title: Patient-physician interaction in general practice and health inequalities in a multidisciplinary study: design, methods and feasibility in the French INTERMEDE study.
abstract: BACKGROUND
  The way in which patients and their doctors interact is a potentially important factor in optimal communication during consultations as well as treatment, compliance and follow-up care. The aim of this multidisciplinary study is to use both qualitative and quantitative methods to explore the 'black box' that is the interaction between the two parties during a general practice consultation, and to identify factors therein that may contribute to producing health inequalities. This paper outlines the original multidisciplinary methodology used, and the feasibility of this type of study.
  
  
  METHODS
  The study design combines methodologies on two separate samples in two phases. Firstly, a qualitative phase collected ethnographical and sociological data during consultation, followed by in-depth interviews with both patients and doctors independently. Secondly, a quantitative phase on a different sample of patients and physicians collected data via several questionnaires given to patients and doctors consisting of specific 'mirrored' questions asked post-consultation, as well as collecting information on patient and physician characteristics.
  
  
  CONCLUSIONS
  The design and methodology used in this study were both successfully implemented, and readily accepted by doctors and patients alike. This type of multidisciplinary study shows great potential in providing further knowledge into the role of patient/physician interaction and its influence on maintaining or producing health inequalities. The next challenge in this study will be implementing the multidisciplinary approach during the data analysis.
authors.affiliation: UMR INSERM 558 Epidémiologie et analyses en santé publique, Faculté de medicine, F-31073 Toulouse, France. kelly@cict.fr
authors.forename: Michelle
authors.initials: M
authors.lastname: Kelly-Irving
authors.forename: Christine
authors.initials: C
authors.lastname: Rolland
authors.forename: Anissa
authors.initials: A
authors.lastname: Afrite
authors.forename: Chantal
authors.initials: C
authors.lastname: Cases
authors.forename: Paul
authors.initials: P
authors.lastname: Dourgnon
authors.forename: Pierre
authors.initials: P
authors.lastname: Lombrail
authors.forename: Jean
authors.initials: J
authors.lastname: Pascal
authors.forename: Thierry
authors.initials: T
authors.lastname: Lang
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005194:Family Practice; D005260:Female; D005602:France; D054625:Healthcare Disparities; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D010817:Physician-Patient Relations; D012107:Research Design; D011795:Surveys and Questionnaires