Physician's intention to initiate health check-up discussions with men: A qualitative study

Tong Seng Fah, Wah Yun Low, Shaiful Bahari Ismail, Lyndal Trevena, Simon Willcock

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background:Although prevalent in primary care settings, men's health issues are rarely discussed. Yet, primary care doctors (PCDs) are well positioned to offer health check-ups during consultations. Objectives:This study aims to develop a substantive theory to explain the process of decision making by which PCDs engage men in discussing health check-ups. Methods:Grounded theory method was adopted. Data source was from 14 in-depth interviews and 8 focus group discussions conducted with a semi-structured guide. Interviews were recorded and transcribed verbatim for analysis. Initial open coding captured the concepts of processes from the data, followed by selective and theoretical coding to saturate the core category. Constant comparative method was used throughout the process to allow emergence of the theory. Results:Fifty-two PCDs from private and public settings were interviewed. PCDs engaged male patients in health check-ups when they associated high medical importance with the relevant issues. The decision to engage men also depended on perceived chances of success in negotiations about health check-ups. A high chance of success, associated with minimal negotiation effort, is associated with men being most receptive to health check-ups. When doctors feel the importance of a particular health issue, they place less emphasis on their perceived men's receptivity to discuss that health issue in their intention to engage them in discussing it. Conclusions:Engaging male patients in appropriate health check-up activities requires a series of actions and decisions by the PCDs. The decision to engage the patient depends on the perceived balance between the receptivity of male patients and the medical importance of the issues in mind.

Original languageEnglish
Pages (from-to)307-316
Number of pages10
JournalFamily Practice
Volume28
Issue number3
DOIs
Publication statusPublished - 2011

Fingerprint

Physicians
Primary Health Care
Health
Negotiating
Interviews
Men's Health
Information Storage and Retrieval
Focus Groups
Decision Making
Referral and Consultation

Keywords

  • Decision making
  • Family practice
  • Health assessment
  • Health check-up
  • Men's health
  • Preventive health service

ASJC Scopus subject areas

  • Family Practice

Cite this

Physician's intention to initiate health check-up discussions with men : A qualitative study. / Seng Fah, Tong; Low, Wah Yun; Ismail, Shaiful Bahari; Trevena, Lyndal; Willcock, Simon.

In: Family Practice, Vol. 28, No. 3, 2011, p. 307-316.

Research output: Contribution to journalArticle

Seng Fah, Tong ; Low, Wah Yun ; Ismail, Shaiful Bahari ; Trevena, Lyndal ; Willcock, Simon. / Physician's intention to initiate health check-up discussions with men : A qualitative study. In: Family Practice. 2011 ; Vol. 28, No. 3. pp. 307-316.
@article{c7b991446236423688d4f3d216155b73,
title = "Physician's intention to initiate health check-up discussions with men: A qualitative study",
abstract = "Background:Although prevalent in primary care settings, men's health issues are rarely discussed. Yet, primary care doctors (PCDs) are well positioned to offer health check-ups during consultations. Objectives:This study aims to develop a substantive theory to explain the process of decision making by which PCDs engage men in discussing health check-ups. Methods:Grounded theory method was adopted. Data source was from 14 in-depth interviews and 8 focus group discussions conducted with a semi-structured guide. Interviews were recorded and transcribed verbatim for analysis. Initial open coding captured the concepts of processes from the data, followed by selective and theoretical coding to saturate the core category. Constant comparative method was used throughout the process to allow emergence of the theory. Results:Fifty-two PCDs from private and public settings were interviewed. PCDs engaged male patients in health check-ups when they associated high medical importance with the relevant issues. The decision to engage men also depended on perceived chances of success in negotiations about health check-ups. A high chance of success, associated with minimal negotiation effort, is associated with men being most receptive to health check-ups. When doctors feel the importance of a particular health issue, they place less emphasis on their perceived men's receptivity to discuss that health issue in their intention to engage them in discussing it. Conclusions:Engaging male patients in appropriate health check-up activities requires a series of actions and decisions by the PCDs. The decision to engage the patient depends on the perceived balance between the receptivity of male patients and the medical importance of the issues in mind.",
keywords = "Decision making, Family practice, Health assessment, Health check-up, Men's health, Preventive health service",
author = "{Seng Fah}, Tong and Low, {Wah Yun} and Ismail, {Shaiful Bahari} and Lyndal Trevena and Simon Willcock",
year = "2011",
doi = "10.1093/fampra/cmq101",
language = "English",
volume = "28",
pages = "307--316",
journal = "Family Practice",
issn = "0263-2136",
publisher = "Oxford University Press",
number = "3",

