scholarly journals Use of patients’ unsolicited correspondence to a family doctor to describe and understand valued components of a doctor-patient relationship: A Hermeneutics approach

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Mark J. Yaffe ◽  
Richard B. Hovey ◽  
Charo Rodriguez
Keyword(s):  
Quality Care ◽  
Family Doctor ◽  
Spiritual Needs ◽  
Personal Traits ◽  
Family Doctors ◽  
Face To Face ◽  
Established Relationship ◽  
And Behavior ◽  
Patient Relationships ◽  
Spiritual Impact

Abstract Background Communication and behavior within doctor - patient encounters have been examined using varied techniques; however the nature of unsolicited writings from patients to their family doctors has rarely been reported. This paper therefore aimed to explore the content of, and motivation for, such correspondence. Methods One hundred and seven writings to one family physician about care provided during a four decade period were considered. Univariate analyses were used to identify features of patients or family members who wrote personalized notes to the doctor, when, and in what fashion. A hermeneutic approach helped look at the content of the notes, the specific words or sentiments used to describe encounters or care received, and possible motivations for writing. Iterative review of words or phrases generated themes which summarized appreciated physician or relational attributes, as well as motivations for writing. Results Notes were mostly handwritten, predominantly by women, and frequently coinciding with holidays and life span events. Appreciated doctor characteristics and behaviors were (1) quality care; and physician (2) competence; (3) physical presence; (4) positive personal traits; (5) provision of emotional support; and (6) spiritual impact. Motivations for writing were grouped as desire to (1) express appreciation for an established relationship; (2) acknowledge value / benefit experienced from continuity of care; (3) seek catharsis, emotional relief or closure; (4) reflect on termination of care; (5) validate care that incorporates both Hippocratic tradition and Asklepian healing; and (6) share personal reflection, experience, or impact. Conclusions Unsolicited writings provide personalized links from patients to physicians, expressing thoughts perhaps difficult to share face to face. They offer potential as teaching tools about the content of doctor-patient relationships; for example, the writers studied expressed appreciation for quality continuity care that was competent, considerate, and supportive of emotional and spiritual needs.

scholarly journals Use of patients’ unsolicited correspondence to a family doctor to describe and understand valued components of a doctor-patient relationship: A Hermeneutics approach

2019 ◽  
Author(s):  
Mark J. Yaffe ◽  
Richard B. Hovey ◽  
Charo Rodriguez
Keyword(s):  
Quality Care ◽  
Family Doctor ◽  
Spiritual Needs ◽  
Personal Traits ◽  
Family Doctors ◽  
Face To Face ◽  
Established Relationship ◽  
And Behavior ◽  
Patient Relationships ◽  
Spiritual Impact

Abstract Background Communication and behavior within doctor - patient encounters have been examined using varied techniques; however the nature of unsolicited writings from patients to their family doctors has rarely been reported. This paper therefore aimed to explore the content of, and motivation for, such correspondence. Methods 107 writings to one family physician about care provided during a four decade period were considered. Univariate analyses were used to identify features of patients or family members who wrote personalized notes to the doctor, when, and in what fashion. A hermeneutic approach helped look at the content of the notes, the specific words or sentiments used to describe encounters or care received, and possible motivations for writing. Iterative review of words or phrases generated themes which summarized appreciated physician or relational attributes, as well as motivations for writing. Results Notes were mostly handwritten, predominantly by women, and frequently coinciding with holidays and life span events. Appreciated doctor characteristics and behaviors were (1) quality care; and physician (2) competence; (3) physical presence; (4) positive personal traits; (5) provision of emotional support; and (6) spiritual impact. Motivations for writing were grouped as desire to (1) express appreciation for an established relationship; (2) acknowledge value / benefit experienced from continuity of care; (3) seek catharsis, emotional relief or closure; (4) reflect on termination of care; (5) validate care that incorporates both Hippocratic tradition and Asklepian healing ; and (6) share personal reflection, experience, or impact. Conclusions Unsolicited writings provide personalized links from patients to physicians, expressing thoughts perhaps difficult to share face to face. They offer potential as teaching tools about the content of doctor-patient relationships; for example, the writers studied expressed appreciation for quality continuity care that was competent, considerate, and supportive of emotional and spiritual needs.

