Patients' views on interpersonal continuity in primary care: a sense of security based on four core foundations

Bültzingslöwen, Inger von; Eliasson, Gösta; Sarvimäki, Anneli; Mattsson, Bengt; Hjortdahl, Per

doi:10.1093/fampra/cmi103

Cited by 79 publications

(111 citation statements)

References 19 publications

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“…Patients were all selected by their GPs as being in holding doctor-patient relationships, which will have influenced their interview accounts. 27 Patient responders had all been registered with their practices for between 3 and 20 years, and it is not known how patients who move practices frequently might respond.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Holding relationships in primary care: a qualitative exploration of doctors' and patients' perceptions

Cocksedge

Greenfield²,

Nugent³

et al. 2011

Br J Gen Pract

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Section: Strengths and Limitationsmentioning

confidence: 99%

Holding relationships in primary care: a qualitative exploration of doctors' and patients' perceptions

Cocksedge

Greenfield²,

Nugent³

et al. 2011

Br J Gen Pract

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“…22 This, and the relative reluctance of older patients and those with chronic conditions to be treated by GPRs, 12 is consistent with the medical literature on continuity of care. 6,34 Previous research has shown continuity means more to patients who share a history of significant events with their physician, 35 describing the sense of security that access to a regular GP provides to those who are chronically ill. 36 These factors work against the willingness of these patients to see a newly introduced GPR.…”

Section: Patient Acceptance Of Being Treated By Gprsmentioning

confidence: 99%

“…3,27 It has been recognised elsewhere that patients' understanding of the role of doctors-in-training requires improvement 38,39 as does communication around transfer of care between doctors. 40 Patients with chronic illnesses have reported less satisfactory doctor-patient communication if they did not have personal continuity with a regular GP, 36 a difficulty which has the potential to be compounded by the relative inexperience of the GPR. 27 Implications for training practices and future research…”

Section: Patient Trustmentioning

confidence: 99%

Patients’ Attitudes to General Practice Registrars: A Review of the Literature

Bonney

Phillipson

Reis

et al. 2009

Education for Primary Care

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Introduction With the population ageing, it is imperative for training practices to provide GP registrars with sound experience in managing the health problems of older persons, especially chronic conditions. However, it is reported that a significant proportion of these patients will be resistant to consulting registrars, with concerns regarding disruption of continuity of care being a significant factor. The challenge for training practices is to identify approaches to engage registrars in the management of older patients whilst maintaining patient satisfaction. This paper presents a review of the literature on patient attitudes to general practice registrars to better understand the nature and magnitude of the challenge, and to identify important research gaps. Methods Major electronic medical literature databases were searched for relevant articles using search terms including general practice, registrar, doctor-patient relationship, patient attitudes and elderly, for the period from 1980 to March 2009. The studies were analysed by methodology, content and theme. Results A total of 15 studies were identified that directly addressed patients' attitudes to GP registrars. Whilst there appeared an overall high acceptance of registrars by patients, increasing patient age was associated with more negative attitudes towards registrars, reduced trust and decreased satisfaction with communication. Presentations for chronic or emotional problems were associated with reduced willingness to consult registrars. Patients generally appreciated an ongoing involvement with their usual GP. Discussion These findings have implications for training practices and research directions. Demonstrating continuity of care through shared chronic disease management between supervisors and registrars is a possible model that meets registrars training and continuity needs. There is a need for quality research on the type and magnitude of problems affecting GP registrar encounters with older patients and, based on results from these studies to, create and assess models of registrar training involving older patients, that meet patients' needs for continuity of care.

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“…Corresponding results have also been demonstrated regarding trauma patients’ perceptions of nursing care (Berg, Spaeth, Sook, Burdsal, & Lippoldt, 2012). On the other hand, unsatisfactory caring relationships may result in a loss of trust, even if the medical treatment itself is been successful, which is in line with Bultzingslöwen, Eliasson, Sarvimäki, Mattsson, and Hjortdahl (2006). …”

Section: Discussionmentioning

confidence: 56%

“…Caring relationships may help patients to understand themselves and the situation, and thereby strengthen their capability and power to seek care at the right level, as shown in this study. Further research has shown that continuity among caregivers also increases opportunities for winning the patient’s trust, by increasing understanding of individual needs (Abrahamsson et al, 2015; Bultzingslöwen et al, 2006; Redsell, Stokes, Jackson, & Baker, 2007). …”

Section: Discussionmentioning

confidence: 99%

Trust in the early chain of healthcare: lifeworld hermeneutics from the patient’s perspective

Boysen

Nyström

Christensson

et al. 2017

International Journal of Qualitative Studies on Health and Well

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Purpose: Patients must be able to feel as much trust for caregivers and the healthcare system at the healthcare centre as at the emergency department. The aim of this study is to explain and understand the phenomenon of trust in the early chain of healthcare, when a patient has called an ambulance for a non-urgent condition and been referred to the healthcare centre.Method: A lifeworld hermeneutic approach from the perspective of caring science was used. Ten patients participated: seven female and three male. The setting is the early chain of healthcare in south-western Sweden.Results: The findings show that the phenomenon of trust does not automatically involve medical care. However, attention to the patient’s lifeworld in a professional caring relationship enables the patient to trust the caregiver and the healthcare environment. It is clear that the “voice of the lifeworld” enables the patient to feel trust.Conclusion: Trust in the early chain of healthcare entails caregivers’ ability to pay attention to both medical and existential issues in compliance with the patient’s information and questions. Thus, the patient must be invited to participate in assessments and decisions concerning his or her own healthcare, in a credible manner and using everyday language.

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Patients' views on interpersonal continuity in primary care: a sense of security based on four core foundations

Abstract: The foundations that underpin the value of personal care from the patients' perspective could be based on categories found in this study.

Cited by 79 publications

References 19 publications

Holding relationships in primary care: a qualitative exploration of doctors' and patients' perceptions

Holding relationships in primary care: a qualitative exploration of doctors' and patients' perceptions

Patients’ Attitudes to General Practice Registrars: A Review of the Literature

Trust in the early chain of healthcare: lifeworld hermeneutics from the patient’s perspective

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