ReferenceJournal of the Royal Society of Medicine 2003; 96: 180–184
Authors and institutionPam Lings, Philip Evans, David Seamark, Clare Seamark, Kieran Sweeney, Michael Dixon, Denis Pereira Gray, Institute of General Practice, University of Exeter
BackgroundStudy informed by previous unpublished study of 14 patients and seven GPs conducted in the south-west of England in 1999. In this UK study the sample was selected as a homogeneous group of patients and doctors who rated their relationship as good. Data were collected from video-recorded consultations and separate in-depth interviews. Themes identified included: being listened to; being understood; caring attitude of the doctor; liking the doctor; doctor showing respect for the patient; doctor knowing the patient's context; and trust in the doctor's medical competence
SettingFamily Medicine Centre (Highland Hospital, Rochester, NY), US. ‘A large, urban family-orientated practice serving mainly lower and middle socioeconomic categories’
AimsTo describe, conceptualise and explain patients' and doctors' experiences and behaviour with regard to the therapeutic relationship
Research designFocus groups
SamplingParticipants ‘randomly sampled’ from Family Medicine Centre. Five patients (24 women, 10 men; 12 members of ethnic groups) and two provider (14 practitioners including physicians, residents, nurses and nurse practitioners; 11 female, none from ethnic groups) focus groups
Data collectionFocus groups video-recorded and transcribed verbatim (paralinguistic features evident were included). A facilitator (not specified) ‘guided the conversations, prompting the patients and providers to air their views, experiences and expectations of their relationships as doctors and patients’. Discussions 60–90 minutes.
ReflexivityNot discussed
Ethical issuesInstitutional review board at Rochester approved the study. All patients and providers gave signed consent to participation. Confidentiality was assured and permission was gained to video-record the discussions
Data analysisTranscripts examined and coded in terms of unpublished UK study. Codes developed and extended as suggested by the new data. As patterns were recognised, categories were grouped together. Experience and behaviour of participants conceptualised by ‘repeated viewing of videos and group researcher meetings’. The qualitative analysis package WinMAX 98 was used.