“Careful Assessment” tool, based on the “P-P-P model” (18)_
| CAREFUL ASSESSMENT OF THE SITUATION (active listening as part of the careful assessment): |
|---|
| THERAPEUTIC EFFECT -> possible change in patient beliefs -> better understanding of the patient’s own condition (e.g. pain, fears). |
| THERAPEUTIC GOAL: decreasing the power of predisposing factors, limiting precipitating factors, controlling perpetuating factors |
| PREDISPOSING FACTORS |
| chronic childhood medical illnesses |
| childhood maltreatment |
| low resilience – childhood deprivation |
| low social support |
| PRECIPITATING FACTORS |
| psychiatric disorders (depression, anxiety, panic… ) |
| social, financial, or occupational stress |
| changes in social support |
| change in routine |
| PERPETUATING FACTORS decreased physical activity |
| weight gain |
| social isolation |
| decreased self-confidence |
Participant information_
| Gender | Number of GPs (N=184) | Percentage (%) |
| Male | 55 | 29.8 |
| Female | 112 | 60.9 |
| No data | 17 | 9.3 |
| Infirmary location | ||
| City | 49 | 26.6 |
| Town | 74 | 40.2 |
| Countryside | 31 | 16.8 |
| No data | 30 | 16.4 |
| Employment | ||
| Public institution | 140 | 76.0 |
| Private institution | 3 | 1.6 |
| Concession | 33 | 17.9 |
| No data | 8 | 4.5 |
| Years of service in family medicine | ||
| Maximum | 8 | |
| Minimum | 2 | |
| Average | 3.3 |
“Feedback on Careful Assessment Use” questionnaire_
| 1. Did you gain anything in this clinical case (you as a young professional) using the Careful Assessment tool? |
| Please describe it: |
| 2. Did you learn anything from using the Careful Assessment tool in this clinical case? |
| If YES, what? Please describe it: |
| If NO, how do you explain this? Why not? Please describe it: |
| 3. How useful was the “Careful Assessment” tool in this clinical case? |
| 4. How did the patient respond to your treatment in this clinical case? |
| 5. Do you estimate that you have improved the treatment of your patient in this clinical case? |
| If YES, please describe it: |
| If NO, how do you explain this? Why not? Please describe it: |