oa South African Family Practice - The shared consultation : a necessity in primary care clinics? : forum



The shared consultation is a concept that differs from shared decision making and shared care. It involves two or more health professionals in the consultation of a patient during the same illness episode. Commonly, the health professionals are a primary-care doctor and a clinical nurse practitioner. On the basis of clinical experience, a number of models of the relationship in such situations are described, viz the consultant, the master-servant, the teacher-pupil and the teamwork models. Issues of communication within the consultation, the patient as a person, continuity of care, and clarification of roles and responsibilities are highlighted. More investigation is required to explore this further.


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