Primary care physicians' responses to treatment burden in people with type 2 diabetes: A qualitative video analysis in China

Document Type

Journal Article

Publication Title

Annals of Family Medicine

Volume

23

Issue

1

First Page

52

Last Page

59

PubMed ID

39805691

Publisher

Annals of Family Medicine, Inc.

School

School of Medical and Health Sciences / School of Nursing and Midwifery

Funders

Guangdong Basic and Applied Basic Research Foundation (2023A1515010358) / Special Funds for Science and Technology of Guangdong Province (210713116871875, STKJ2023007, 210715106900989) / Medical Science and Technology Research Fund Project of Guangdong Province (A2023422) / Education Science Research Programme (Special for Higher Education) of Guangdong Province (2022GXJK195) / Special Funds for Innovation Strategy of Science and Education in Guangdong Province (2018 to 157)

Comments

Lin, K., Yao, M., Andrew, L., Lin, R., Li, R., Chen, Y., ... & Chen, Y. (2025). Primary care physicians’ responses to treatment burden in people with type 2 diabetes: A qualitative video analysis in China. The Annals of Family Medicine, 23(1), 52-59. https://doi.org/10.1370/afm.240171

Abstract

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.

DOI

10.1370/afm.240171

Access Rights

free_to_read

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