Shifts in patients' question-asking behaviour between 2007 and 2016: An observational study of video-recorded general practice consultations.

Objective: To gain insight into patient participation in general practice by examining if and how patients' question-asking behaviour has changed over the years (2007-2016).

Methods: A random set of real-life video-recorded consultations collected in 2015-2016 (n = 437) was observed and compared with that of a former study in 2007-2008 (n = 533). Patients' question-asking behaviour was coded using an adapted RIAS protocol containing six categories: medical condition/therapeutic regimen; psychosocial; social context; lifestyle; ask for opinion doctor; practical.

To what degree do patients actively choose their healthcare provider at the point of referral by their GP? A video observation study.

Background: Many countries in Europe have implemented managed competition and patient choice during the last decade. With the introduction of managed competition, health insurers also became an important stakeholder. They purchase services on behalf of their customers and are allowed to contract healthcare providers selectively.

Discussing patients' insurance and out-of-pocket expenses during GPs' consultations.

Background: Generally, a significant portion of healthcare spending consists of out-of-pocket (OOP) expenses. Patients indicate that, in practice, there are often some OOP expenses, incurred when they receive medical care, which are unexpected for them and should have been taken into account when deciding on a course of action. Patients are often reliant on their GP and may, therefore, expect their GP to provide them with information about the costs of treatment options, taking into consideration their individual insurance plan.