TY - JOUR

T1 - Smoking cessation advice in consultations with health problems not related to smoking?

T2 - Relevance criteria in Danish general practice consultations

AU - Guassora, Ann Dorrit Kristiane

AU - Baarts, Charlotte

PY - 2010

Y1 - 2010

N2 - Objective. To identify frames of interaction that allow smoking cessation advice in general practice consultations. Design .Qualitative study based on individual in-depth interviews with GPs and their patients. Each of the GPs’ consultations wereobserved during a three-day period. Interviews primarily addressed the consultations that had been observed. The conceptof “ frames ” described by Goffman was deployed as an analytic tool. Setting . Danish general practice. Subjects. Six GPs and11 of their patients. Results . Both GPs and patients evaluated potential issues to be included during consultations by relevancecriteria. Relevance criteria served the purpose of limiting the number of issues in individual consultations. Issuescould be included if they connected to something already communicated in a consultation. Smoking cessation advice wassubject to these relevance criteria and was primarily discussed if it posed a particular risk to a particular patient. Smokingcessation advice also occurred in conversations addressing the patient ’ s well-being. If occurring without any other readableframe, smoking cessation advice was apt to be perceived by patients as part of a public campaign. Conclusions . Relevancecriteria in the shape of communication of particular risks to particular patients and small-talk about well-being refl ect theconcept of “ frames ” by Goffman. Criteria of relevance limit the number of issues in individual consultations. Relevancecriteria may explain why smoking cessation advice has not yet been implemented in many more consultations.

AB - Objective. To identify frames of interaction that allow smoking cessation advice in general practice consultations. Design .Qualitative study based on individual in-depth interviews with GPs and their patients. Each of the GPs’ consultations wereobserved during a three-day period. Interviews primarily addressed the consultations that had been observed. The conceptof “ frames ” described by Goffman was deployed as an analytic tool. Setting . Danish general practice. Subjects. Six GPs and11 of their patients. Results . Both GPs and patients evaluated potential issues to be included during consultations by relevancecriteria. Relevance criteria served the purpose of limiting the number of issues in individual consultations. Issuescould be included if they connected to something already communicated in a consultation. Smoking cessation advice wassubject to these relevance criteria and was primarily discussed if it posed a particular risk to a particular patient. Smokingcessation advice also occurred in conversations addressing the patient ’ s well-being. If occurring without any other readableframe, smoking cessation advice was apt to be perceived by patients as part of a public campaign. Conclusions . Relevancecriteria in the shape of communication of particular risks to particular patients and small-talk about well-being refl ect theconcept of “ frames ” by Goffman. Criteria of relevance limit the number of issues in individual consultations. Relevancecriteria may explain why smoking cessation advice has not yet been implemented in many more consultations.

U2 - 10.3109/02813432.2010.506805

DO - 10.3109/02813432.2010.506805

M3 - Journal article

C2 - 20704522

VL - 28

SP - 221

EP - 228

JO - Scandinavian Journal of Primary Health Care

JF - Scandinavian Journal of Primary Health Care

SN - 0281-3432

IS - 4

ER -