We investigated general practitioners’ (GPs’) responses to patients’ concerns in chronic care consultations. Video recordings of 14 consultations were analyzed with conversation analysis. We found two categories of responses: exiting and exploring the patient’s concerns. Most GPs exited the concern by interrupting the patient, acknowledging the concern but then referring back to the progression of the consultation, or affiliating with the concern without exploring it. Only a few raised concerns were explored, and then most often the somatic rather than the emotional aspects of them. The findings point to the risk of missing patients’ voiced concerns in consultations with a fixed agenda.

我们调查了全科医生 (GPs) 在慢性护理咨询中对患者担忧的反应。通过对话分析对 14 次咨询的录像进行了分析。我们发现了两类反应：退出和探索患者的担忧。大多数全科医生通过打断患者、承认问题但随后回顾咨询的进展或在不探索问题的情况下加入问题来退出问题。只探讨了一些提出的问题，然后最常见的是他们的身体方面而不是情感方面。调查结果指出，在有固定议程的咨询中，可能会漏掉患者表达的担忧。