Balancing trust and power: a qualitative study of GPs perceptions and strategies for retaining patients in preventive health checks

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Standard

Balancing trust and power : a qualitative study of GPs perceptions and strategies for retaining patients in preventive health checks. / Broholm-Jørgensen, Marie; Guassora, Ann Dorrit; Reventlow, Susanne; Dalton, Susanne Oksbjerg; Tjørnhøj-Thomsen, Tine.

I: Scandinavian Journal of Primary Health Care, Bind 35, Nr. 1, 2017, s. 89-97.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Broholm-Jørgensen, M, Guassora, AD, Reventlow, S, Dalton, SO & Tjørnhøj-Thomsen, T 2017, 'Balancing trust and power: a qualitative study of GPs perceptions and strategies for retaining patients in preventive health checks', Scandinavian Journal of Primary Health Care, bind 35, nr. 1, s. 89-97. https://doi.org/10.1080/02813432.2017.1288811

APA

Broholm-Jørgensen, M., Guassora, A. D., Reventlow, S., Dalton, S. O., & Tjørnhøj-Thomsen, T. (2017). Balancing trust and power: a qualitative study of GPs perceptions and strategies for retaining patients in preventive health checks. Scandinavian Journal of Primary Health Care, 35(1), 89-97. https://doi.org/10.1080/02813432.2017.1288811

Vancouver

Broholm-Jørgensen M, Guassora AD, Reventlow S, Dalton SO, Tjørnhøj-Thomsen T. Balancing trust and power: a qualitative study of GPs perceptions and strategies for retaining patients in preventive health checks. Scandinavian Journal of Primary Health Care. 2017;35(1):89-97. https://doi.org/10.1080/02813432.2017.1288811

Author

Broholm-Jørgensen, Marie ; Guassora, Ann Dorrit ; Reventlow, Susanne ; Dalton, Susanne Oksbjerg ; Tjørnhøj-Thomsen, Tine. / Balancing trust and power : a qualitative study of GPs perceptions and strategies for retaining patients in preventive health checks. I: Scandinavian Journal of Primary Health Care. 2017 ; Bind 35, Nr. 1. s. 89-97.

Bibtex

@article{ded170f1bbcc4e92a5ad79a72140fef9,
title = "Balancing trust and power: a qualitative study of GPs perceptions and strategies for retaining patients in preventive health checks",
abstract = "Objective: Little is known about how strategies of retaining patients are acted out by general practitioners (GPs) in the clinical encounter. With this study, we apply Grimens’ (2009) analytical connection between trust and power to explore how trust and power appear in preventive health checks from the GPs’ perspectives, and in what way trust and power affect and/or challenge strategies towards retaining patients without formal education.Design: Data in this study were obtained through semi-structured interviews with GPs participating in an intervention project, as well as observations of clinical encounters.Results: From the empirical data, we identified three dimensions of respect: respect for the patient’s autonomy, respect for professional authority and respect as a mutual exchange. A balance of respect influenced trust in the relationship between GP and patients and the transfer of power in the encounter. The GPs articulated that a balance was needed in preventive health checks in order to establish trust and thus retain the patient in the clinic. One way this balance of respect was carried out was with the use of humour.Conclusions: To retain patients without formal education in the clinical encounter, the GPs balanced trust and power executed through three dimensions of respect. In this study, retaining patients was equivalent to maintaining a trusting relationship. A strategic use of the three dimensions of respect was applied to balance trust and power and thus build or maintain a trusting relationship with patients.",
author = "Marie Broholm-J{\o}rgensen and Guassora, {Ann Dorrit} and Susanne Reventlow and Dalton, {Susanne Oksbjerg} and Tine Tj{\o}rnh{\o}j-Thomsen",
year = "2017",
doi = "10.1080/02813432.2017.1288811",
language = "English",
volume = "35",
pages = "89--97",
journal = "Scandinavian Journal of Primary Health Care",
issn = "0281-3432",
publisher = "Taylor & Francis",
number = "1",

}

RIS

TY - JOUR

T1 - Balancing trust and power

T2 - a qualitative study of GPs perceptions and strategies for retaining patients in preventive health checks

AU - Broholm-Jørgensen, Marie

AU - Guassora, Ann Dorrit

AU - Reventlow, Susanne

AU - Dalton, Susanne Oksbjerg

AU - Tjørnhøj-Thomsen, Tine

PY - 2017

Y1 - 2017

N2 - Objective: Little is known about how strategies of retaining patients are acted out by general practitioners (GPs) in the clinical encounter. With this study, we apply Grimens’ (2009) analytical connection between trust and power to explore how trust and power appear in preventive health checks from the GPs’ perspectives, and in what way trust and power affect and/or challenge strategies towards retaining patients without formal education.Design: Data in this study were obtained through semi-structured interviews with GPs participating in an intervention project, as well as observations of clinical encounters.Results: From the empirical data, we identified three dimensions of respect: respect for the patient’s autonomy, respect for professional authority and respect as a mutual exchange. A balance of respect influenced trust in the relationship between GP and patients and the transfer of power in the encounter. The GPs articulated that a balance was needed in preventive health checks in order to establish trust and thus retain the patient in the clinic. One way this balance of respect was carried out was with the use of humour.Conclusions: To retain patients without formal education in the clinical encounter, the GPs balanced trust and power executed through three dimensions of respect. In this study, retaining patients was equivalent to maintaining a trusting relationship. A strategic use of the three dimensions of respect was applied to balance trust and power and thus build or maintain a trusting relationship with patients.

AB - Objective: Little is known about how strategies of retaining patients are acted out by general practitioners (GPs) in the clinical encounter. With this study, we apply Grimens’ (2009) analytical connection between trust and power to explore how trust and power appear in preventive health checks from the GPs’ perspectives, and in what way trust and power affect and/or challenge strategies towards retaining patients without formal education.Design: Data in this study were obtained through semi-structured interviews with GPs participating in an intervention project, as well as observations of clinical encounters.Results: From the empirical data, we identified three dimensions of respect: respect for the patient’s autonomy, respect for professional authority and respect as a mutual exchange. A balance of respect influenced trust in the relationship between GP and patients and the transfer of power in the encounter. The GPs articulated that a balance was needed in preventive health checks in order to establish trust and thus retain the patient in the clinic. One way this balance of respect was carried out was with the use of humour.Conclusions: To retain patients without formal education in the clinical encounter, the GPs balanced trust and power executed through three dimensions of respect. In this study, retaining patients was equivalent to maintaining a trusting relationship. A strategic use of the three dimensions of respect was applied to balance trust and power and thus build or maintain a trusting relationship with patients.

U2 - 10.1080/02813432.2017.1288811

DO - 10.1080/02813432.2017.1288811

M3 - Journal article

C2 - 28277053

VL - 35

SP - 89

EP - 97

JO - Scandinavian Journal of Primary Health Care

JF - Scandinavian Journal of Primary Health Care

SN - 0281-3432

IS - 1

ER -

ID: 179311824