Line R Knudsen, Mwidimi Ndosi, Ellen-Margrethe Hauge, Kirsten Lomborg, Lene Dreyer, Sidsel Aaboe, Marie B Kjær, Lis Sørensen, Lena Volsmann, Heidi M Christensen, Annette de Thurah
Effectiveness of a novel digital patient education programme to support self-management of early rheumatoid arthritis: a randomised controlled trial
Rheumatology (Oxford, England)
clinical reasoning important aspect making diagnosis providing patient care sexual dysfunction result cardiovascular neurological complications patients chronic illness patient raise sexual challenge doctor know possibility one exists enquire aim research study assess doctors clinical decisionmaking process regards risk sexual dysfunction management patients chronic illness primary care facilities north west province based two hypothetical patient scenarios research study carried 10 primary care facilities dr kenneth kaunda health district north west province rural health district vignette study using two hypothetical patient scenarios formed part broader grounded theory study determine whether sexual dysfunction comorbidity formed part doctors clinical reasoning decisionmaking coding answers quantitative content analysis performed questions answers compared standard answers reference group one doctors 5 considered sexual dysfunction failed follow without considering exploration investigations management scenario female patient diabetes reference group considered cervical health questions p 0001 compliance questions p 0004 standard enquiries doctors north west province failed consider scenario male patient hypertension exsmoker reference group differed significantly expecting screening mental health vision p 0001 well hiv p 0001 participating doctors meet expectations reference group good clinical reasoning decisionmaking based knowledge intuition experience also based awareness human wellbeing complex multidimensional include sexual wellbeing