[Peak moments in physician-patient consultations in general practice: A qualitative study among primary care physicians in Germany].
Anke Jacobs, Kristina Flägel, Lena Werdecker, Tobias Esch
Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen August 2022 DOI: 10.1016/j.zefq.2022.04.028 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Qualitative study Peer reviewed |
|---|---|
| Sample size | 17 |
| Population | Family practitioners (general practitioners) |
| Keywords | Achtsames zuhören Doctor-patient relationship Mindful listening Peak moments Time Zeit Ärzt*innen-patient*innen-beziehung |
| Key findings | All 17 interviewed family physicians reported that 'peak moments' occur in doctor-patient interactions, arising spontaneously and supported by specific communication strategies and interventions. Physicians agreed these moments led to relaxation and stronger trust in the doctor-patient relationship, and considered them important for trust-building, patients' increased 'self-awareness', and treatment success. |
Abstract
Successful therapy is influenced by successful communication and a relationship built on trust. Physician empathy and listening skills appear particularly relevant. Based on their empirical experience, general practitioners report special moments in their patients during their medical consultations. Abraham Maslow coined the term "peak experience" for these special moments, which are rare and deeply moving. The present study examines "peak moments" in terms of existence, origin, characterization, doctor perception, and the overall effect on the doctor-patient relationship. A qualitative study design was chosen. Interviews with family practitioners were conducted and analyzed using qualitative content analysis by Kuckartz. In order to collect socio-demographic information the participants were asked to complete a short questionnaire. The study participants (n=17) confirmed the existence of peak moments in doctor-patient interactions in their GP practices. These moments came about spontaneously, facilitated by specific communication strategies and intervention measures to support a situation in which peak moments become possible. To bring about a peak moment in patients, specific requirements need to be met on the part of both doctors and patients. Primary care physicians participating agreed that a peak moment led to relaxation and a stronger trust in the relationship between doctor and patient. Family physicians perceive peak moments to be an important element to build trust between themselves and their patients, for the patients' increased "self-awareness", and to improve the chances of treatment success. To enable peak moment conditions for general practitioners, a framework of health policy measures such as education and training is recommended, along with an assessment of the time needed for doctor-patient interactions.