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The shared consultation: A necessity in primary care clinics?

Ian Couper, Jannie Hugo, Andrew Truscott
South African Family Practice | Vol 52, No 3 : May/June| a1439 | DOI: https://doi.org/10.1080/20786204.2010.10873978 | ©
Submitted: 10 September 2009 | Published: 30 June 2010

About the author(s)

Ian Couper, University of the Witwatersrand, South Africa
Jannie Hugo, University of Pretoria, South Africa
Andrew Truscott, University of the Witwatersrand, South Africa

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Abstract

The shared consultation is a concept that differs from shared decision making and shared care. It involves two or more health professionals in the consultation of a patient during the same illness episode. Commonly, the health professionals are a primary-care doctor and a clinical nurse practitioner. On the basis of clinical Experience, a number of models of the relationship in such situations are described, viz the consultant, the master-servant, the teacher-pupil and the teamwork models. Issues of communication within the consultation, the patient as a person, continuity of care, and clarification of roles and responsibilities are Highlighted. More investigation is required to explore this further.

Keywords

consultation; primary health care; patient-centered care; doctor-nurse relations; nurse practitioners

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