scholarly journals Putting Patients First: Collaborative Development of a Map for Patient-Centred Care by General Practitioners

2020 ◽  
Author(s):  
Bryce Brickley ◽  
Lauren T. Williams ◽  
Mark Morgan ◽  
Alyson Ross ◽  
Kellie Trigger ◽  
...  
Keyword(s):  
General Practice ◽  
Focus Groups ◽  
General Practitioners ◽  
Real World ◽  
Qualitative Description ◽  
Patient Centred Care ◽  
The Real ◽  
South Wales ◽  
Data Saturation ◽  
Patient Advocates

Abstract Background: Patients, providers and health care organisations benefit from an increased understanding and implementation of patient-centred care (PCC) by general practitioners (GPs). This study aimed to evaluate and advance a theoretical model of PCC developed in consultation with practising GPs and patient advocates.Methods: Qualitative description in a social constructivist/interpretivist paradigm. Participants were purposively sampled from six primary care organisations in south east Queensland/northern New South Wales, Australia. Participants engaged in focus group discussions where they expressed their perceptions, views and feelings of an existing PCC model. Data was analysed thematically using a constant-comparison approach.Results: Three focus groups with 15 patient advocates and three focus groups with 12 GPs were conducted before data saturation was obtained. Three themes emerged: i) the model represents the ideal, ii) considering the system and collaborating in care and iii) optimising the general practice environment. The themes related to participants’ impression of the model and new components of PCC perceived to be experienced in the ‘real world’. The data was synthesised to produce an advanced model of PCC named, “Putting Patients First: A Map for PCC”.Conclusions: Our map represents an enhanced understanding of PCC in the ‘real world’ and can be used to inform patients, providers and health organisations striving for PCC. Qualitative testing advanced and supported the credibility of the model and expanded its application beyond the doctor-patient encounter. Future work could incorporate our map for PCC in tool/toolkits designed to support GPs and general practice with PCC.

scholarly journals Putting patients first: development of a patient advocate and general practitioner-informed model of patient-centred care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bryce Brickley ◽  
Lauren T. Williams ◽  
Mark Morgan ◽  
Alyson Ross ◽  
Kellie Trigger ◽  
...  
Keyword(s):  
General Practice ◽  
Focus Groups ◽  
Real World ◽  
Qualitative Description ◽  
Patient Centred Care ◽  
The Real ◽  
Patient Advocate ◽  
South Wales ◽  
Patient Advocates ◽  
Future Work

Abstract Background Patients, providers and health care organisations benefit from an increased understanding and implementation of patient-centred care (PCC) by general practitioners (GPs). This study aimed to evaluate and advance a theoretical model of PCC developed in consultation with practising GPs and patient advocates. Methods Qualitative description in a social constructivist/interpretivist paradigm. Participants were purposively sampled from six primary care organisations in south east Queensland/northern New South Wales, Australia. Participants engaged in focus group discussions where they expressed their perceptions, views and feelings of an existing PCC model. Data was analysed thematically using a constant-comparison approach. Results Three focus groups with 15 patient advocates and three focus groups with 12 GPs were conducted before thematic saturation was obtained. Three themes emerged: i) the model represents the ideal, ii) considering the system and collaborating in care and iii) optimising the general practice environment. The themes related to participants’ impression of the model and new components of PCC perceived to be experienced in the ‘real world’. The data was synthesised to produce an advanced model of PCC named, “Putting Patients First: A Map for PCC”. Conclusions Our revised PCC model represents an enhanced understanding of PCC in the ‘real world’ and can be used to inform patients, providers and health organisations striving for PCC. Qualitative testing advanced and supported the credibility of the model and expanded its application beyond the doctor-patient encounter. Future work could incorporate our map for PCC in tool/tool kits designed to support GPs and general practice with PCC.

scholarly journals Patient-centred care delivered by general practitioners: a qualitative investigation of the experiences and perceptions of patients and providers

2020 ◽  
pp. bmjqs-2020-011236
Author(s):  
Bryce Brickley ◽  
Lauren T Williams ◽  
Mark Morgan ◽  
Alyson Ross ◽  
Kellie Trigger ◽  
...  
Keyword(s):  
Focus Groups ◽  
General Practitioners ◽  
The Body ◽  
Qualitative Description ◽  
Comparative Approach ◽  
Future Research ◽  
Patient Centeredness ◽  
Patient Centred Care ◽  
South Wales ◽  
Patient Advocates