}

TY - JOUR

T1 - Physician's intention to initiate health check-up discussions with men

T2 - A qualitative study

AU - Seng Fah, Tong

AU - Low, Wah Yun

AU - Ismail, Shaiful Bahari

AU - Trevena, Lyndal

AU - Willcock, Simon

PY - 2011

Y1 - 2011

N2 - Background:Although prevalent in primary care settings, men's health issues are rarely discussed. Yet, primary care doctors (PCDs) are well positioned to offer health check-ups during consultations. Objectives:This study aims to develop a substantive theory to explain the process of decision making by which PCDs engage men in discussing health check-ups. Methods:Grounded theory method was adopted. Data source was from 14 in-depth interviews and 8 focus group discussions conducted with a semi-structured guide. Interviews were recorded and transcribed verbatim for analysis. Initial open coding captured the concepts of processes from the data, followed by selective and theoretical coding to saturate the core category. Constant comparative method was used throughout the process to allow emergence of the theory. Results:Fifty-two PCDs from private and public settings were interviewed. PCDs engaged male patients in health check-ups when they associated high medical importance with the relevant issues. The decision to engage men also depended on perceived chances of success in negotiations about health check-ups. A high chance of success, associated with minimal negotiation effort, is associated with men being most receptive to health check-ups. When doctors feel the importance of a particular health issue, they place less emphasis on their perceived men's receptivity to discuss that health issue in their intention to engage them in discussing it. Conclusions:Engaging male patients in appropriate health check-up activities requires a series of actions and decisions by the PCDs. The decision to engage the patient depends on the perceived balance between the receptivity of male patients and the medical importance of the issues in mind.

AB - Background:Although prevalent in primary care settings, men's health issues are rarely discussed. Yet, primary care doctors (PCDs) are well positioned to offer health check-ups during consultations. Objectives:This study aims to develop a substantive theory to explain the process of decision making by which PCDs engage men in discussing health check-ups. Methods:Grounded theory method was adopted. Data source was from 14 in-depth interviews and 8 focus group discussions conducted with a semi-structured guide. Interviews were recorded and transcribed verbatim for analysis. Initial open coding captured the concepts of processes from the data, followed by selective and theoretical coding to saturate the core category. Constant comparative method was used throughout the process to allow emergence of the theory. Results:Fifty-two PCDs from private and public settings were interviewed. PCDs engaged male patients in health check-ups when they associated high medical importance with the relevant issues. The decision to engage men also depended on perceived chances of success in negotiations about health check-ups. A high chance of success, associated with minimal negotiation effort, is associated with men being most receptive to health check-ups. When doctors feel the importance of a particular health issue, they place less emphasis on their perceived men's receptivity to discuss that health issue in their intention to engage them in discussing it. Conclusions:Engaging male patients in appropriate health check-up activities requires a series of actions and decisions by the PCDs. The decision to engage the patient depends on the perceived balance between the receptivity of male patients and the medical importance of the issues in mind.

KW - Decision making

KW - Family practice

KW - Health assessment

KW - Health check-up

KW - Men's health

KW - Preventive health service

UR - http://www.scopus.com/inward/record.url?scp=79957438740&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79957438740&partnerID=8YFLogxK

U2 - 10.1093/fampra/cmq101

DO - 10.1093/fampra/cmq101

M3 - Article

C2 - 21115986

AN - SCOPUS:79957438740

VL - 28

SP - 307

EP - 316

JO - Family Practice

JF - Family Practice

SN - 0263-2136

IS - 3

ER -