scholarly journals Use of patients’ unsolicited correspondence to a family doctor to describe and understand valued components of a doctor-patient relationship: A Hermeneutics approach

2019 ◽  
Author(s):  
Mark J. Yaffe ◽  
Richard B. Hovey ◽  
Charo Rodriguez
Keyword(s):  
Quality Care ◽  
Family Doctor ◽  
Spiritual Needs ◽  
Personal Traits ◽  
Family Doctors ◽  
Face To Face ◽  
Established Relationship ◽  
And Behavior ◽  
Patient Relationships ◽  
Spiritual Impact

Abstract Background Communication and behavior within doctor - patient encounters have been examined using varied techniques; however the nature of unsolicited writings from patients to their family doctors has rarely been reported. This paper therefore aimed to explore the content of, and motivation for, such correspondence. Methods 107 writings to one family physician about care provided during a four decade period were considered. Univariate analyses were used to identify features of patients or family members who wrote personalized notes to the doctor, when, and in what fashion. A hermeneutic approach helped look at the content of the notes, the specific words or sentiments used to describe encounters or care received, and possible motivations for writing. Iterative review of words or phrases generated themes which summarized appreciated physician or relational attributes, as well as motivations for writing. Results Notes were mostly handwritten, predominantly by women, and frequently coinciding with holidays and life span events. Appreciated doctor characteristics and behaviors were (1) quality care; and physician (2) competence; (3) physical presence; (4) positive personal traits; (5) provision of emotional support; and (6) spiritual impact. Motivations for writing were grouped as desire to (1) express appreciation for an established relationship; (2) acknowledge value / benefit experienced from continuity of care; (3) seek catharsis, emotional relief or closure; (4) reflect on termination of care; (5) validate care that incorporates both Hippocratic tradition and Asklepian healing ; and (6) share personal reflection, experience, or impact. Conclusions Unsolicited writings provide personalized links from patients to physicians, expressing thoughts perhaps difficult to share face to face. They offer potential as teaching tools about the content of doctor-patient relationships; for example, the writers studied expressed appreciation for quality continuity care that was competent, considerate, and supportive of emotional and spiritual needs.

scholarly journals Use of patients’ unsolicited correspondence to a family doctor to describe and understand valued components of a doctor-patient relationship: A Hermeneutics approach

2019 ◽  
Author(s):  
Mark J. Yaffe ◽  
Richard B. Hovey ◽  
Charo Rodriguez
Keyword(s):  
Quality Care ◽  
Family Doctor ◽  
Spiritual Needs ◽  
Personal Traits ◽  
Family Doctors ◽  
Face To Face ◽  
Established Relationship ◽  
And Behavior ◽  
Patient Relationships ◽  
Spiritual Impact

Abstract Background Communication and behavior within doctor - patient encounters have been examined using varied techniques; however the nature of unsolicited writings from patients to their family doctors has rarely been reported. This paper therefore aimed to explore the content of, and motivation for, such correspondence. Methods 107 writings to one family physician about care provided during a four decade period were considered. Univariate analyses were used to identify features of patients or family members who wrote personalized notes to the doctor, when, and in what fashion. A hermeneutic approach helped look at the content of the notes, the specific words or sentiments used to describe encounters or care received, and possible motivations for writing. Iterative review of words or phrases generated themes which summarized appreciated physician or relational attributes, as well as motivations for writing. Results Notes were mostly handwritten, predominantly by women, and frequently coinciding with holidays and life span events. Appreciated doctor characteristics and behaviors were (1) quality care; and physician (2) competence; (3) physical presence; (4) positive personal traits; (5) provision of emotional support; and (6) spiritual impact. Motivations for writing were grouped as desire to (1) express appreciation for an established relationship; (2) acknowledge value / benefit experienced from continuity of care; (3) seek catharsis, emotional relief or closure; (4) reflect on termination of care; (5) validate care that incorporates both Hippocratic tradition and Asklepian healing ; and (6) share personal reflection, experience, or impact. Conclusions Unsolicited writings provide personalized links from patients to physicians, expressing thoughts perhaps difficult to share face to face. They offer potential as teaching tools about the content of doctor-patient relationships; for example, the writers studied expressed appreciation for quality continuity care that was competent, considerate, and supportive of emotional and spiritual needs.

