title: Family physician enabling attitudes: a qualitative study of patient perceptions.
abstract: BACKGROUND
  Family physicians frequently interact with people affected by chronic diseases, placing them in a privileged position to enable patients to gain control over and improve their health. Soliciting patients' perceptions about how their family physician can help them in this process is an essential step to promoting enabling attitudes among these health professionals. In this study, we aimed to identify family physician enabling attitudes and behaviours from the perspective of patients with chronic diseases.
  
  
  METHODS
  We conducted a descriptive qualitative study with 30 patients, 35 to 75 years of age presenting at least one common chronic disease, recruited in primary care clinics in two regions of Quebec, Canada. Data were collected through in-depth interviews and were analyzed using thematic analysis.
  
  
  RESULTS
  Family physician involvement in a partnership was perceived by participants as the main attribute of enablement. Promoting patient interests in the health care system was also important. Participants considered that having their situation taken into account maximized the impact of their physician's interventions and allowed the legitimization of their feelings. They found their family physician to be in a good position to acknowledge and promote their expertise, and to help them maintain hope.
  
  
  CONCLUSIONS
  From the patient's perspective, their partnership with their family physician is the most important aspect of enablement.
authors.affiliation: Département de médecine de famille et de médecine d'urgence, Université de Sherbrooke, Québec, Canada. catherine.hudon@usherbrooke.ca
authors.forename: Catherine
authors.initials: C
authors.lastname: Hudon
authors.forename: Denise
authors.initials: D
authors.lastname: St-Cyr Tribble
authors.forename: Gina
authors.initials: G
authors.lastname: Bravo
authors.forename: William
authors.initials: W
authors.lastname: Hogg
authors.forename: Mireille
authors.initials: M
authors.lastname: Lambert
authors.forename: Marie-Eve
authors.initials: ME
authors.lastname: Poitras
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002908:Chronic Disease; D003266:Continuity of Patient Care; D005194:Family Practice; D005260:Female; D006293:Health Promotion; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000523:psychology*; D011209:Power, Psychological; D011792:Quebec; D035502:Trust