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The Journal of the Royal College of General Practitioners logoLink to The Journal of the Royal College of General Practitioners
. 1989 Sep;39(326):383–386.

The exceptional potential of the consultation revisited.

J F Middleton
PMCID: PMC1711878  PMID: 2558190

Abstract

A new framework is proposed for analysing the consultation in primary care, and for integrating other models relevant to the consultation. Use of communication skills helps to reconcile the respective agendas of doctor and patient into a negotiated plan, which includes both management of problems and health promotion. Achieving the potential of consultations depends on cooperation between patient and doctor, and on sufficient time for appointments.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Becker M. H., Drachman R. H., Kirscht J. P. A new approach to explaining sick-role behavior in low-income populations. Am J Public Health. 1974 Mar;64(3):205–216. doi: 10.2105/ajph.64.3.205. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bird A., Cobb J., Walji M. T. Increasing patient participation using an extended consultation: an inner city study. J R Coll Gen Pract. 1988 May;38(310):212–214. [PMC free article] [PubMed] [Google Scholar]
  3. Eysenck H. J. Personality, stress and cancer: prediction and prophylaxis. Br J Med Psychol. 1988 Mar;61(Pt 1):57–75. doi: 10.1111/j.2044-8341.1988.tb02765.x. [DOI] [PubMed] [Google Scholar]
  4. Gillam S. J. Sociocultural differences in patients' expectations at consultations for upper respiratory tract infection. J R Coll Gen Pract. 1987 May;37(298):205–206. [PMC free article] [PubMed] [Google Scholar]
  5. Hannay D. R. The 'iceberg' of illness and 'trivial' consultations. J R Coll Gen Pract. 1980 Sep;30(218):551–554. [PMC free article] [PubMed] [Google Scholar]
  6. Helman C. G. Disease versus illness in general practice. J R Coll Gen Pract. 1981 Sep;31(230):548–552. [PMC free article] [PubMed] [Google Scholar]
  7. Jewell D. I do not love thee Mr Fell.... BMJ. 1988 Aug 20;297(6647):498–499. doi: 10.1136/bmj.297.6647.498. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Lowenthal L., Bingham E. Length of consultation: how well do patient's choose? J R Coll Gen Pract. 1987 Nov;37(304):498–499. [PMC free article] [PubMed] [Google Scholar]
  9. Pill R., Stott N. C. Development of a measure of potential health behaviour: a salience of lifestyle index. Soc Sci Med. 1987;24(2):125–134. doi: 10.1016/0277-9536(87)90245-0. [DOI] [PubMed] [Google Scholar]
  10. Pringle M., Robins S., Brown G. Computer assisted screening: effect on the patient and his consultation. Br Med J (Clin Res Ed) 1985 Jun 8;290(6483):1709–1712. doi: 10.1136/bmj.290.6483.1709. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Roland M. O., Bartholomew J., Courtenay M. J., Morris R. W., Morrell D. C. The "five minute" consultation: effect of time constraint on verbal communication. Br Med J (Clin Res Ed) 1986 Mar 29;292(6524):874–876. doi: 10.1136/bmj.292.6524.874. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Stewart M. A., McWhinney I. R., Buck C. W. How illness presents: a study of patient behavior. J Fam Pract. 1975 Dec;2(6):411–414. [PubMed] [Google Scholar]
  13. Stott N. C., Davis R. H. The exceptional potential in each primary care consultation. J R Coll Gen Pract. 1979 Apr;29(201):201–205. [PMC free article] [PubMed] [Google Scholar]
  14. Treadway J. Patient satisfaction and the content of general practice consultations. J R Coll Gen Pract. 1983 Dec;33(257):769–771. [PMC free article] [PubMed] [Google Scholar]

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