scholarly journals Use of patients’ unsolicited correspondence to a family doctor to describe and understand valued components of a doctor-patient relationship: A Hermeneutics approach

2019 ◽  
Author(s):  
Mark J. Yaffe ◽  
Richard B. Hovey ◽  
Charo Rodriguez
Keyword(s):  
Quality Care ◽  
Family Doctor ◽  
Spiritual Needs ◽  
Personal Traits ◽  
Family Doctors ◽  
Face To Face ◽  
Established Relationship ◽  
And Behavior ◽  
Patient Relationships ◽  
Spiritual Impact

Abstract Background Communication and behavior within doctor - patient encounters have been examined using varied techniques; however the nature of unsolicited writings from patients to their family doctors has rarely been reported. This paper therefore aimed to explore the content of, and motivation for, such correspondence. Methods 107 writings to one family physician about care provided during a four decade period were considered. Univariate analyses were used to identify features of patients or family members who wrote personalized notes to the doctor, when, and in what fashion. A hermeneutic approach helped look at the content of the notes, the specific words or sentiments used to describe encounters or care received, and possible motivations for writing. Iterative review of words or phrases generated themes which summarized appreciated physician or relational attributes, as well as motivations for writing. Results Notes were mostly handwritten, predominantly by women, and frequently coinciding with holidays and life span events. Appreciated doctor characteristics and behaviors were (1) quality care; and physician (2) competence; (3) physical presence; (4) positive personal traits; (5) provision of emotional support; and (6) spiritual impact. Motivations for writing were grouped as desire to (1) express appreciation for an established relationship; (2) acknowledge value / benefit experienced from continuity of care; (3) seek catharsis, emotional relief or closure; (4) reflect on termination of care; (5) validate care that incorporates both Hippocratic tradition and Asklepian healing ; and (6) share personal reflection, experience, or impact. Conclusions Unsolicited writings provide personalized links from patients to physicians, expressing thoughts perhaps difficult to share face to face. They offer potential as teaching tools about the content of doctor-patient relationships; for example, the writers studied expressed appreciation for quality continuity care that was competent, considerate, and supportive of emotional and spiritual needs.

scholarly journals Use of patients’ unsolicited correspondence to a family doctor to describe and understand valued components of a doctor-patient relationship: A Hermeneutics approach

2019 ◽  
Author(s):  
Mark J. Yaffe ◽  
Richard B. Hovey ◽  
Charo Rodriguez
Keyword(s):  
Quality Care ◽  
Family Doctor ◽  
Spiritual Needs ◽  
Personal Traits ◽  
Family Doctors ◽  
Face To Face ◽  
Established Relationship ◽  
And Behavior ◽  
Patient Relationships ◽  
Spiritual Impact

Abstract Background Communication and behavior within doctor - patient encounters have been examined using varied techniques; however the nature of unsolicited writings from patients to their family doctors has rarely been reported. This paper therefore aimed to explore the content of, and motivation for, such correspondence. Methods 107 writings to one family physician about care provided during a four decade period were considered. Univariate analyses were used to identify features of patients or family members who wrote personalized notes to the doctor, when, and in what fashion. A hermeneutic approach helped look at the content of the notes, the specific words or sentiments used to describe encounters or care received, and possible motivations for writing. Iterative review of words or phrases generated themes which summarized appreciated physician or relational attributes, as well as motivations for writing. Results Notes were mostly handwritten, predominantly by women, and frequently coinciding with holidays and life span events. Appreciated doctor characteristics and behaviors were (1) quality care; and physician (2) competence; (3) physical presence; (4) positive personal traits; (5) provision of emotional support; and (6) spiritual impact. Motivations for writing were grouped as desire to (1) express appreciation for an established relationship; (2) acknowledge value / benefit experienced from continuity of care; (3) seek catharsis, emotional relief or closure; (4) reflect on termination of care; (5) validate care that incorporates both Hippocratic tradition and Asklepian healing ; and (6) share personal reflection, experience, or impact. Conclusions Unsolicited writings provide personalized links from patients to physicians, expressing thoughts perhaps difficult to share face to face. They offer potential as teaching tools about the content of doctor-patient relationships; for example, the writers studied expressed appreciation for quality continuity care that was competent, considerate, and supportive of emotional and spiritual needs.