BackgroundPatient-centred care (PCC) is care that is respectful and responsive to the wishes of patients. The body of literature on PCC delivered by general practitioners (GPs) has increased steadily over time. There is an opportunity to advance the work on GP-delivered PCC through qualitative research involving both patients and providers.AimTo explore the perceptions and experiences of PCC by patient advocates and GPs.Design and settingQualitative description in a social constructivist paradigm. Participants were sampled from six primary care organisations in south east Queensland/northern New South Wales, Australia.MethodPurposive sampling was used to recruit English-speaking adult participants who were either practising GPs or patient advocates. Focus group sessions explored participants’ perceptions and experiences of PCC. Data were analysed thematically using a constant-comparative approach.ResultsThree focus groups with 15 patient advocates and three focus groups with 12 practising GPs were conducted before thematic saturation was obtained. Five themes emerged: (1) understanding of PCC is varied and personal, (2) valuing humanistic care, (3) considering the system and collaborating in care, (4) optimising the general practice environment and (5) needing support for PCC that is embedded into training.ConclusionPatient advocates’ and GPs’ understanding of PCC are diverse, which can hinder strategies to implement and sustain PCC improvements. Future research should explore novel interventions that expose GPs to unique feedback from patients, assess the patient-centeredness of the environment and promote GP self-reflection on PCC.

scholarly journals “I Live in Constant Fear of Highs,” the Daily Impact of Type 1 Diabetes

2020 ◽  
Vol 7 (6) ◽  
pp. 911-914
Author(s):  
Allyson S Hughes ◽  
Jeoffrey Bispham ◽  
Ludi Fan ◽  
Magaly Nieves-Perez ◽  
Alicia H McAuliffe-Fogarty
Keyword(s):  
Type 1 Diabetes ◽  
Focus Groups ◽  
Real World ◽  
The Real ◽  
The Impact ◽  
Insight Into

Limited research exists regarding the burdens associated with type 1 diabetes (T1D). The study’s objective was to understand the impact of T1D from people with T1D and caregivers of minors with T1D. Six focus groups were conducted, with a total of 31 participants. Participants included people with T1D, ages 23 to 72 (n = 17) and caregivers ages 34 to 55 (n = 14). Participants were recruited from T1D Exchange Glu. People with T1D reported time spent managing diabetes had greatest impact, while caregivers reported financial and employment sacrifices as most impactful. Our findings provide insight into the real-world daily impact of diabetes.

scholarly journals General practitioners’ barriers and facilitators towards new provider-initiated HIV testing strategies: a qualitative study

2016 ◽  
Vol 28 (5) ◽  
pp. 459-466 ◽  
Author(s):  
Ivo K Joore ◽  
Sanne LC van Roosmalen ◽  
Jan EAM van Bergen ◽  
Nynke van Dijk
Keyword(s):  
General Practice ◽  
Focus Groups ◽  
Hiv Testing ◽  
General Practitioners ◽  
Framework Analysis ◽  
Transmitted Infection ◽  
European Guidelines ◽  
Testing Strategies ◽  
Hiv Test ◽  
The Right

European guidelines recommend offering an HIV test to individuals who display HIV indicator conditions (ICs). UK guidelines recommend performing a ‘routine offer of HIV testing’ in primary care where HIV prevalence exceeds 2 in 1000. Implementation of new provider-initiated HIV testing strategies in general practice is limited, while the numbers of undiagnosed and late for care HIV patients remain high. We have explored Dutch general practitioners’ barriers to and facilitators of both strategies. We combined semi-structured in-depth interviews with focus groups. Nine general practitioners – key informants of sexually transmitted infection/HIV prevention and control – were selected for the interviews. Additionally, we organised focus groups with a broad sample of general practitioners (n = 81). Framework analysis was used to analyse the data. Various barriers were found, related to (1) the content of the guidelines (testing the right group and competing priorities in general practice), (2) their organisational implementation (lack of time, unclear when to repeat the HIV test and overlong list of ICs) and (3) the patient population (creating fear among patients, stigmatising them and fear regarding financial costs). Multiple general practitioners stated that performing a sexual risk assessment of patients is important before applying either strategy. Also, they recommended implementing the IC-guided approach only in high-prevalence areas and combining HIV tests with other laboratory blood tests. General practitioners tend to cling to old patterns of risk-based testing. Promoting awareness of HIV testing and educating general practitioners about the benefits of new provider-initiated HIV testing strategies is important for the actual uptake of HIV testing.

