Doctors’ experience of becoming patients and its influence on their medical practice: A literature review

Morishita, Mariko; Iida, Junko; Nishigori, Hiroshi

doi:10.1016/j.explore.2019.10.007

Cited by 18 publications

(23 citation statements)

References 47 publications

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“…In accordance with the existing literature, many aspects found in our study have already been identified, as summarised in the recently published review by Morishita and colleagues. 18 Furthermore, the influence of systemic conditions such as high workload and lack of time, 9 medical culture as captured in the imprinting category 9 19 or medical knowledge 20 21 are well described in the literature.…”

Section: Discussionmentioning

confidence: 99%

Illness behaviour and influencing aspects of general practitioners in Germany and their use of the health care system: a qualitative study

et al. 2022

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ObjectivesThe aim of this study was to explore aspects that play a role when general practitioners (GPs) become ill and thus gain a more comprehensive understanding of the overall illness behaviour of GPs and their use of the healthcare system.SettingPrimary care practices in Thuringia, Germany.ParticipantsConvenience sample of 16 GPs.DesignQualitative study design with semistructured interviews and content analysis.ResultsUsing our approach of having participants report their own episodes of illness, we found that self-treatment was practised and accepted by all 16 participants. The widespread use of naturopathy and complementary methods seems to be a special feature of German GPs. Formal use of the healthcare system mainly took place through direct consultation with specialists.Our study revealed various aspects influencing the illness behaviour of the GPs and their use of the healthcare system. Some aspects also apply to lay patients, but it became clear how strongly illness behaviour is influenced by participants’ activities as physicians. Noteworthy and less described aspects are especially the influence of patients and practice staff, the influence of biographical and professional imprint and the attitudes and values of the physicians.Complex inter-relationships were found between illness behaviour and influencing aspects; these are subjected to a dynamic and recursive process.ConclusionsThe illness behaviour of German GPs seems to be comprehensively influenced by their activities as responsible healthcare providers. The ability to perceive and reflect in this regards should already be actively promoted in studies and further education. Further research is needed for a better understanding of the inter-relationships.

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Section: Discussionmentioning

confidence: 99%

Illness behaviour and influencing aspects of general practitioners in Germany and their use of the health care system: a qualitative study

et al. 2022

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“…GPs may feel uncomfortable in the role of the patient and fear that other colleagues will interpret their need for help as an indicator of their inability to cope [ 3 , 22 , 23 ]. Other reported explanations include workload and lack of time, stigma [ 19 ], confidentiality, the fear of being seen as incompetent (by peers or patients) [ 10 , 17 , 19 ], embarrassment about the triviality of their condition and cultural myths about physicians’ invincibility [ 6 , 13 , 16 , 17 , 19 , 24 ]. Finally, financial reasons have also been given by physicians working in private practice [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…Schulz et al mentioned the need to analyse specific reasons for GPs’ illness behaviour [ 20 ]. Studies on this topic often treat physicians as a homogenous group, paying little attention to potential differences in their sociodemographic/personal or professional characteristics: existing reviews in this field rarely distinguish between different medical specialities [ 13 , 14 , 24 ]. Preventing GPs’ harmful illness behaviours and proposing interventions for change require identifying factors associated with them.…”

Section: Introductionmentioning

confidence: 99%

Primary Care Physicians’ Personal and Professional Attributes Associated With Forgoing Own Care and Presenteeism: A Cross Sectional Study

Cohidon

Mahler

Broers

et al. 2022

Int J Public Health

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Objective: The aim of this study was to describe the prevalence of forgoing care and forgoing sick leave among primary care physicians (PCPs) in Switzerland and to investigate associated factors.Methods: A random sample of 1,000 PCPs in French-speaking regions of Switzerland (participation rate: 50%) was asked whether they had forgone care and sick leave during the last year. Sociodemographic, personal and occupational characteristics were recorded. Logistic regressions were performed to study these behaviours.Results: 37% of respondents reported at least one episode of forgoing care and 29% reported an episode of forgoing sick leave. No associations were found between individual characteristics and forgoing care. A heavy workload was the most common reason evoked for forgoing care. Coming to work when sick (presenteeism) was associated with female sex, younger age, having a chronic illness, working in a suburban area and working full-time.Conclusion: A high proportion of PCPs in Switzerland is forgoing own care and continues to work despite sickness. New generations of PCPs should require careful monitoring, and specific solutions should be sought to reduce these harmful behaviours.

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“…This is a relatively unknown and under-researched area in doctors, who train and work in high-pressure environments. This study offers perspective on the human lived experience of AcqID and its impact on a doctor's professional function (Morishita et al, 2020), building on research in understanding the role of the body as a facilitator of PTG (Hefferon, 2012(Hefferon, , 2013Kampman & Hefferon, 2020).…”

Section: Introductionmentioning

confidence: 99%

‘A blessing and a burden’: Exploring posttraumatic growth in doctors with acquired invisible disability—An interpretative phenomenological analysis

Mukherjee

Barr

2022

British J Health Psychol

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Objectives: Qualitative studies of the relationship between acquired invisible disability (AcqID) and posttraumatic growth (PTG) are scant, especially in the context of healthcare professionals. This study aimed to explore in-depth accounts of the lived experience of PTG in doctors with AcqID arising from physical illness with cognitive dysfunction. Design: Five doctors who had been diagnosed in the last decade with a physical illness with cognitive dysfunction resulting in an AcqID, and who self-reported at least one feature of PTG participated in this qualitative research study. Methods: Semi-structured interviews were used to collect data, which were analysed using interpretative phenomenological analysis.Results: This study recognized that AcqID supported a process of PTG for participants. Three superordinate themes were apparent across the sample: identity (The human left behind), self (Acceptance of the disabled self), and rebirth (The phoenix rises from the ashes). Human connection, service as a value, and the role of the body were found to be key facilitators of PTG in these participants. This study offers new perspectives on cognitive-embodied appreciation in facilitating PTG in doctors with AcqID. Conclusions: While the participants perceived AcqID with cognitive dysfunction to be a trauma, they also experienced PTG, Corporeal PTG and a new considered domain, Cognitive-Embodied PTG. The unrealised potential of PTG can be harnessed if doctors with disability are viewed as assets to the medical profession, and diversity is promoted through the provision of appropriate support. Thus, there is poten tial to

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Doctors’ experience of becoming patients and its influence on their medical practice: A literature review

Cited by 18 publications

References 47 publications

Illness behaviour and influencing aspects of general practitioners in Germany and their use of the health care system: a qualitative study

Illness behaviour and influencing aspects of general practitioners in Germany and their use of the health care system: a qualitative study

Primary Care Physicians’ Personal and Professional Attributes Associated With Forgoing Own Care and Presenteeism: A Cross Sectional Study

‘A blessing and a burden’: Exploring posttraumatic growth in doctors with acquired invisible disability—An interpretative phenomenological analysis

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