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. 2015 Oct 30;16:160. doi: 10.1186/s12875-015-0380-0

Table 1.

Conflicting explanatory models between the sampled doctors and their patients with OAB

Sampled doctors Patients (as perceived by the sampled doctors)
Perception on the patients’ bladder complaints 1. Chronic condition 1. Infection due to rare bacteria
Expectations of treatment 1. Consultation and physical examination alone are considered as treatment
2. Prescribing medication is not necessary
1. Being prescribed with medication is a norm; merely consultation and physical examination are not enough to accomplish a treatment
2. Expect antibiotics in some cases
Expected outcome 1. Limitations to confirm OAB in primary care setting
2. Full recovery as impossible since OAB is a chronic condition
1. Expect definite diagnosis from doctors
2. Expect quick recovery
3. Not aware of the treatment limitations
When failing to experience improvement 1. Patience is required to see the improvement because of the limitations of current treatment
2. Suggest referral
1. Blamed doctors as incapable, deceptive money-making, prolonging treatment with bad intention to extract more money
2. Refuse referral
Communication style 1. Adopted casual communication style to ease patients’ embarrassment 1. Doctors were expected to show sincerity and empathy; casual communication style was perceived as unacceptable
History taking 1. Norm to ask for every possibility 1. Felt offensive when asked about their sexual life and substance abuse habit