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Table 2 Influence of power distance within the medical consultation in primary care

From: Identification of cultural determinants of antibiotic use cited in primary care in Europe: a mixed research synthesis study of integrated design “Culture is all around us”

High Low References
Patients look up to the GP. Patients see themselves as equal to the GP. [12]
Less shared decision making: “Doctor knows best” attitude (Less discussion, information, counselling and negotiation during the consultation). More shared decision making (more discussions, information, counselling and negotiation in the consultation). [12, 20, 28]
GP cannot acknowledge he is unsure of diagnosis (fear of inspiring less confidence). GP can acknowledge he is unsure of diagnosis (inspires confidence anyway). [12]
Antibiotic prescription symbolic sign of power and expertise. Antibiotic has a less symbolic importance. [12]