Disruption to the doctor–patient relationship in primary care: a qualitative study

Eggleton, Kyle; Bui, Nam; Goodyear‐Smith, Felicity

doi:10.3399/bjgpo.2022.0039

Cited by 8 publications

(10 citation statements)

References 29 publications

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“…At the same time, there are cases when the patient is unable to provide complete information about the disease (seizures, stroke) or its course, so the doctor needs to contact a third party (spouse, parents, children, neighbours, eyewitnesses) to clarify the information. The data obtained from third parties about the patient's health status will help to supplement the medical history (Eggleton et al, 2022). The main principle of interaction between the doctor and the patient's relatives is based on practical mutual trust, where an individual approach to patient treatment promotes honest answers and conscientious compliance with treatment recommendations.…”

Section: Resultsmentioning

confidence: 99%

“…The analysed scientific approaches to the psychology of interaction with children in the therapeutic process show that children's fear is associated with the fact of staying in hospital, in particular, due to unknown scenarios or painful diagnostic or treatment processes (Keshavarzi et al, 2022; Eggleton et al, 2022;Paley & Hajal, 2022). Healthcare professionals need to eliminate this fear at the stage of getting to know the child, as this will serve as a key to establishing a trusting relationship.…”

Section: Resultsmentioning

confidence: 99%

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Psychology of doctor-patient interaction in the context of medical specialist's communicative tolerance

Shcherban,

Dolynay

2024

Scientific Bulletin of Mukachevo State University Series “Pedagogy and Psychology”

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The relevance of the study is due to the need to find ways to ensure high-quality interaction between a doctor and a patient in the context of a medical professional's communicative tolerance. The purpose of the study was to determine the psychological characteristics of the interpersonal relationship between a doctor and his/her patients. The basis of the theoretical and methodological approach was a qualitative combination of methods of structural and functional analysis of the problem of psychological training of medical professionals and analytical research on the formation of constructive relationships between doctor and patient. Several surveys were conducted on the tolerance of healthcare professionals and their emotional well-being in the context of individual psychological characteristics. The results are presented, which reflect the methods of doctor's influence on the psychological state of the patient and his/her family. The question of how trust in a doctor and his/her professional competences is formed is highlighted. The problem of ethical principles, professional motivation of medical professionals and the specifics of their communication in the team are revealed. The subjective feelings of doctors about the work they do are revealed. The issues of modernization of medical education and digitalization of services are revealed. The conditions, components, and approaches to effective interaction between doctor and patient in the healthcare system are identified. The problems of developing diagnostic tools for assessing the psychological state of a medical professional in his/her professional activity are detailed. An experiment was conducted to substantiate the need to implement programmes to improve the communication skills of healthcare professionals, including interns and nurses. The practical value of the results of the research work is the possibility of using the outlined approach to improve the methods of improving the communication competencies of doctors in their professional activities

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Psychology of doctor-patient interaction in the context of medical specialist's communicative tolerance

Shcherban,

Dolynay

2024

Scientific Bulletin of Mukachevo State University Series “Pedagogy and Psychology”

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“…Pandemic changed doctor-patient relationships and nature of practice teams. Eggleton et al [63] reported receptionists at General Practitioners (GP) in New Zealand being upskilled in telephone triaging and routing patients to consultations, nursing care or other facilities. Nurses and receptionist teams ran separate respiratory units where they triaged patients with possible symptoms to prevent transmission.…”

