Gut feelings in the diagnostic process of Spanish GPs: a focus group study

Objectives: The gut feelings of doctors can act as triggers and modulators of the diagnostic process. This study explored the existence, significance, determinants and triggers of gut feelings among Spanish general practitioners. Design: Qualitative study using focus groups. Thematic content analysi...

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Detalles Bibliográficos
Autores: Oliva-Fanlo, Bernardino, March, Sebastia, Gadea-Ruiz, Cristina, Stolper, Erik, Esteva, Magdalena
Tipo de recurso: artículo
Fecha de publicación:2016
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/20236
Acceso en línea:http://hdl.handle.net/20.500.12105/20236
Access Level:acceso abierto
Palabra clave:Medicina Familiar y Comunitaria
Femenino
Actitud del Personal de Salud
Masculino
Competencia Clínica
Humanos
Persona de Mediana Edad
Investigación Cualitativa
Toma de Decisiones
Adulto
Grupos Focales
España
Médicos Generales
Focus Groups
Decision Making
Spain
Adult
Humans
Clinical Competence
Middle Aged
Male
General Practitioners
Attitude of Health Personnel
Family Practice
Female
Qualitative Research
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oai_identifier_str oai:repisalud.isciii.es:20.500.12105/20236
network_acronym_str ES
network_name_str España
repository_id_str
spelling Gut feelings in the diagnostic process of Spanish GPs: a focus group studyOliva-Fanlo, BernardinoMarch, SebastiaGadea-Ruiz, CristinaStolper, ErikEsteva, MagdalenaMedicina Familiar y ComunitariaFemeninoActitud del Personal de SaludMasculinoCompetencia ClínicaHumanosPersona de Mediana EdadInvestigación CualitativaToma de DecisionesAdultoGrupos FocalesEspañaMédicos GeneralesFocus GroupsDecision MakingSpainAdultHumansClinical CompetenceMiddle AgedMaleGeneral PractitionersAttitude of Health PersonnelFamily PracticeFemaleQualitative ResearchObjectives: The gut feelings of doctors can act as triggers and modulators of the diagnostic process. This study explored the existence, significance, determinants and triggers of gut feelings among Spanish general practitioners. Design: Qualitative study using focus groups. Thematic content analysis. Setting: Primary healthcare centres in Majorca (Spain). Participants: 20 purposively sampled general practitioners working in Majorca. Results: General practitioners were aware of the existence of gut feelings in their diagnostic reasoning process and recognised 2 kinds of gut feelings: a sense of alarm and a sense of reassurance. A previous physician-patient relationship and the physician's experience had a strong perceived influence on the appearance of gut feelings. The physicians attached great significance to gut feelings, and considered them as a characteristic of the primary care working style and as a tool available in their diagnostic process. The physicians thought that the notion of gut feelings and their relevance can be transmitted to students and trainees. They tended to follow their gut feelings, although they were not sure of their accuracy. Conclusions: Spanish general practitioners in our study recognise the presence and role of gut feelings in their diagnostic reasoning process. Future research should examine the diagnostic accuracy of gut feelings and how to teach about gut feelings in the training of general practitioners.BMJ Publishing Group20242024-07-0920162016-01-0120162016-01-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articlehttp://hdl.handle.net/20.500.12105/20236reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/202362026-06-12T12:43:37Z
dc.title.none.fl_str_mv Gut feelings in the diagnostic process of Spanish GPs: a focus group study
title Gut feelings in the diagnostic process of Spanish GPs: a focus group study
spellingShingle Gut feelings in the diagnostic process of Spanish GPs: a focus group study
Oliva-Fanlo, Bernardino
Medicina Familiar y Comunitaria
Femenino
Actitud del Personal de Salud
Masculino
Competencia Clínica
Humanos
Persona de Mediana Edad
Investigación Cualitativa
Toma de Decisiones
Adulto
Grupos Focales
España
Médicos Generales
Focus Groups
Decision Making
Spain
Adult
Humans
Clinical Competence
Middle Aged
Male
General Practitioners
Attitude of Health Personnel
Family Practice
Female
Qualitative Research
title_short Gut feelings in the diagnostic process of Spanish GPs: a focus group study
title_full Gut feelings in the diagnostic process of Spanish GPs: a focus group study
title_fullStr Gut feelings in the diagnostic process of Spanish GPs: a focus group study
title_full_unstemmed Gut feelings in the diagnostic process of Spanish GPs: a focus group study
title_sort Gut feelings in the diagnostic process of Spanish GPs: a focus group study
dc.creator.none.fl_str_mv Oliva-Fanlo, Bernardino
March, Sebastia
Gadea-Ruiz, Cristina
Stolper, Erik
Esteva, Magdalena
author Oliva-Fanlo, Bernardino
author_facet Oliva-Fanlo, Bernardino
March, Sebastia
Gadea-Ruiz, Cristina
Stolper, Erik
Esteva, Magdalena
author_role author
author2 March, Sebastia
Gadea-Ruiz, Cristina
Stolper, Erik
Esteva, Magdalena
author2_role author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Medicina Familiar y Comunitaria
Femenino
Actitud del Personal de Salud
Masculino
Competencia Clínica
Humanos
Persona de Mediana Edad
Investigación Cualitativa
Toma de Decisiones
Adulto
Grupos Focales
España
Médicos Generales
Focus Groups
Decision Making
Spain
Adult
Humans
Clinical Competence
Middle Aged
Male
General Practitioners
Attitude of Health Personnel
Family Practice
Female
Qualitative Research
topic Medicina Familiar y Comunitaria
Femenino
Actitud del Personal de Salud
Masculino
Competencia Clínica
Humanos
Persona de Mediana Edad
Investigación Cualitativa
Toma de Decisiones
Adulto
Grupos Focales
España
Médicos Generales
Focus Groups
Decision Making
Spain
Adult
Humans
Clinical Competence
Middle Aged
Male
General Practitioners
Attitude of Health Personnel
Family Practice
Female
Qualitative Research
description Objectives: The gut feelings of doctors can act as triggers and modulators of the diagnostic process. This study explored the existence, significance, determinants and triggers of gut feelings among Spanish general practitioners. Design: Qualitative study using focus groups. Thematic content analysis. Setting: Primary healthcare centres in Majorca (Spain). Participants: 20 purposively sampled general practitioners working in Majorca. Results: General practitioners were aware of the existence of gut feelings in their diagnostic reasoning process and recognised 2 kinds of gut feelings: a sense of alarm and a sense of reassurance. A previous physician-patient relationship and the physician's experience had a strong perceived influence on the appearance of gut feelings. The physicians attached great significance to gut feelings, and considered them as a characteristic of the primary care working style and as a tool available in their diagnostic process. The physicians thought that the notion of gut feelings and their relevance can be transmitted to students and trainees. They tended to follow their gut feelings, although they were not sure of their accuracy. Conclusions: Spanish general practitioners in our study recognise the presence and role of gut feelings in their diagnostic reasoning process. Future research should examine the diagnostic accuracy of gut feelings and how to teach about gut feelings in the training of general practitioners.
publishDate 2016
dc.date.none.fl_str_mv 2016
2016-01-01
2016
2016-01-01
2024
2024-07-09
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/20236
url http://hdl.handle.net/20.500.12105/20236
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869406066400296960
score 15,812455

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