Patients’ gut feelings seem useful in primary care professionals’ decision making

Friday, July 22nd, 2022

Abstract Background Family physicians’ diagnostic gut feelings have proved to be valuable. But what about patients’ gut feelings? Research has shown that patients’ gut feelings may contribute to their physicians’ clinical reasoning. Dutch medical tribunals consider patients’ worry useful for doctors’ diagnostic process. However, how general practitioners and other primary care professionals recognize gut feelings… read more

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Gut feelings in the diagnostic process of Spanish Family Physicians

Wednesday, June 1st, 2022

Bernardino Oliva Fanlo will defend his PhD at the Universitat de les Iles Balears (La Palma, Mallorca, Spain) (3-th Juni 2022) Thesis Bernardino Oliva Fanlo

Posted in Publications

Prospective Observational Study on the Prevalence and Diagnostic Value of General Practitioners’ Gut Feelings for Cancer and Serious Diseases

Friday, January 28th, 2022

Abstract Background General practitioners (GPs) have recognized the presence of gut feelings in their diagnostic process. However, little is known about the frequency or determinants of gut feelings or the diagnostic value of gut feelings for cancer and other serious diseases. Objective To assess the prevalence of gut feelings in general practice, examine their determinants… read more

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Child Abuse: how to detect and how to collaborate, a Dutch language interview with two GPs

Friday, January 14th, 2022

De Augeo magazine special voor de huisartsenzorg ‘Kindermishandeling; zo signaleer je en werk je samen’ staat online (link).

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General practitioners’ recognition and management of child abuse: what is going well and what could be improved?

Thursday, November 18th, 2021

In the Netherlands, child abuse affects about 100.000 children resulting in at least 17 child fatalities a year. General practitioners’ (GPs) health care position is of vital importance for recognising and managing child abuse. In this Clinical Lesson, using three illustrating cases, we discuss how GPs’ suspicion of child abuse may arise including the role… read more

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Building the case for the use of gut-feelings in cancer referrals: perspectives of patients referred to a non-specific symptoms pathway

Friday, October 15th, 2021

Abstract Background: Gut-feelings may be useful when dealing with uncertainty that is ubiquitous in primary care. Both patients and GPs experience this uncertainty but patients’ views on gut-feelings in the consultation have not been explored. Aim: To explore patients’ perceptions of gut-feelings in decision-making, and compare these perceptions to those of GPs. Design and setting:… read more

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Cultivating Doctors’ Gut Feeling: Experience, Temporality and Politics of Gut Feelings in Family Medicine

Tuesday, October 5th, 2021

Abstract For the past decade, within family medicine there has been a focus on cultivating doctors gut feelings as ‘a way of knowing’ in cancer diagnostics. In this paper, building on interviews with family doctors in Oxford shire, UK we explore the embodied and temporal dimensions of clinical reasoning and how the cultivation of doctors’… read more

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GPs’ use of gut feelings when assessing cancer risk: a qualitative study in UK primary care

Thursday, April 22nd, 2021

Background The use of gut feelings to guide clinical decision making in primary care has been frequently described but is not considered a legitimate reason for cancer referral. Aim To explore the role that gut feeling plays in clinical decision making in primary care. Design and setting Qualitative interview study with 19 GPs in Oxfordshire, UK. Method GPs who… read more

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Understanding the role of GPs’ gut feelings in diagnosing cancer in primary care: a systematic review and meta-analysis of existing evidence

Thursday, April 22nd, 2021

Background Growing evidence for the role of GPs’ gut feelings in cancer diagnosis raises questions about their origin and role in clinical practice. Aim To explore the origins of GPs’ gut feelings for cancer, their use, and their diagnostic utility. Design and setting Systematic review and meta-analysis of international research on GPs’ gut feelings in… read more

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Embracing complexity with systems thinking in general practitioners’ clinical reasoning helps handling uncertainty

Thursday, February 18th, 2021

Clinical reasoning in general practice is increasingly challenging because of the rise in the number of patients with multimorbidity. This creates uncertainty because of unpredictable interactions between the symptoms from multiple medical problems and the patient’s personality, psychosocial context and life history. Case analysis may then be more appropriately managed by systems thinking than by… read more

Posted in Publications, Resources