Developing and maintaining patients' trust during general practice consultations: the case of smoking cessation advice.

摘要

OBJECTIVE: The aim of this paper is to describe how the process of developing and maintaining trust is related to how and if smoking cessation advice is given in general practice consultations. METHODS: The study consisted of interviews with six Danish GPs and with 11 of their patients, on the basis of observations of their consultations. RESULTS: According to the findings of this study, both the GPs and the patients expected GPs to demonstrate in interaction with the patients their intent to evaluate and possibly resolve the patient's health problem. The GPs were also expected to show that they recognized the patient's health problem. Both GPs and patients felt that this would help to develop patients' trust in their GPs. Smoking cessation advice during consultations could negate these demonstrations of GPs intents. Smoking cessation advice, however, could demonstrate interest and a desire to help and so develop trust. CONCLUSION: Smoking cessation advice has the potential both to put trust under strain and to strengthen trust. The outcome depends on whether the advice conforms to what both patients and GPs expect from the interaction in general practice consultations. PRACTICE IMPLICATIONS: To develop and maintain patients' trust GPs should consider the specific expectations from the interaction with patients during consultations when giving smoking cessation advice.