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Antihypertensive treatment and patient autonomy - The follow-up appointment as a resource for care
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, Pharmacology .
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, Clinical Pharmacology .
2000 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 40, no 1, 39-49 p.Article in journal (Refereed) Published
Abstract [en]

Since hypertension is a chronic condition which generally requires long-term commitment to pharmacological therapy as well as alterations of patient lifestyle, the patient-physician communication in the clinical setting is an important determinant of the quality of care and health outcome. The aim of the present study was to explore the structure and content of the communication between the patient and the physician, and the process of decision-making at a routine follow-up appointment for hypertension. The study was based on 51 audio-recordings of authentic consultations. Most patients had a passive role in the consultations, and initiated few topics of conversation. The few topics that the patients initiated were usually not about hypertension. Patients' questions about medication mainly referred to unwanted effects of the drugs. Little time was invested in discussing risks related to hypertension. A collaborative shared decision-making was seldom observed in the consultations. Copyright (C) 2000 Elsevier Science Ireland Ltd.

Place, publisher, year, edition, pages
2000. Vol. 40, no 1, 39-49 p.
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-47671DOI: 10.1016/S0738-3991(99)00042-7OAI: oai:DiVA.org:liu-47671DiVA: diva2:268567
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-13

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Svensson, SamuelAhlner, Johan

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