RT Journal Article SR Electronic T1 ‘A heartbeat moment’: qualitative study of GP views of patients bringing health information from the internet to a consultation JF British Journal of General Practice JO Br J Gen Pract FD British Journal of General Practice SP 88 OP 94 DO 10.3399/bjgp10X483120 VO 60 IS 571 A1 Sanjiv Ahluwalia A1 Elizabeth Murray A1 Fiona Stevenson A1 Cicely Kerr A1 Jo Burns YR 2010 UL http://bjgp.org/content/60/571/88.abstract AB Background Government policy is to encourage self-help among patients. The internet is increasingly being used for health information. The literature on the role of the internet in the doctor–patient consultation remains sparse.Aim To determine the perceived responses of GPs to internet-informed patients in consultations and the strategies GPs use for dealing with information from the internet being brought into consultations.Design of study A qualitative study design was used, with semi-structured interviews.Setting GPs based in North Central London.Method Analysis was conducted by a multidisciplinary team of researchers. Participants were 11 GPs: five partners, three locums, and three salaried doctors; seven were white, three were Asian, and one was of Chinese origin. The median year of General Medical Council (GMC) registration was 1989. There were six women and five men; five participants worked in training practices.Results GPs experienced considerable anxiety in response to patients bringing information from the internet to a consultation but were able to resolve this anxiety. The study participants learned to distance themselves from their emotional response, and used cognitive and behavioural techniques to assist them in responding appropriately to patients. These techniques included buying time in a consultation, learning from previous consultations, and using the internet as an ally, by directing patients to particular websites. The importance for doctors of feeling valued by patients was apparent, as was the effect of the prior doctor–patient relationship.Conclusion GPs interviewed used sophisticated mechanisms for dealing with their emotions. GPs struggling with internet-informed patients can use the mechanisms described to alleviate the difficulties.