RT Journal Article
SR Electronic
T1 Primary Care Physicians’ Responses to Treatment Burden in People With Type 2 Diabetes: A Qualitative Video Analysis in China
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 52
OP 59
DO 10.1370/afm.240171
VO 23
IS 1
A1 Lin, Kai
A1 Yao, Mi
A1 Andrew, Lesley
A1 Lin, Runqi
A1 Li, Rouyan
A1 Chen, Yilin
A1 Ji, Xinxin
A1 Oosthuizen, Jacques
A1 Sim, Moira
A1 Chen, Yongsong
YR 2025
UL http://www.annfammed.org/content/23/1/52.abstract
AB PURPOSE This study aimed to examine the approaches general practitioners (GPs) use to respond to the treatment burden faced by people with type 2 diabetes.METHODS We retrospectively analyzed 29 videos of GP-patient consultations in an academic general practice clinic in China. Thematic analysis and a framework matrix approach were used to identify patterns in GPs’ responses to the identified issues.RESULTS The median length of the 29 video-recorded consultations was 23 minutes 54 seconds. We identified 77 segments focusing on discussions about treatment burden. In 37.7% of these segments, the GP elicited and responded to discussions about treatment burden, whereas in 23.4%, the patient initiated the discussion and the GP responded to it, leaving 39.0% in which the patient initiated the discussion but the GP did not respond. In thematic analysis, medication was the component of treatment burden most frequently identified by both patients and GPs, followed by personal resources, medical information, and administrative burden. General practitioners used 12 response approaches to address patients’ treatment burden. The most frequently used included active listening and nonverbal skills, shared decision making, and confidence and self-efficacy support, which were broadly applied across various issues. In contrast, GPs typically reserved health record management, motivational interviewing, and awareness of the patient’s background for specific issues.CONCLUSIONS In clinical encounters, GPs used a wide variety of approaches to respond to different aspects of the treatment burden of type 2 diabetes. Our findings emphasize the need to improve GPs’ response strategies through increased responsiveness and more rapid surfacing of issues during visits.