Too many surveys! Eliciting the views of general practitioners for not participating in postal surveys

2004 ◽  
Vol 10 (2) ◽  
pp. 76 ◽  
Author(s):  
Asaduzzaman Khan ◽  
Rafat Hussain ◽  
David Plummer ◽  
Victor Minichiello
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
Overall Response Rate ◽  
New South ◽  
Postal Survey ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Research Activities ◽  
South Wales ◽  
Survey Results

This study explored the reasons general practitioners (GPs) are reluctant to participate in a postal survey. A cross-sectional postal survey was conducted among currently practising GPs in New South Wales, Australia, in 2002, who were asked to complete a questionnaire on the management of sexually transmitted infections (STIs). The overall response rate for the main STI survey was 45.4%. The GPs who did not respond to the STI questionnaire were sent a one-page non-response questionnaire asking them to report their reasons for not participating in the STI survey. Of the 491 non-responding GPs, 116 (23.6%) completed the non-response questionnaire and form the basis of the present paper. The key reasons reported by GPs for not participating in postal surveys were acute time constraints imposed by increasing workload including substantially increased paperwork, receiving too many survey requests, low STI caseload, and few incentives or returns on their time spent on completing surveys. While researchers need to be cognisant of constraints in general practice, it is also important to develop strategies for increasing GP involvement in research activities. To help improve participation of GPs in postal surveys, we recommend involvement of GPs in the design and conduct of research on issues relevant to general practice along with provision of feedback of survey results.

Acupuncture Referrals in Rural Primary Healthcare: A Survey of General Practitioners in Rural and Regional New South Wales, Australia

2013 ◽  
Vol 31 (4) ◽  
pp. 375-382 ◽  
Author(s):  
Jonathan Lee Wardle ◽  
David Sibbritt ◽  
Jon Adams
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
Primary Healthcare ◽  
New South ◽  
Treatment Options ◽  
New South Wales ◽  
Healthcare Setting ◽  
South Wales ◽  
Public Subsidies ◽  
Regional Australia

Background Acupuncture services form a significant part of the Australian healthcare setting, with national registration of acupuncture practitioners, public subsidies for acupuncture services and high use of acupuncture by the Australian public. Despite these circumstances, there has been little exploration of the interface between acupuncture providers and conventional primary healthcare practitioners in rural and regional Australia. Methods A 27-item questionnaire was sent by post in the second half of 2010 to all 1486 general practitioners (GPs) currently practising in rural and regional Divisions of General Practice in New South Wales, Australia to explore their practices and attitudes to a variety of complementary and alternative medicine (CAM) practices. Their responses on other therapies have been published previously; this report covers acupuncture. Results A total of 585 GPs completed the questionnaire; 49 were returned as ‘no longer at this address’, resulting in an adjusted response rate of 40.7%. Two-thirds of GPs (68.3%) referred patients to an acupuncturist at least a few times per year, while only 8.4% stated that they would not refer patients to an acupuncturist under any circumstances. GPs being older (OR=6.08), GPs being women (OR=2.94), GPs practising in a rural rather than remote area (OR=6.25), GPs having higher levels of self-reported knowledge of acupuncture (OR=5.54), the use of complementary medicine (CAM) by a GP for their personal health (OR=2.37), previous prescription of CAM to other patients (OR=2.99), lack of other treatment options (OR=4.31) and GPs using CAM practitioners as the major source of their CAM information (OR=3.05) were all predictive of increased referral to acupuncture among rural GPs. Conclusions There is a significant interface between acupuncture and Australian rural and regional general practice, with generally high levels of support for acupuncture.

Current Issues: Evidence-Based Practice for the Real World: Thoughts on Clinical Education in Communication Disorders

2010 ◽  
Vol 20 (3) ◽  
pp. 100-105 ◽  
Author(s):  
Anne K. Bothe
Keyword(s):  
Clinical Education ◽  
Real World ◽  
Evidence Based Practice ◽  
Communication Disorders ◽  
University Faculty ◽  
Evidence Based ◽  
Speech Language Pathology ◽  
Basic Principles ◽  
The Real ◽  
Language Pathology

This article presents some streamlined and intentionally oversimplified ideas about educating future communication disorders professionals to use some of the most basic principles of evidence-based practice. Working from a popular five-step approach, modifications are suggested that may make the ideas more accessible, and therefore more useful, for university faculty, other supervisors, and future professionals in speech-language pathology, audiology, and related fields.

The Real-World Fellowship

2006 ◽  
Vol 40 (7) ◽  
pp. 47
Author(s):  
LEE SAVIO BEERS
Keyword(s):  
Real World ◽  
The Real
Sign in / Sign up

Export Citation Format

Share Document