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Patients’ gut feelings seem useful in primary care professionals’ decision making

BACKGROUND: Family physicians’ diagnostic gut feelings have proved to be valuable. But what about patients’ gut feelings? Research has shown that patients’ gut feelings may contribute to their physicians’ clinical reasoning. Dutch medical tribunals consider patients’ worry useful for doctors’ diagno...

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Autores principales: Stolper, C. F., van de Wiel, M. W. J., van Bokhoven, M. A., Dinant, G. J., Van Royen, P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301863/
https://www.ncbi.nlm.nih.gov/pubmed/35858872
http://dx.doi.org/10.1186/s12875-022-01794-9
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author Stolper, C. F.
van de Wiel, M. W. J.
van Bokhoven, M. A.
Dinant, G. J.
Van Royen, P.
author_facet Stolper, C. F.
van de Wiel, M. W. J.
van Bokhoven, M. A.
Dinant, G. J.
Van Royen, P.
author_sort Stolper, C. F.
collection PubMed
description BACKGROUND: Family physicians’ diagnostic gut feelings have proved to be valuable. But what about patients’ gut feelings? Research has shown that patients’ gut feelings may contribute to their physicians’ clinical reasoning. Dutch medical tribunals consider patients’ worry useful for doctors’ diagnostic process. However, how general practitioners and other primary care professionals recognize gut feelings of patients and deal with them in their decision making is yet unclear. We aim to explore how primary care professionals perceive patients’ gut feelings and use this information in their decision-making. METHODS: We interviewed 30 Dutch and Belgian primary care professionals, exploring how they recognize and value patients’ gut feelings. We coded all interviews using a descriptive content analysis in an iterative process. Data sufficiency was achieved. RESULTS: Primary care professionals acknowledged gut feelings in their patients, and most participants found them a useful source of information. Patients’ gut feelings might alert them to possible hidden problems and might provide quicker insight into patients’ perceptions. Primary care professionals listed a whole series of wordings relating to trusting or distrusting the situation or to any changes in normal patterns. A patient’s gut feeling was often a reason for the professionals to explore patients’ worries and to reconsider their own clinical reasoning. CONCLUSIONS: Primary care professionals regularly considered patients’ gut feelings useful, as they might contribute to their clinical reasoning and to a deeper understanding of the patient’s problem. The next step could be to ask patients themselves about their gut feelings and explore their diagnostic value.
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spelling pubmed-93018632022-07-22 Patients’ gut feelings seem useful in primary care professionals’ decision making Stolper, C. F. van de Wiel, M. W. J. van Bokhoven, M. A. Dinant, G. J. Van Royen, P. BMC Prim Care Research Article BACKGROUND: Family physicians’ diagnostic gut feelings have proved to be valuable. But what about patients’ gut feelings? Research has shown that patients’ gut feelings may contribute to their physicians’ clinical reasoning. Dutch medical tribunals consider patients’ worry useful for doctors’ diagnostic process. However, how general practitioners and other primary care professionals recognize gut feelings of patients and deal with them in their decision making is yet unclear. We aim to explore how primary care professionals perceive patients’ gut feelings and use this information in their decision-making. METHODS: We interviewed 30 Dutch and Belgian primary care professionals, exploring how they recognize and value patients’ gut feelings. We coded all interviews using a descriptive content analysis in an iterative process. Data sufficiency was achieved. RESULTS: Primary care professionals acknowledged gut feelings in their patients, and most participants found them a useful source of information. Patients’ gut feelings might alert them to possible hidden problems and might provide quicker insight into patients’ perceptions. Primary care professionals listed a whole series of wordings relating to trusting or distrusting the situation or to any changes in normal patterns. A patient’s gut feeling was often a reason for the professionals to explore patients’ worries and to reconsider their own clinical reasoning. CONCLUSIONS: Primary care professionals regularly considered patients’ gut feelings useful, as they might contribute to their clinical reasoning and to a deeper understanding of the patient’s problem. The next step could be to ask patients themselves about their gut feelings and explore their diagnostic value. BioMed Central 2022-07-20 /pmc/articles/PMC9301863/ /pubmed/35858872 http://dx.doi.org/10.1186/s12875-022-01794-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Stolper, C. F.
van de Wiel, M. W. J.
van Bokhoven, M. A.
Dinant, G. J.
Van Royen, P.
Patients’ gut feelings seem useful in primary care professionals’ decision making
title Patients’ gut feelings seem useful in primary care professionals’ decision making
title_full Patients’ gut feelings seem useful in primary care professionals’ decision making
title_fullStr Patients’ gut feelings seem useful in primary care professionals’ decision making
title_full_unstemmed Patients’ gut feelings seem useful in primary care professionals’ decision making
title_short Patients’ gut feelings seem useful in primary care professionals’ decision making
title_sort patients’ gut feelings seem useful in primary care professionals’ decision making
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301863/
https://www.ncbi.nlm.nih.gov/pubmed/35858872
http://dx.doi.org/10.1186/s12875-022-01794-9
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