Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29720093
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMC+Fam+Pract
2018 ; 19
(1
): 50
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
How general practitioners understand and handle medically unexplained symptoms: a
focus group study
#MMPMID29720093
Rasmussen EB
; Rø KI
BMC Fam Pract
2018[May]; 19
(1
): 50
PMID29720093
show ga
BACKGROUND: Medically unexplained symptoms (MUS) are a common yet challenging
encounter in primary care. The aim of this study was to explore how general
practitioners (GPs) understand and handle MUS. METHODS: Three focus group
interviews were conducted with a total of 23 GPs. Participants with varied
clinical experience were purposively recruited. The data were analysed
thematically, using the concept of framing as an analytical lens. RESULTS: The
GPs alternated between a biomedical frame, centred on disease, and a
biopsychosocial frame, centred on the sick person. Each frame shaped the GPs'
understanding and handling of MUS. The biomedical frame emphasised the lack of
objective evidence, problematized subjective patient testimony, and manifested
feelings of uncertainty, doubt and powerlessness. This in turn complicated
patient handling. In contrast, the biopsychosocial frame emphasised clinical
experience, turned patient testimony into a valuable source of information, and
manifested feelings of confidence and competence. This in turn made them feel
empowered. The GPs with the least experience relied more on the biomedical frame,
whereas their more seasoned seniors relied mostly on the biopsychosocial frame.
CONCLUSION: The biopsychosocial frame helps GPs to understand and handle MUS
better than the biomedical frame does. Medical students should spend more time
learning biopsychosocial medicine, and to integrate the clinical knowledge of
their peers with their own.