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Putting prevention into practice (Green Book)

GP strategies and tools to support partnerships

A number of strategies can be used to increase patient involvement in their own health care during the consultation. These include:

  • good communication, motivation and motivational interviewing
  • identifying and dealing with resistance and nonadherence from the patient
  • use of decision aids to facilitate patient adherence.

Good partnerships are antithetical to a victim blaming approach. The latter is characterised by the patient being made aware that the health problem is 'their problem' and believing that it is the patient’s fault for their predicament rather than a combination of factors that include the patient and their environment and circumstances. A number of factors contribute significantly to the building of effective doctor-patient partnerships.154,155 These include:

  • responding to affective cues
  • being empathetic
  • providing ongoing support
  • ensuring open and clear communication.

These activities also contribute to the development of trust, which also contributes to greater patient satisfaction and adherence. Good communication between a GP, PN, health care provider and the patient is known to strengthen the relationship between the two and hence has benefits for the both the practitioner and the patient.