Medically unexplained symptoms: perceptions of physicians in primary health care
Source: Family Practice, Volume 21, Number 2, April 2004 , pp. 199-203(5)
Publisher: Oxford University Press
Abstract:Background. Patients presenting with multiple symptoms represent a substantial part of a GP's total work load. At the same time, these patients account for the majority of the people on long-term sick-leave in Sweden today.
Objective. The aim of this study was to explore GPs' perceptions and ways of managing patients with medically unexplained symptoms (MUS).
Methods. Five focus group discussions were conducted with a total of 27 GPs. In the collection and analysis of data, a phenomenographic approach was used.
Results. The GPs described how they used four different approaches to manage patients with MUS: a biomedical, a psychological, an educational and a psychosocial approach. Different approaches were used, depending on the patient and the situation, and the GPs even switched approach when working with the same patient.
Conclusions. In their work with patients with MUS, GPs need support and further training to improve the way the biomedical frame of reference is integrated with the humanistic perspective.
Document Type: Research Article
Publication date: 2004-04-01
- Family Practice is an international journal aimed at practitioners, teachers and researchers in the fields of family medicine, general practice and primary care in both developed and developing countries.