Junge, Anne Gram1; Kirkegaard, Pia4; Thomsen, Janus Laust5
1 Institute of General Medical Practice, Faculty of Health Sciences, Aarhus University, Aarhus University2 Department of Public Health - Forskningsenheden for Almen Praksis, Department of Public Health, Health, Aarhus University3 Department of Public Health - Institute of General Medical Practice, Department of Public Health, Health, Aarhus University4 Department of Public Health - Forskningsenheden for Almen Praksis, Department of Public Health, Health, Aarhus University5 Department of Public Health - Institute of General Medical Practice, Department of Public Health, Health, Aarhus University
A Qualitative Study
Background: In 2006 an arranged preventive consultation (0106-service) was implemented in Danish general practice. The purpose of the consultation is an attempt to improve the systematic prevention of the main chronic lifestyle diseases. Aim: This study examines the GP's experiences with the arranged preventive consultation with focus on facilitators and barriers in the implementation of the consultation. Material & Method: Semi-structured interviews with 10 GPs and nurses in general practice. Results & Conclusions: Economically lucrative services are not an isolated motivation for the GPs/nurses, but must be accompanied with a basic belief in the effect of preventive consultations in general practice. The better payment of the 0106-service is used to spend more time per consultation and it makes the GPs/nurses feel rewarded for the preventive work they perform. The consultation frames a social interaction between the GP/nurse and the patient, and therefore the GPs/nurses can in some respects experience it as difficult to apply the theoretical guidelines of the new consultation to their daily work with the patients.
Almen medicin; livsstilssygdomme; sundhedsfremme; kvalitativ forskning; konsultation; patienter; praktiserende læger; General Practice; lifestyle diseases; Health prevention; Qualitative Research; consultation; patients; general practictioners