Exploring agendas of patients attending family medicine clinics in Jordan. A qualitative content analysis study

Farihan F. Barghouti, Nihad A. Almasri, Dima H. Takruri


Objectives: To explore concerns, beliefs, and expectations of patients who attend Family Medicine clinics in  the University of Jordan Hospital, Amman, Jordan.


Methods: A qualitative descriptive design was used. Semi-structured interviews were conducted with 143 patients (84% females, mean age 45.3±17.8 years) between September and December 2016. A validated patient’s agenda form included open-ended questions on patients’ main concerns, beliefs, and expectations was used. A qualitative content analysis of answers was completed by coding answers into categories.


Results: A good aggregate inter-rater reliability for coding categories was found (κ-values ranging from 0.76-0.88). The most common concern of participants were the need to receive treatment for an acute illness, followed by the desire for clarification on health condition. Forty percent of participants believed that their symptoms were caused by a health condition rather than lifestyle, while 32.5% had no speculations related to the causes behind their symptoms. The highest percentage of patients expected doctors to provide information related to their health condition.


Conclusion: The most prominent needs of participants were the need for information and explanation regarding health condition. Family doctors are encouraged to use agenda forms to enhance patient communications and improve outcomes of consultations.


Beliefs; Concerns; Expectations; Family Medicine; Jordan; Patient Agenda; Qualitative; Content Analysis

Full Text:



Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 2000; 51: 1087-110.

Kravitz RL. Patients’ expectations for medical care: an expanded formulation based on review of the literature. Med Care Res Rev 1996; 53: 3-27.

Epstein RM, Mauksch L, Carroll J, Jaén CR. Have you really addressed your patient’s concerns? Fam Pract Manag 2008; 15: 35-40.

Zanini C, Maino P, Möller JC, Gobbi C, Raimondi M, Rubinelli S. Enhancing clinical decisions about care through a pre-consultation sheet that captures patients’ views on their health conditions and treatments: A qualitative study in the field of chronic pain. Patient Educ Couns 2016; 99: 747-753.

Middleton JF, McKinley RK, Gillies CL. Effect of patient completed agenda forms and doctors’ education about the agenda on the outcome of consultations: randomised controlled trial. BMJ 2006; 332: 1238-1242.

Lee YK, Ng CJ, Low WY. Addressing unmet needs of patients with chronic diseases: Impact of the Visit website during consultations. J Eval Clin Pract 2017; 23: 1281-1288.

Middleton JF. Elicting patient’s agenda a workshop for general practitioners. Edu Gen Pr 1998; 9: 231-234.

World Health Organization. Process of translation and adaptation of instruments [Internet]. Geneva (CH): WHO; 2019. Available from: http://www.who.int/ substance_abuse/research_tools/translation/en/

Deyo RA, Diehl AK. Patient satisfaction with medical care for low-back pain. Spine (Phila Pa 1976) 1986; 11: 28-30.

Kaplan SH, Greenfield S, Ware JE Jr. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care 1989; 27: S110-S127.

Fallowfield LJ, Hall A, Maguire GP, Baum M. Psychological outcomes of different treatment policies in women with early breast cancer outside a clinical trial. BMJ 1990; 301: 575-580.

Petrie, KJ, Weinman J, editors. Perception of health and illness: current research and applications. Amesterdam (NL): Harwood Academic Publisher; 1997. p. 19-45.

Zanini C, Sarzi-Puttini P, Atzeni F, Di Franco M, Rubinelli S. Doctors’ insights into the patient perspective: a qualitative study in the field of chronic pain. Biomed Res Int 2014; 2014: 514230.

Petrie KJ, Jago LA, Devcich DA. The role of illness perceptions in patients with medical conditions. Curr Opin Psychiatry 2007; 20: 163-167.

French DP, Lewin RJ, Watson N, Thompson DR. Do illness perceptions predict attendance at cardiac rehabilitation and quality of life following myocardial infarction? J Psychosom Res 2005; 59: 315-322.

Fortenberry KT, Berg CA, King PS, Stump T, Butler JM, Pham PK, et al. Longitudinal trajectories of illness perceptions among adolescents with type 1 diabetes. J Pediatr Psychol 2014; 39: 687-696.


  • There are currently no refbacks.

Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.