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Hypertension was chosen, because its outcome depends on the quality of care as well as on the patient's active participation and self-management skills.

On the one hand, there seems to be a tendency towards more affect-oriented 'patient-centred medicine' [].

From this larger dataset all patients who consulted their GPs for hypertension were selected.

The second wave is comprised of 108 visits, recorded by 108 GPs, which were chosen by selecting every first patient with hypertension per GP from a larger dataset (n = 2784) [ No differences were found in age, gender or (by selection) primary health problem between the two study samples.

Patient preferences for information do not necessarily translate into information seeking behaviour; nor do patients who express preferences for some form of shared decision making necessarily act on these in the medical encounter [].

In addition, the preference to participate in medical decision making does not seem to be universal.

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