TY - JOUR KW - Adult KW - Attitude of Health Personnel KW - Counseling/methods KW - Female KW - Focus Groups KW - Health Knowledge, Attitudes, Practice KW - Humans KW - Male KW - Middle Aged KW - Patient Education as Topic/methods KW - Physician-Patient Relations KW - Primary Health Care/methods KW - Social Support KW - Somatoform Disorders/therapy KW - Sweden AU - T. Woivalin AU - G. Krantz AU - T. Mantyranta AU - K. C. Ringsberg A1 - AB - BACKGROUND: Patients presenting with multiple symptoms represent a substantial part of a GP's total work load. At the same time, these patients account for the majority of the people on long-term sick-leave in Sweden today. OBJECTIVE: The aim of this study was to explore GPs' perceptions and ways of managing patients with medically unexplained symptoms (MUS). METHODS: Five focus group discussions were conducted with a total of 27 GPs. In the collection and analysis of data, a phenomenographic approach was used. RESULTS: The GPs described how they used four different approaches to manage patients with MUS: a biomedical, a psychological, an educational and a psychosocial approach. Different approaches were used, depending on the patient and the situation, and the GPs even switched approach when working with the same patient. CONCLUSIONS: In their work with patients with MUS, GPs need support and further training to improve the way the biomedical frame of reference is integrated with the humanistic perspective. BT - Family practice C5 - Medically Unexplained Symptoms CP - 2 CY - England IS - 2 JF - Family practice N2 - BACKGROUND: Patients presenting with multiple symptoms represent a substantial part of a GP's total work load. At the same time, these patients account for the majority of the people on long-term sick-leave in Sweden today. OBJECTIVE: The aim of this study was to explore GPs' perceptions and ways of managing patients with medically unexplained symptoms (MUS). METHODS: Five focus group discussions were conducted with a total of 27 GPs. In the collection and analysis of data, a phenomenographic approach was used. RESULTS: The GPs described how they used four different approaches to manage patients with MUS: a biomedical, a psychological, an educational and a psychosocial approach. Different approaches were used, depending on the patient and the situation, and the GPs even switched approach when working with the same patient. CONCLUSIONS: In their work with patients with MUS, GPs need support and further training to improve the way the biomedical frame of reference is integrated with the humanistic perspective. PP - England PY - 2004 SN - 0263-2136; 0263-2136 SP - 199 EP - 203 EP - T1 - Medically unexplained symptoms: perceptions of physicians in primary health care T2 - Family practice TI - Medically unexplained symptoms: perceptions of physicians in primary health care U1 - Medically Unexplained Symptoms U2 - 15020392 VL - 21 VO - 0263-2136; 0263-2136 Y1 - 2004 ER -