Familiarity with a GP and patients' evaluations of care. A cross-sectional study

Schers, Henk; Hoogen, Henk van den; Bor, Hans; Grol, Richard; Bosch, Wil van den

doi:10.1093/fampra/cmh721

Cited by 79 publications

(66 citation statements)

References 8 publications

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“…At the same time, higher level of depersonalisation and feeling of professional ineffectiveness was associated with more years working at the current position. Although there is a lot of evidence that interpersonal continuity of care contributes to therapeutic doctor-patient relationship and positive outcomes of care (20,22,41,42), some negative emotional effects have also been recognised, such as frustration, boundary issues, and negative effects on personal life (43). Burnout rates in older surgeons in a study by Campbell et al (40) were lower due to greater job satisfaction and perceived sense of control and autonomy in practice (40).…”

Section: Discussionmentioning

confidence: 99%

Is Burnout in Family Physicians in Croatia Related to Interpersonal Quality of Care?

Adžić

Katić

Kern³

et al. 2013

Archives of Industrial Hygiene and Toxicology

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The impact of physician burnout on the quality of patient care is unclear. This cross-sectional study aimed to investigate the prevalence of burnout in family physicians in Croatia and its association with physician and practice characteristics, and patient enablement as a consultation outcome measure. Hundred and twenty-fi ve out of 350 family physicians responded to our invitation to participate in the study. They were asked to collect data from 50 consecutive consultations with their adult patients who had to provide information on patient enablement (Patient Enablement Instrument). Physicians themselves provided their demographic and professional data, including workload, job satisfaction, consultation length, and burnout [Maslach Burnout Inventory -Human Services Survey (MBI-HSS )]. MBI-HSS scores were analysed in three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA). Of the responding physicians, 42.4 % scored high for EE burnout, 16.0 % for DP, and 15.2 % for PA. Multiple regression analysis showed that low job satisfaction and more patients per day predicted high EE scores. Low job satisfaction, working more years at a current workplace, and younger age predicted high DP scores. Lack of engagement in education and academic work, shorter consultations, and working more years at current workplace predicted low PA scores, respectively (P<0.05 for each). Burnout is common among family physicians in Croatia yet burnout in our physicians was not associated with patient enablement, suggesting that it did not affect the quality of interpersonal care. Job satisfaction, participation in educational or academic activities and suffi cient consultation time seem to reduce the likelihood of burnout. KEY WORDS: family practice, patient enablement, quality of health careOžvačić Adžić Z, et al. Arh Hig Rada Toksikol 2013;64:255-264 Burnout is a psychological syndrome developed in response to exposure to continuing interpersonal stressors, usually in jobs involving intense interaction with people. Burnout is characterised by feelings of emotional exhaustion (emotional overextension and d e p l e t i o n o f o w n e m o t i o n a l r e s o u r c e s ) , depersonalisation (negative feelings and attitudes toward clients) and reduced sense of personal accomplishment (negative self-evaluation in terms of productivity at work) (1, 2). It is a personal experience related more to situational factors (e.g. workload, time Unauthenticated Download Date | 5/12/18 1:44 AM BURNOUT AND INTERPERSONAL QUALITY OF CARE IN FAMILY MEDICINE IN CROATIA

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Section: Discussionmentioning

confidence: 99%

Is Burnout in Family Physicians in Croatia Related to Interpersonal Quality of Care?

Adžić

Katić

Kern³

et al. 2013

Archives of Industrial Hygiene and Toxicology

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“…24 Seeing a familiar GP has been related to higher levels of satisfaction and trust. 41 A study of African American patients found that a stated barrier to developing a trusting relationship with a physician was having to change physicians frequently. 42 A Swiss study found that trust was the number one reason patients remained with a particular practice.…”

Section: Trust and Confidencementioning

confidence: 99%

Patients' Perceptions of Interpersonal Continuity of Care

Pandhi¹,

Saultz²

2006

The Journal of the American Board of Family Medicine

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“…The result of this study again underline the value of this. Patients expect continuity of care of their GP (8). Continuity of care for the whole family will continue to lend additional value.…”

Section: Discussionmentioning

confidence: 99%

All in the family: Times are changing

Bosch

Bor

Gerwen

2008

European Journal of General Practice

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Background: General practitioners are familiar with the fact that individual use of care is determined by the family. This paper describes to what extent patterns found in the 1970s can still be replicated in the early 21 st century, analyzing the impact of the family on frequency of presenting minor illnesses in general practice. Methods: We used the data of the families in the CMR database during two five-year periods: 1971Á1975 and 2001Á2005. All episodes of minor illness were registered using the same classification criteria in both studies. The population under study was divided in low and medium/high social class. Pearson correlation coefficients and a hierarchical linear model were used to analyse the impact of family on the frequency of presenting minor illnesses. Results: Correlations between parents (M/F) were stronger in 1971Á1975 than in the 2001Á2005 period. The influence of the family on presenting minor illness in general practice has decreased from 27.7 to 20.3%. Conclusion:Though the influence of the family on presenting minor illness in general practice has decreased, nowadays (2001Á2005) still we found strong correlations between family members in presenting morbidity to the GP.

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Familiarity with a GP and patients' evaluations of care. A cross-sectional study

Abstract: Familiarity with a GP improves patients' assessment of general practice care. Also in the future, personal continuity should be promoted.

Cited by 79 publications

References 8 publications

Is Burnout in Family Physicians in Croatia Related to Interpersonal Quality of Care?

Is Burnout in Family Physicians in Croatia Related to Interpersonal Quality of Care?

Patients' Perceptions of Interpersonal Continuity of Care

All in the family: Times are changing

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