scholarly journals Dementia diagnostics in general practitioner care

2019 ◽  
Vol 170 (9-10) ◽  
pp. 230-237
Author(s):  
Julian Wangler ◽  
Michael Jansky
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Differential Diagnostics ◽  
Structured Interviews ◽  
Treatment Pathways ◽  
Personal Initiative ◽  
Physician Patient Communication ◽  
Diagnosis Of Dementia ◽  
Dementia Diagnostics ◽  
Physician Patient

SummaryGeneral practitioner (GP) treatment of dementia is often criticized as being ineffective and not implemented consistently enough. The causes and specific standpoints of GPs have not previously been thoroughly investigated. This paper focuses on the reasons and the criticisms levelled at GPs with regard to diagnosing dementia, and identifies approaches to enable optimization. The analysis is based on 41 semi-structured interviews with GPs in Hesse, Germany, in 2018. During the course of a content analysis, the interviewees’ attitudes and behavioral patterns towards dementia diagnostics were to be analyzed. The results of the study show various challenges and problems of primary care in this field. The majority of the sample showed skepticism and reluctance with regard to the diagnosis of dementia. Six key problem areas were extracted from the interviews, which can be seen as root causes for the distance kept by GPs: 1) early delegation of patients due to role understanding, 2) attitude of pessimism towards dementia, 3) differential diagnosis perceived as an obstacle, 4) insufficient remuneration, 5) fear of patient stigmatization, and 6) lack of application. Some GPs demonstrated personal initiative with the aim of optimizing dementia diagnostics. Three approaches can be derived which could be used to improve the GP-based care of dementia: 1) self-efficacy, 2) differential diagnostics and treatment pathways, and 3) physician–patient communication.

Physician-patient communication in the primary care clinics

2019 ◽  
pp. 120-123 ◽  
Author(s):  
Arwa Aseeri ◽  
Abdulmajeed Alswat ◽  
nAbdulelah Alessa ◽  
Abdulrahman ALAql ◽  
Osama Alkhudhairi ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Communication ◽  
Primary Care Clinics ◽  
Physician Patient Communication ◽  
Physician Patient

Physician-Patient Communication and Satisfaction in Spanish-Language Primary Care Visits

2021 ◽  
pp. 1-7
Author(s):  
Kelly Haskard-Zolnierek ◽  
Leslie R. Martin ◽  
Elia Hilda Bueno ◽  
Yana Kruglikova-Sanchez
Keyword(s):  
Primary Care ◽  
Spanish Language ◽  
Patient Communication ◽  
Physician Patient Communication ◽  
Physician Patient

Empathic Validation in Physician–Patient Communication: An Approach to Conveying Empathy for Problems With Uncertain Solutions

2021 ◽  
pp. 104973232110563
Author(s):  
Caroline K. Tietbohl
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Conversation Analysis ◽  
Communication Strategy ◽  
Shared Understanding ◽  
Clinical Empathy ◽  
Video Recordings ◽  
Physician Patient Communication ◽  
Patient Responses ◽  
Physician Patient

Interest in systematic approaches to improving clinical empathy has increased. However, conceptualizations of empathy are inconsistent and difficult to operationalize. Drawing on video recordings of primary care visits with older adults, I describe one particular communication strategy for conveying empathy—empathic validation. Using conversation analysis, I show that the design of empathic validations and the context in which they are delivered are critical to positive patient responses. Effective empathic validations must (a) demonstrate shared understanding and (b) support the patient’s position. Physicians provided empathic validation when there was no medical solution to offer and within this context, for three purposes: (1) normalizing changes in health, (2) acknowledging individual difficulty, and (3) recognizing actions or choices. Empathic validation is a useful approach because it does not rely on patients’ ability to create an “empathic opportunity” and has particular relevance for older adults.

scholarly journals Exploring Physician-Older Patient Communication. A Qualitative Analysis of Communication between Older Patients and General Practitioners

2018 ◽  
Vol 20 (1) ◽  
pp. 47
Author(s):  
Corina Daba-Buzoianu ◽  
Cristina Cârtiță-Buzoianu ◽  
Brîndușa Mariana Amalancei
Keyword(s):  
Patient Satisfaction ◽  
General Practitioner ◽  
Older Patients ◽  
Care Patient ◽  
Patient Communication ◽  
Older Patient ◽  
Physician Patient Communication ◽  
Physician Patient ◽  
The Relationship ◽  
The Way

