Abstract
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 were
observed during a three-day period. Interviews primarily addressed the consultations that had been observed. The concept
of “ frames ” described by Goffman was deployed as an analytic tool. Setting . Danish general practice. Subjects. Six GPs and
11 of their patients. Results . Both GPs and patients evaluated potential issues to be included during consultations by relevance
criteria. Relevance criteria served the purpose of limiting the number of issues in individual consultations. Issues
could be included if they connected to something already communicated in a consultation. Smoking cessation advice was
subject to these relevance criteria and was primarily discussed if it posed a particular risk to a particular patient. Smoking
cessation advice also occurred in conversations addressing the patient ’ s well-being. If occurring without any other readable
frame, smoking cessation advice was apt to be perceived by patients as part of a public campaign. Conclusions . Relevance
criteria in the shape of communication of particular risks to particular patients and small-talk about well-being refl ect the
concept of “ frames ” by Goffman. Criteria of relevance limit the number of issues in individual consultations. Relevance
criteria may explain why smoking cessation advice has not yet been implemented in many more consultations.
Qualitative study based on individual in-depth interviews with GPs and their patients. Each of the GPs’ consultations were
observed during a three-day period. Interviews primarily addressed the consultations that had been observed. The concept
of “ frames ” described by Goffman was deployed as an analytic tool. Setting . Danish general practice. Subjects. Six GPs and
11 of their patients. Results . Both GPs and patients evaluated potential issues to be included during consultations by relevance
criteria. Relevance criteria served the purpose of limiting the number of issues in individual consultations. Issues
could be included if they connected to something already communicated in a consultation. Smoking cessation advice was
subject to these relevance criteria and was primarily discussed if it posed a particular risk to a particular patient. Smoking
cessation advice also occurred in conversations addressing the patient ’ s well-being. If occurring without any other readable
frame, smoking cessation advice was apt to be perceived by patients as part of a public campaign. Conclusions . Relevance
criteria in the shape of communication of particular risks to particular patients and small-talk about well-being refl ect the
concept of “ frames ” by Goffman. Criteria of relevance limit the number of issues in individual consultations. Relevance
criteria may explain why smoking cessation advice has not yet been implemented in many more consultations.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Scandinavian Journal of Primary Health Care |
| Vol/bind | 28 |
| Udgave nummer | 4 |
| Sider (fra-til) | 221-228 |
| Antal sider | 8 |
| ISSN | 0281-3432 |
| DOI | |
| Status | Udgivet - dec. 2010 |