Depth of the patient–doctor relationship and content of general practice consultations: cross-sectional study

Merriel, Samuel W D; Salisbury, Chris; Metcalfe, Chris; Ridd, Matthew J

doi:10.3399/bjgp15x686125

Cited by 27 publications

(24 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…9,10 Additionally, previous research supports participants' perceptions that a healthy doctor-patient relationship facilitates patient disclosure of sensitive information and compliance. [11][12][13] Research also suggests that this relationship increases patient satisfaction and may improve clinical outcomes. [14][15][16] The importance of personal aspects of the doctor-patient relationship featured prominently in these results.…”

Section: Discussionmentioning

confidence: 99%

Whole-person care in general practice: The doctor–patient relationship

Thomas¹,

Best²,

Mitchell³

2020

Aust J Gen Pract

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Whole-person care in general practice: The doctor–patient relationship

Thomas¹,

Best²,

Mitchell³

2020

Aust J Gen Pract

View full text Add to dashboard Cite

“…The depth is a product of the dynamic factors of longitudinal care and consultation experiences, and encompasses what the patients consider to be mutual knowledge, trust, loyalty and regard between the patient and the doctor. A recent study [36] found that the depth of the doctor–patient relationship, as Ridd et al [35] define it, is associated with more topics raised by the patient and more discussion on emotional and psychological issues in consultations. Skirbekk et al [37], in their studies of patients’ consultations with GPs, interpret trust as the patient’s implicit willingness to accept the physician’s judgement in matters of concern to the patient.…”

Section: Discussionmentioning

confidence: 99%

Ill and substance-abusing parents: how can the general practitioner help their children? A qualitative study

et al. 2016

View full text Add to dashboard Cite

BackgroundSevere illness among parents may interfere with their parenting. Children having ill or substance-abusing parents are at risk of own health problems and psychosocial difficulties. The health care system should identify families in need of help and provide the help needed. For ill parents, it can be difficult to seek help and advices for their parenting. The aim of this study was to identify important factors for the general practitioner (GP) to bear in mind during encounters with ill and substance-abusing parents, to enable the GP to provide appropriate support for the children.MethodA qualitative approach was chosen and the data material was semi-structured individual interviews with 12 parents with mental illness, substance abuse or severe somatic illness. The participants were recruited through GPs in Norway, and the interviews were performed in 2014. We used systematic text condensation for analysis.ResultsIt was important for the participants that the GP was oriented about their family and children’s situation. They wanted to be regarded as competent parents in ordinary families; however, they were aware that their illness affected their parenting. They expressed a need for advice about how to inform the children of their illness and talk to them about their challenges, and, if necessary, utilize helpers who could inform the children and talk to them directly. There were often many agencies involved, and it was important that the helpers cooperated and shared information. In addition, the parents were in need of information about support services.ConclusionIll parents in this study conveyed a double message to their helpers. They wanted to be considered as responsible and well-intended parents who wished the best for their children. At the same time they needed support in parenting. The GP should take the time to listen to the parents’ first spontaneous description about an ordinary daily life (while realising that it may not necessarily be an accurate report), then explore their worries and needs of support.

show abstract

“…Qualitative research might help us understand how, when, and why continuity of care influences health care use, shedding light on factors such as consultation skills of the general practitioner, physician knowledge of patients, patient trust in the physician and his/her abilities, and patient feelings of loyalty toward the physician. [39][40][41] The introduction in 2014 of a "named general practitioner" who is responsible for the health care for each patient aged 75 and older offers the opportunity to investigate whether this intervention indeed has resulted in better longitudinal continuity of care and in reduced hospital admission.…”

Section: Implications For General Practices and Future Researchmentioning

confidence: 99%

Continuity of Primary Care and Emergency Hospital Admissions Among Older Patients in England

et al. 2017

View full text Add to dashboard Cite

PURPOSE Secondary health care services have been under considerable pressure in England as attendance rates increase, resulting in longer waiting times and greater demands on staff. This study's aim was to examine the association between continuity of care and risk of emergency hospital admission among older adults. METHODSWe analyzed records from 10,000 patients aged 65 years and older in 2012 within 297 English general practices obtained from the Clinical Practice Research Datalink and linked with Hospital Episode Statistics. We used the Bice and Boxerman (BB) index and the appointed general practitioner index (last general practitioner consulted before hospitalization) to quantify patient-physician continuity. The BB index was used in a prospective cohort approach to assess impact of continuity on risk of admission. Both indices were used in a separate retrospective nested case-control approach to test the effect of changing physician on the odds of hospital admission in the following 30 days. RESULTSIn the prospective cohort analysis, the BB index showed a graded, nonsignificant inverse relationship of continuity of care with risk of emergency hospital admission, although the hazard ratio for patients experiencing least continuity was 2.27 (95% CI, 1.37-3.76) compared with those having complete continuity. In the retrospective nested case-control analysis, we found a graded inverse relationship between continuity of care and emergency hospital admission for both BB and appointed general practitioner indices: for the latter, the odds ratio for those experiencing least continuity was 2.32 (95% CI, 1.48-3.63) relative to those experiencing most continuity.CONCLUSIONS Marked discontinuity of care might contribute to increased unplanned hospital admissions among patients aged 65 years and older. Schemes to enhance continuity of care have the potential to reduce hospital admissions. 2017;15:515-522. https://doi Ann Fam Med

show abstract

Depth of the patient–doctor relationship and content of general practice consultations: cross-sectional study

Abstract: BackgroundPatient-doctor continuity is valued by both parties, yet the effect of the depth of the patient-doctor relationship on the content of consultations in general practice is unknown.

Cited by 27 publications

References 24 publications

Whole-person care in general practice: The doctor–patient relationship

Whole-person care in general practice: The doctor–patient relationship

Ill and substance-abusing parents: how can the general practitioner help their children? A qualitative study

Continuity of Primary Care and Emergency Hospital Admissions Among Older Patients in England

Contact Info

Product

Resources

About