Section: Discussionmentioning

confidence: 99%

Section: (Which Was Not Certified By Peer Review)mentioning

confidence: 99%

Task shifting healthcare services in the post-COVID world: A scoping review

Das

Grant

2023

Preprint

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Task shifting (TS) redistributes services from specialised to less-qualified providers. Need for TS was intensified during COVID-19 pandemic. We locate evidences of TS across all health conditions to answer: (A) What role has TS played in services delivery since the onset of the pandemic? (B) How has the pandemic impacted strategies of TS globally? We searched five databases in October 2022: Medline, CINHAL Plus, Elsevier, Global Health and Google Scholar. 35 citations were selected. Data was analysed thematically and reported as per PRSIMA-ScR. We used WHO health systems framework and emergent themes to discuss findings. TS was observed in countries of all income-levels. 63% (n=22) articles discussed what impact TS had in COVID-19 care, mental healthcare, care for HIV, sexual and reproductive health, nutrition and rheumatoid diseases. Others (n=13) highlight how pandemic altered TS strategies in mental healthcare, HIV services, hypertension and diabetes and emergency services. Studies varied in reporting TS; majority using terms “task shifting”, followed by “task sharing”, “task shifting and sharing” and “task delegation”. TS affected every block of health system. TS to non-specialists and non-healthcare staff improved services. Modifying roles through training and collaboration strengthened workforce. TS diagnostics increased access to medicines and technologies. Strategic leadership was key. Research on financing TS during pandemics is required. Stakeholders generally accepted TS. Shifting staff between programs led to unintended service incapacities. Pandemic affected strategies of TS. Training, providing care, follow-ups and consultations went digital. Virtually-delivered interventions improved outcomes. Accessibility to digital technology presented barriers.COVID-19 modified health-seeking behaviour. Patients preferred teleconsultations and online-symptom checkers. Organisations altered operating procedures and patient-flow pathways and added precautions to protect staff. Risks of spreading COVID-19 prompted facilities to reconsider TS. TS improved outcomes by filling workforce gaps and increasing access. We recommend TS to improve services delivery during the pandemic and beyond.

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“…Nurses and receptionist teams ran separate respiratory units for triaging patients with symptoms to prevent transmission, and these patients were seen by GPs separately. While TS improved outputs and freed GPs to attend patients, managing different patient streams added to workloads of nurses and receptions, necessitating support staff hires [43].…”

Section: Unintended Consequences Of Task Shiftingmentioning

confidence: 99%

Task shifting healthcare services in the post-COVID world: A scoping review

Das,

Grant,

Fernandes

2023

PLOS Glob Public Health

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Task shifting (TS) is the redistribution of healthcare services from specialised to less-qualified providers. Need for TS was intensified during COVID-19. We explore what impact TS had on service delivery during the pandemic and examine how the pandemic affected TS strategies globally. We searched five databases in October 2022, namely Medline, CINAHL Plus, Elsevier, Global Health and Google Scholar. 35 citations were selected following the PRISMA-ScR guidelines. We analysed data thematically and utilised the WHO health systems framework and emergent themes to frame findings. We uncovered instances of TS in countries across all income levels. 63% (n = 22) of the articles discussed the impact of TS on healthcare services. These encompassed services related to mental healthcare, HIV, sexual and reproductive health, nutrition and rheumatoid diseases. The remaining 37% (n = 13) focused on how the pandemic altered strategies for TS, particularly in services related to mental healthcare, HIV, hypertension, diabetes and emergency care. We also found that studies differed in how they reported TS, with majority using terms “task shifting”, followed by “task sharing”, “task shifting and sharing” and “task delegation”. Our analysis demonstrates that TS had a substantial impact across healthcare systems. Modifying roles through training and collaboration strengthened workforce and enhanced diagnostic services. Strategic leadership played a crucial role in the process. More research on the financial aspects of TS during pandemics is required. Stakeholders generally accepted TS, but transferring staff between healthcare programs caused unintended disruptions. The pandemic reshaped TS, moving training, patient care and consultations to digital platforms. Virtual interventions showed promise, but digital access remained a challenge. Healthcare organisations adapted by modifying procedures, pathways and staff precautions. We recommend refining strategies for TS, and expanding on it to address workforce shortages, improve access, and enhance services, not only during crises but also beyond.

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Disruption to the doctor–patient relationship in primary care: a qualitative study

Cited by 8 publications

References 29 publications

Psychology of doctor-patient interaction in the context of medical specialist's communicative tolerance

Psychology of doctor-patient interaction in the context of medical specialist's communicative tolerance

Task shifting healthcare services in the post-COVID world: A scoping review

Task shifting healthcare services in the post-COVID world: A scoping review

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