Communication in general practice.

In this chapter, we explore the essence of the general practitioner (GP)-patient encounter by looking at what is actually being communicated in the consulting room. In terms of conversational input of GP and patient, the average GP-patient encounter appears quite equal. A more detailed analyses shows GPs taking the lead, by giving instructions and asking, questions more often, and paying relatively little attention to psychosocial issues. Patients' age , ethnicity and educational background influence the communication in the consulting room, in some respects favouring the younger, higher educated and native Dutch patients. GPs are found frequenlty being able to meet patients' preferences for support, information and advice. Compared to 1987, GPs give more information and allow patients more room in the decision making process. The information exchange on possible other treatments and risks needs improvement. (aut. ref.)