From: Clinicians' management strategies for patients with dyspepsia: a qualitative approach
Categories | Concepts | |||
---|---|---|---|---|
Patient 1 | Patient 2 | Patient 3 | Patient 4 | |
There is no problem to decide | (16) | (20) | (19) | (22) |
Basis for treatment decision is insufficient | There is no diagnosis (5) | There is no diagnosis (3) | The amount of discomfort is not clear (1) More examinations are needed (2) | No examination of Helicobacter pylori has been made (3) |
Evidence for treatment is poor | There is hardly any evidence for benefits of treatment (1) It is difficult to treat dyspepsia (1) Patient suffers, but there is no distinct diagnosis (2) Psychosomatic problems (2) | Patient suffers, but there is no distinct diagnosis (1) | Recurrent condition (2) | |
Clinician is uncertain of her or his own competence | Uncertainty about indication for treatment when Helicobacter pylori serology is positive (1) | Uncertainty about indication for treatment when Helicobacter pylori serology is positive (1) | ||
Patient's expectations | Patient wishes treatment (1) | Patient requires treatment due to positive Helicobacter pylori serology (2) | Patient is not motivated to reduce weight (1) Patient requires treatment due to positive Helicobacter pylori serology (2) |