Nørgaard Birgitte, Simonsen Elisa, Skotte Nanna Aarup, Marcussen Michael
Department of Public Health, University of Southern Denmark, Odense, Denmark.
J Eval Clin Pract. 2025 Apr;31(3):e70077. doi: 10.1111/jep.70077.
General practitioners (GPs) play an increasingly important role in the healthcare system, wherein patient involvement is a key element in delivering individualized and tailored treatment. This study aimed to explore GPs' perceptions of user involvement and their considered challenges and opportunities regarding user involvement.
A qualitative study with semi-structured interviews was conducted. The approach was inductive and open, and data were analysed thematically. Twelve GPs were recruited through snowball sampling and individually interviewed in March-April 2021.
Six themes were generated: Relation and knowledge; Negotiation; Compliance; Information, communication and dialog; Time and process; and GPs' considerations of involvement. The GPs described a plethora of tools and strategies to shape their relationship with the patient, individually inform the patient, and negotiate their power to achieve compliance and, thus, the best treatment for the patient.
GPs consider patient involvement equal to information as a means to compliance to some extent, but they also consider information and compliance interdependent. However, patient involvement is challenging for the GPs when the patient is misinformed or when the GP's current status is poor.
全科医生（GP）在医疗保健系统中发挥着越来越重要的作用，其中患者参与是提供个性化和量身定制治疗的关键要素。本研究旨在探讨全科医生对用户参与的看法以及他们认为的用户参与方面的挑战和机遇。
进行了一项采用半结构化访谈的定性研究。该方法具有归纳性和开放性，对数据进行了主题分析。通过滚雪球抽样招募了12名全科医生，并于2021年3月至4月进行了单独访谈。
产生了六个主题：关系与知识；协商；依从性；信息、沟通与对话；时间与流程；以及全科医生对参与的考量。全科医生描述了大量工具和策略，以塑造他们与患者的关系、单独告知患者，并协商他们的权力以实现依从性，从而为患者提供最佳治疗。
全科医生在一定程度上认为患者参与等同于信息，是实现依从性的一种手段，但他们也认为信息和依从性是相互依存的。然而，当患者得到错误信息或全科医生当前状态不佳时，患者参与对全科医生来说具有挑战性。