scholarly journals Use of patients’ unsolicited correspondence to a family doctor to describe and understand valued components of a doctor-patient relationship: A Hermeneutics approach

2019 ◽  
Author(s):  
Mark J. Yaffe ◽  
Richard B. Hovey ◽  
Charo Rodriguez
Keyword(s):  
Quality Care ◽  
Family Doctor ◽  
Real Life ◽  
Similar Process ◽  
Spiritual Needs ◽  
Patient Relationship ◽  
Single Family ◽  
Doctor Patient Relationship ◽  
Care Needs ◽  
Face To Face

Abstract Background Positive doctor-patient relationship have been linked to some good patient outcomes. Different modalities have been used to study communication and behaviors within such encounters. Unsolicited writings from patients to doctors has rarely been reported on in this context; therefore this paper aimed to explore the content of such correspondence sent to a single family physician over a 4 decade period. Methods 107 of 140 pieces of correspondence contained content necessary to permit studying three research questions: (1) using univariate analyses, which patients or family members wrote personalized notes to the family doctor, when, and in what fashion; (2) using Hermeneutic exploration of each note, what words or sentiments were used to describe encounters with, and care received, from the doctor; (3) with similar Hermeneutic exploration, what words or phrases provided insight into the apparent motivations underlying the writing of the notes. Results The notes were mostly handwritten, predominantly by women, and frequently around personally relevant life span events. An iterative process generated six themes which summarized appreciated physician or relational attributes: (1) quality care; and physician (2) competence; (3) physical presence; (4) positive personal traits; (5) provision of emotional support; and (6) spiritual impact. A similar process identified six motivations for writing, which were to: (1) express appreciation for an established relationship; (2) acknowledge value / benefit experienced from continuity of care; (3) seek catharsis, emotional relief or closure; (4) reflect on termination of care; (5) validate care that extended beyond the Hippocratic tradition into that of Asklepian healing [17] ; and (6) share personal reflection, experience, or impact. Conclusions Unsolicited writings to a doctor provide a personalized, direct link from patient to physician that seems to allow for expression of thoughts difficult to convey face to face. They provide unique, real life testimonials that offer potential as a teaching tool on doctor-patient relationships. These particular patients seemed to value considerate, competent, quality care that was given in continuity fashion, with support for emotional and spiritual needs. In some communities this suggests that good care needs to go beyond rapid accessibility.

scholarly journals Virtual care: Enhancing access or harming care?

2020 ◽  
Vol 33 (6) ◽  
pp. 288-292 ◽  
Author(s):  
Lorian Hardcastle ◽  
Ubaka Ogbogu
Keyword(s):  
Quality Care ◽  
Family Doctor ◽  
Healthcare Services ◽  
Policy Makers ◽  
Virtual Care ◽  
Established Relationship ◽  
Privacy Issues ◽  
Improve Access

COVID-19 has catalyzed the adoption of virtual medical care in Canada. Virtual care can improve access to healthcare services, particularly for those in remote locations or with health conditions that make seeing a doctor in person difficult or unsafe. However, virtual walk-in clinic models that do not connect patients with their own doctors can lead to fragmented, lower quality care. Although virtual walk-in clinics can be helpful for those who temporarily lack access to a family doctor, they should not be relied on as a long-term substitute to an established relationship with a primary care provider. Virtual care also raises significant privacy issues that policy-makers must address prior to implementing these models. Patients should be cautious of the artificial intelligence recommendations generated by some virtual care applications, which have been linked to quality of care concerns.