An great body of research has been carried out to study physician-patient communication and its impact on quality of care, patient satisfaction, treatment and health. Good physician-patient communication is proved to increase patient’s health. Most of the existent literature on the field has been done on younger patients and only a small part of the studies conducted took into consideration the older patients’ communication and relationship with their doctors. We depart from the idea that age has an important role in doctor-patient interaction, as age moderates the relationship between the style of interaction and patient satisfaction. This study aims to explore the physician-older patient communication by analyzing the way elders experience the relationship with the general practitioner. By doing so, the current study looks at the way elders perceive their relationship with the general practitioner and the level of their satisfaction. Elements like tone of voice, forms of address, topics, explanations given, motifs of the visit have been considered in the present study in order to explore de doctor-older patient communication.

The Effects of Electronic Medical Record (EMR) Use in Primary Care on the Physician-Patient Relationship

2013 ◽  
pp. 130-150
Author(s):  
Shira Assis-Hassid ◽  
Iris Reychav ◽  
Joseph S. Pliskin ◽  
Tsipi Heart Heart
Keyword(s):  
Primary Care ◽  
Healthcare Quality ◽  
Healthcare Services ◽  
Patient Communication ◽  
Patient Relationship ◽  
Healthcare Outcomes ◽  
Physician Patient Relationship ◽  
Theoretical Frameworks ◽  
Physician Patient Communication ◽  
Physician Patient

The implications of the physician-patient relationship and communication on healthcare quality have been widely discussed in previous research. Communication has been characterized as one of the most powerful, encompassing, and versatile instruments available to the physician, and it has been suggested that good physician-patient communication can improve healthcare outcomes. The incorporation of ICT in healthcare and, more specifically, the introduction of EMRs in primary care provide an opportunity for improving healthcare services and quality of care. Healthcare ICT has without a doubt transformed the dynamics of the medical encounter. Implications of EMRs on the physician-patient communication, and thus on healthcare quality have not yet reached a full understanding. The authors suggest a research model based on theoretical frameworks derived from the IS and medicine disciplines, describing factors affecting appropriate use of EMR, which will lead to physician and patient satisfaction.

scholarly journals Primary care consultations on emotional distress – a part of the acculturation process in patients with refugee backgrounds: a grounded theory approach

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Erica Rothlind ◽  
Uno Fors ◽  
Helena Salminen ◽  
Per Wändell ◽  
Solvig Ekblad
Keyword(s):  
Primary Care ◽  
Grounded Theory ◽  
Emotional Distress ◽  
Patient Communication ◽  
Psychiatric Diagnoses ◽  
Theory Approach ◽  
Acculturation Process ◽  
Physician Patient Communication ◽  
Physician Patient ◽  
Grounded Theory Approach

Abstract Background Considering the global refugee crisis, there is an increasing demand on primary care physicians to be able to adequately assess and address the health care needs of individual refugees, including both the somatic and psychiatric spectra. Meanwhile, intercultural consultations are often described as challenging, and studies exploring physician–patient communication focusing on emotional distress are lacking. Therefore, the aim was to explore physician–patient communication, with focus on cultural aspects of emotional distress in intercultural primary care consultations, using a grounded theory approach, considering both the physician’s and the patient’s perspective. Methods The study was set in Region Stockholm, Sweden. In total, 23 individual interviews and 3 focus groups were conducted. Resident physicians in family medicine and patients with refugee backgrounds, originating from Somalia, Syria, Afghanistan and Iraq, were included. Data was analysed using a grounded theory approach. Results Over time, primary care patients with refugee backgrounds seemed to adopt a culturally congruent model of emotional distress. Gradual acceptance of psychiatric diagnoses as explanatory models for distress and suffering was noted, which is in line with current tendencies in Sweden. This acculturation might be influenced by the physician. Three possible approaches used by residents in intercultural consultations were identified: “biomedical”, “didactic” and “compensatory”. They all indicated that diagnoses are culturally valid models to explain various forms of distress and may thus contribute to shifting patient perceptions of psychiatric diagnoses. Conclusions Physicians working in Swedish primary care may influence patients’ acculturation process by inadvertently shifting their perceptions of psychiatric diagnoses. Residents expressed concerns, rather than confidence, in dealing with these issues. Focusing part of their training on how to address emotional distress in an intercultural context would likely be beneficial for all parties concerned.

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