ReferenceFamily Practice 2001; 18: 53–59
Authors and institutionDaniele Roberge, Centre de Recherche, Hopital Charles LeMoyne; Marie-Dominique Beaulieu, Slim Haddad, Ronald Lebeay, Raynald Pineault, Centre Hospital Universitaire de Montreal, Montreal, Canada
SettingMontreal, Canada (85% of care delivered in fee-for-service ‘private’ manner). 1997
Aims‘To define the notion of loyalty to the attending physician’: to document and compare the vision that patients and physicians in the Montreal region have of loyalty to the regular care provider
Research designFocus groups, conducted in French
SamplingThree patient groups: 23 patients (27–72 years, 16 female) recruited through advertisement (received US$25). Three physician groups: 14 physicians (five women, nine men). Authors ‘strove for a certain level of heterogeneity in terms of age and sex of participants, and practice settings for physicians in each group’. First focus group: ‘physicians who serve in key positions in various medical organisations and are grappling with issues of continuity’. Generated a list of GPs ‘in various practice settings’ for recruitment purposes
Data collectionPre-determined interview plan. Participants were questioned about ‘the different manners in which one could be loyal to a physician, whether or not this behaviour was unequivocal… and the temporal nature of this phenomenon’. Average duration of 1.5 hours
ReflexivityNot discussed
Ethical issuesNot discussed
Data analysisVerbatim transcripts read independently by two researchers to identify emerging themes. Themes pooled at meetings to reach consensus. ‘Validation of these thematic classifications was carried out independently by two of the team members on approximately one-third of all the verbatims.’