Information sources about face-to-face meetings with people from the Internet: Gendered influence on adolescents’ risk perception and behavior

2021 ◽  
pp. 146144482110148
Author(s):  
Vojtěch Mýlek ◽  
Lenka Dedkova ◽  
David Smahel
Keyword(s):  
Risk Perception ◽  
News Media ◽  
Information Sources ◽  
Female Adolescents ◽  
Male Adolescents ◽  
Face To Face ◽  
Other Information ◽  
Potential Benefits ◽  
And Behavior ◽  
Practical Recommendations

Adolescents commonly make new social connections online that sometimes result in face-to-face meetings. Despite potential benefits, risk-focused discourse dominates public debates and shapes information shared by sources important for adolescents—news media, preventive programs, peers, parents, and teachers. Our study examines how information about face-to-face meetings from these sources relates to adolescents’ risk perception and engagement in such meetings. Using a sample of 707 Czech adolescents (aged 11–16 years, 46% male), we analyzed these effects for male and female adolescents to reflect the gendered nature of the risk-focused discourse. Male adolescents’ risk perception was not affected by information from any source. Female adolescents’ risk perception was negatively affected by information peers with prior experience with face-to-face meetings but not by other information sources. Female adolescents also perceived face-to-face meetings as riskier in general. We discuss gender differences and the limited impact of information sources on risk perception and provide practical recommendations.

INTERACTION BETWEEN A FAMILY DOCTOR AND A DENTIST AT AN EARLY STAGE IN THE PREVENTION OF DISEASES OF THE GASTROINTESTINAL TRACT

2021 ◽  
Vol 2 (12(81)) ◽  
pp. 39-43
Author(s):  
M. Ibragimov ◽  
Y. Heydarova ◽  
A. Alizade ◽  
L. Ibragimova
Keyword(s):  
Gastrointestinal Tract ◽  
Oral Cavity ◽  
Early Stage ◽  
Family Doctor ◽  
Scientific Article ◽  
Oral Manifestations ◽  
Family Doctors ◽  
Long Period ◽  
Initial Stage ◽  
The Relationship

This scientific article discusses the oral manifestations of diseases of the gastrointestinal tract. This problem is relevant both for dentists and family doctors. In medicine, for a long period of time, the relationship between diseases affecting the gastrointestinal tract and their symptoms manifested in the oral cavity has been considered. Many scientists and physicians have dealt with this problem, their several opinions are presented in this article. There is a hypothesis among researchers that the oral cavity is a mirror in which all human diseases can be visible. In the oral cavity, most of the alterations occurring in the organism are manifested, due to which, with an attentive attitude to oral manifestations, the disease can be detected already at the initial stage.

scholarly journals New Zealand among global social media initiative leaders for primary care advocacy

2016 ◽  
Vol 8 (2) ◽  
pp. 94 ◽  
Author(s):  
Kyle Hoedebecke ◽  
Joseph Scott-Jones ◽  
Luís Pinho-Costa
Keyword(s):  
Primary Care ◽  
Social Media ◽  
New Zealand ◽  
Family Medicine ◽  
Family Doctor ◽  
Primary Care Providers ◽  
Care Providers ◽  
Family Doctors ◽  
Medicine Community ◽  
World Organisation

Abstract The international ‘#1WordforFamilyMedicine’ initiative explores the identity of General Practitioners (GPs) and Family Physicians (FPs) by allowing the international Family Medicine community to collaborate on advocating for the discipline via social media. The New Zealand version attracted 83 responses on social media. Thematic analysis was performed on the responses and a ‘word cloud’ image was created based on an image identifying the country around the world - that of the silver fern. The ‘#1WorldforFamilyMedicine’ project was promoted by WONCA (World Organisation of Family Doctors) globally to help celebrate World Family Doctor Day on 19 May 2015. To date, over 80 images have been created in 60 different countries on six continents. The images represent GPs’ love for their profession and the community they serve. We hope that this initiative will help inspire current and future Family Medicine and Primary Care providers.

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