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dc.contributor.authorJohansen, May-Lill
dc.contributor.authorRisør, Mette Bech
dc.date.accessioned2017-03-08T15:59:01Z
dc.date.available2017-03-08T15:59:01Z
dc.date.issued2016-11-21
dc.description.abstractObjective To gain a deeper understanding of challenges faced by GPs when managing patients with MUS. Methods We used meta-ethnography to synthesize qualitative studies on GPs’ perception and management of MUS. Results The problem with MUS for GPs is the epistemological incongruence between dominant disease models and the reality of meeting patients suffering from persistent illness. GPs have used flexible approaches to manage the situation, yet patients and doctors have had parallel negative experiences of being stuck, untrustworthy and helpless. In the face of cognitive incongruence, GPs have strived to achieve relational congruence with their patients. This has led to parallel positive experiences of mutual trust and validation. With more experience, some GPs seem to overcome the incongruences, and later studies point towards a reframing of the MUS problem. Conclusion For GPs, the challenge with MUS is most importantly at an epistemological level. Hence, a full reframing of the problem of MUS for GPs (and for patients) implies broad changes in basic medical knowledge and education. Practice implications Short-term: Improve management of patients with MUS by transferring experience-based, reality-adjusted knowledge from senior GPs to juniors. Long-term: Work towards new models of disease that integrate knowledge from all relevant disciplines.en_US
dc.descriptionAccepted manuscript version. Published version at <a href=http://doi.org/10.1016/j.pec.2016.11.015>http://doi.org/10.1016/j.pec.2016.11.015</a>. License in accordance with the journal's policy – <a href=http://creativecommons.org/licenses/by-nc-nd/4.0/>CC-BY-NC-ND</a>.en_US
dc.identifier.citationJohansen M, Risør MB. What is the problem with medically unexplained symptoms for GPs? A meta-synthesis of qualitative studies . Patient Education and Counseling. 2016en_US
dc.identifier.issn0738-3991
dc.identifier.issn1873-5134
dc.identifier.otherFRIDAID 1405610
dc.identifier.other10.1016/j.pec.2016.11.015
dc.identifier.urihttp://hdl.handle.net/10037/10491
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalPatient Education and Counseling
dc.rights.accessRightsopenAccessen_US
dc.subjectGeneral practiceen_US
dc.subjectMedically unexplained symptomsen_US
dc.subjectQualitativeen_US
dc.subjectSynthesisen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.titleWhat is the problem with medically unexplained symptoms for GPs? A meta-synthesis of qualitative studiesen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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