[The perceptions of family physicians of the physician-patient relation].
OBJECTIVE
To identify family doctors' (FD) perceptions of the doctor-patient relationship and the factors conditioning those perceptions.


METHODS
A descriptive crossover study. Using the technique of the discussion group, the contributions of FD from both the rural and urban areas were collected. The discussion was taped, transcribed (language and paralanguage) and analysed inductively.


METHODS
Health centres in Navarra.


METHODS
12 urban and 8 rural FD were chosen in order to include those variables (sensitivity to the question, professional field, age, years of experience and gender) which would lead to both a wide-ranging discussion and joint work.


RESULTS
The FD felt they were little valued and had lost responsibilities. Patients were perceived negatively on the whole and doctors' relationship with them was lived as something unsatisfactory and full of obstacles. "Difficult" patients, along with the possibility of committing technical errors, were clearly matters of concern. Although the responsibility of external factors was emphasised, the need to reconsider their own behaviour was recognised, as was the need for special training to improve their relationships with patients.


CONCLUSIONS
The attitudes of FD do not make the construction of positive relationships with patients easy and can lead into a process of serious professional and personal frustration. Neutralising this process, through a series of measures not restricted to training, is a priority in primary care development.
Loayssa Lara
J R
JR
Unidad de Docencia, Formación Continuada e Investigación, Dirección de Atención Primaria, Navarra.
García García
M
M
Gaminde Inda
I
I
Vilches Plaza
C
C
D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000523:psychology*; D012424:Rural Population; D013030:Spain; D014505:Urban Population
Percepciones de los médicos de familia sobre la relación médico-paciente.