, three locums, and three salaried doctors; seven were white, three were Asian, and one was of Chinese origin. The median year of General Medical Council (GMC) registration was 1989. There were six women and five men; five participants worked in training practices. RESULTS: GPs experienced considerable anxiety in response to patients bringing information from the internet to a consultation but were able to resolve this anxiety. The study participants learned to distance themselves from their emotional response, and used cognitive and behavioural techniques to assist them in responding appropriately to patients. These techniques included buying time in a consultation, learning from previous consultations, and using the internet as an ally, by directing patients to particular websites. The importance for doctors of feeling valued by patients was apparent, as was the effect of the prior doctor-patient relationship. CONCLUSION: GPs interviewed used sophisticated mechanisms for dealing with their emotions. GPs struggling with internet-informed patients can use the mechanisms described to alleviate the difficulties.
File Format	HTM / HTML
ISSN	09601643
e-ISSN	14785242
DOI	10.3399/bjgp10X483120
Journal	British Journal of General Practice
Issue Number	571
Volume Number	60
Language	English
Publisher	Royal College of General Practitioners
Publisher Date	2010-02-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Research Support, Non-u.s. Gov't Patient Participation Psychology Discipline Family Medicine Physicians, Family Attitude Of Health Personnel Physician-patient Relations Consumer Health Information
Content Type	Text
Resource Type	Article
Subject	Family Practice

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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