Family Physician Preceptors’ Conceptualizations of Health Advocacy

Hubinette, Maria; Ajjawi, Rola; Dharamsi, Shafik

doi:10.1097/acm.0000000000000479

Cited by 42 publications

(49 citation statements)

References 15 publications

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“…The willingness of health care professionals to assume the advocate role underscores the importance of insider knowledge of how the system works and its potential pitfalls. 8,25,26 The actions of physicians described by our participants are consistent with descriptions of the health advocate competency 9,11 and illustrate how this role influences the quality and timeliness of patient care. Providing physicians with practical tips to help patients navigate the system is 1 way to ensure that physicians can fulfill the health advocate role.…”

Section: Discussionsupporting

confidence: 58%

“…… Anyone in the general public, who is waiting on this stuff … doesn't know how to insist, how to really self-advocate; unless you really know the system and know how to navigate it, you're kind of a victim of it and you're waiting and waiting. (ID 107, woman, breast cancer, urban, dissatisfied) Efforts by family and friends to reduce wait times 9 So I was waiting and waiting and waiting [to hear about the travelling clinic to Corner Brook] … and then the wife said, "I think it's time for us to try to do something," and so she phoned St. John's … and the [clerk] said, "Well, if you can be here" for such a time or whatever it was, I think it was only a couple of days or something, "you can get in to see him." I said, "Great … I'll drive to St.…”

Section: Efforts By Family and Friends To Reduce Wait Time Timesmentioning

confidence: 99%

“…5 To date, much of the literature has been negatively framed (i.e., "queue-jumping" [receiving personally convenient care at the expense of others]). [6][7][8] Physicians are increasingly expected to advocate for patients; [9][10][11][12][13] in fact, physician as health advocate is a core competency of medical training in Canada.…”

mentioning

confidence: 99%

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The role of patient and physician advocacy in reducing wait times for cancer care: a qualitative analysis

2017

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Background: There is growing interest in the role of physician as health advocate; however, few studies have documented advocacy from the patient's perspective. To address this gap, we examined the experiences of patients with cancer from the onset of symptoms to the start of treatment in Newfoundland and Labrador and aimed to describe wait times and efforts to improve timeliness of care from the patients' perspective. Methods:We conducted qualitative interviews with 60 participants aged 19 years or more with breast, colorectal, lung or prostate cancer who were recruited from a survey of patients with cancer that was carried out as an earlier part of a larger study. All survey participants had received care at regional cancer clinics in Newfoundland and Labrador and were selected by means of purposive sampling based on their type of cancer, level of satisfaction with care and place of residence (urban, semiurban or rural). Interviews were transcribed verbatim and coded by means of a thematic approach.Results: Participants described actions taken by themselves, their families/friends or members of their health care team to reduce their wait for a diagnosis and/or treatment. In all instances, participants believed that these actions resulted in more timely care. Participants reported that "insider knowledge" of health care professionals (whether friends, family members or members of the care team) was particularly valuable in reducing delays. Interpretation:The use of advocacy was relatively commonplace. The role of advocacy, whether it originates from patient or caregiver, is important to ensure access to timely, good-quality cancer care. Abstract Research E774CMAJ OPEN, 5(4)

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Section: Discussionsupporting

confidence: 58%

Section: Efforts By Family and Friends To Reduce Wait Time Timesmentioning

confidence: 99%

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The role of patient and physician advocacy in reducing wait times for cancer care: a qualitative analysis

2017

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“…(1) The training programme that was used in the present study has key elements that would enable it to fit into such a conceptual framework. It engages medical students to appreciate the common public health issues in the community and select topics that would have an impact on the target population of their talks.…”

Section: Discussionmentioning

confidence: 99%

“…For example, family physicians are actively involved in programmes on smoking cessation, vaccinations against endemic infections, and screenings for metabolic syndromes and certain cancers. (1) There are numerous challenges in providing actionable information to the public using conventional media. (2) Barriers include misinterpretation and distortion of the message, and failure to reach out to the target audience.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a training programme to induct medical students in delivering public health talks

Tan

Mitesh

Koh

et al. 2017

smedj

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INTRODUCTIONIt is uncommon for medical students to deliver public health talks as part of their medical education curriculum. This study evaluated the effectiveness of a novel training programme that required medical students to deliver public health talks during their family medicine (FM) clerkship in a Singapore primary care institution. METHODSThe FM faculty staff guided teams of third-year medical students to select appropriate topics for health talks that were to be conducted at designated polyclinics. The talks were video-recorded and appraised for clarity, content and delivery. The appraisal was done by the student's peers and assigned faculty staff. The audience was surveyed to determine their satisfaction level and understanding of the talks. The students also self-rated the effectiveness of this new teaching activity. RESULTSA total of 120 medical students completed a questionnaire to rate the effectiveness of the new teaching activity.85.8% of the students felt confident about the delivery of their talks, 95.8% reported having learnt how to deliver talks and 92.5% perceived this new training modality as useful in their medical education. Based on the results of the audience survey, the speakers were perceived as knowledgeable (53.1%), confident (51.3%) and professional (39.0%). Assessment of 15 video-recorded talks showed satisfactory delivery of the talks by the students. CONCLUSIONThe majority of the students reported a favourable overall learning experience under this new training programme. This finding is supported by the positive feedback garnered from the audience, peers of the medical students and the faculty staff.

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Should Health Professionals Speak Up to Reduce the Health Risks of Climate Change?

Macpherson

Wynia²

2017

AMA Journal of Ethics

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Should physicians take action in the political realm to address climate change? There are many historical examples of physician advocacy in the political sphere, both individually and as a collective, and many have argued that it is important for health professionals to advocate on a variety of issues. But which criteria should be used to determine when and how health professionals should take on particular advocacy issues, and is climate change an appropriate-or even obligatory-arena for physician advocacy? We propose a seven-part deliberative framework for making this determination.

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Family Physician Preceptors’ Conceptualizations of Health Advocacy

Cited by 42 publications

References 15 publications

The role of patient and physician advocacy in reducing wait times for cancer care: a qualitative analysis

The role of patient and physician advocacy in reducing wait times for cancer care: a qualitative analysis

Evaluation of a training programme to induct medical students in delivering public health talks

Should Health Professionals Speak Up to Reduce the Health Risks of Climate Change?

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