Table 2.
Influence of power distance within the medical consultation in primary care
| High | Low | References |
|---|---|---|
| Patients look up to the GP. | Patients see themselves as equal to the GP. | [12] |
| Less shared decision making: “Doctor knows best” attitude (Less discussion, information, counselling and negotiation during the consultation). | More shared decision making (more discussions, information, counselling and negotiation in the consultation). | [12, 20, 28] |
| GP cannot acknowledge he is unsure of diagnosis (fear of inspiring less confidence). | GP can acknowledge he is unsure of diagnosis (inspires confidence anyway). | [12] |
| Antibiotic prescription symbolic sign of power and expertise. | Antibiotic has a less symbolic importance. | [12] |