ABSTRACT
This chapter explores the essence of the general practitioner (GP)-patient encounter by looking at what is actually being communicated in the consulting room. In terms of conversational input of GP and patient, the average GP-patient encounter appears quite equal. A more detailed analysis shows GPs taking the lead, by giving instructions and asking questions more often, and paying relatively little attention to psychosocial issues. Various societal developments have taken place, which have contributed to a changing role of GPs and their patients. These developments include the epidemiological shift from acute to chronic illnesses; the change from illness-focused to patient-focused communication; the increased accessibility of information and a more equitable doctor-patient relationship. The verbal communication was rated using the Roter Interaction Analysis System. This system distinguishes affect-oriented, task-oriented and process-oriented doctor-patient communication. GP-patient communication is balanced in terms of their respective input.
