Providing Humanistic Care

Loignon, Christine; Allison, Paul; Landry, Anne; Richard, Lucie; Brodeur, Jean‐Marc; Bedos, Christophe

doi:10.1177/0022034510370822

Cited by 46 publications

(21 citation statements)

References 16 publications

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“…The second paper, by Loignin and co-workers [43], examined the concept of PCC within a different context. They investigated what skills and approaches dentists in Canada used to overcome barriers to dental care for people living in poverty.…”

Section: Resultsmentioning

confidence: 99%

Patient-centred care in general dental practice - a systematic review of the literature

et al. 2014

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BackgroundDelivering improvements in quality is a key objective within most healthcare systems, and a view which has been widely embraced within the NHS in the United Kingdom. Within the NHS, quality is evaluated across three key dimensions: clinical effectiveness, safety and patient experience, with the latter modelled on the Picker Principles of Patient-Centred Care (PCC). Quality improvement is an important feature of the current dental contract reforms in England, with “patient experience” likely to have a central role in the evaluation of quality. An understanding and appreciation of the evidence underpinning PCC within dentistry is highly relevant if we are to use this as a measure of quality in general dental practice.MethodsA systematic review of the literature was undertaken to identify the features of PCC relevant to dentistry and ascertain the current research evidence base underpinning its use as a measure of quality within general dental practice.ResultsThree papers were identified which met the inclusion criteria and demonstrated the use of primary research to provide an understanding of the key features of PCC within dentistry. None of the papers identified were based in general dental practice and none of the three studies sought the views of patients. Some distinct differences were noted between the key features of PCC reported within the dental literature and those developed within the NHS Patient Experience Framework.ConclusionsThis systematic review reveals a lack of understanding of PCC within dentistry, and in particular general dental practice. There is currently a poor evidence base to support the use of the current patient reported outcome measures as indicators of patient-centredness. Further research is necessary to understand the important features of PCC in dentistry and patients’ views should be central to this research.

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Section: Resultsmentioning

confidence: 99%

Patient-centred care in general dental practice - a systematic review of the literature

et al. 2014

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“…Moreover, research conducted among dentists reveals a frequently negative image of underprivileged populations (Bedos et al 2006;Loignon et al 2010). In a qualitative study of quebec dentists, participants expressed difficulty understanding the general lifestyle and health behaviours of the underprivileged.…”

Section: Article Publié En Français Dans La Revue Pratiques Et Organimentioning

confidence: 99%

Social Values, Regulatory Tensions and Professional Practices with Underprivileged Populations: The Case of Quebec’s Oral Healthcare System

Lévesque

Bedos²

2011

hcpol

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Objective: Dentists may experience frustration in their practice with people living on welfare, often perceiving them in a negative light. The difficulties encountered are detrimental to the patient-professional relationship and contribute to compromising access to care for this underprivileged population. In order to fully understand patient-professional interactions, we must consider the macroscopic contexts in which they occur. This paper examines the systemic influences of these interpersonal relationships to deepen our understanding of an important access-to-care determinant for people living on welfare. Methods: Two frameworks are applied to the analysis of quebec' s oral healthcare system: the social values framework and the regulatory logics framework. Results: Our assessment leads us to posit two phenomena: (1) certain negative stereotypes regarding patients living on welfare allow dentists to manage the inevitable regulatory conflicts (i.e., economic vs. professional) involved in their practice and (2) the behaviours of people living on welfare are frequently judged according to the social values embodied in the organization of quebec' s oral healthcare system, delivery and financing. Conclusion: quebec' s oral healthcare system fails to provide effective access to care for individuals living in poverty, and the government must significantly augment its involvement in this healthcare sector. Dentists should also understand the impact that systemic influences have on their rapport with people living on welfare. We argue that new orientations for the field of dental professional education should be considered. This paper was originally published in French, in the journal Pratiques et Organisation des Soins 2011 42(3). RésuméObjectif : Les dentistes éprouvent des frustrations face aux personnes bénéficiaires de l' aide sociale et tendent à les considérer négativement. Ces difficultés affectent la qualité de la relation thérapeutique et même l' accès aux soins de cette clientèle. La compréhension de ces interactions entre professionnels et patients ne peut se faire qu' en appréhendant les contextes macroscopiques qui participent à leur structuration. Ce travail examine donc les influences systémiques des relations interpersonnelles afin de mieux comprendre un important détermi-nant de l' accès aux soins dentaires des bénéficiaires de l' aide sociale. Méthode : Deux cadres d' analyse sont appliqués à l' étude du système de santé buccodentaire québécois, celui des valeurs sociales et celui des logiques de régulation. Résultats : L' analyse amène deux constats : certains stéréotypes négatifs à l' égard des personnes assistées sociales permettent aux dentistes d' arbitrer les inévitables conflits entre les logiques de régulation (i.e. économique vs professionnelle) inhérents à leur pratique. Aussi, certains jugements portés par les dentistes sur les comportements des bénéficiaires de l' aide sociale sont le reflet de valeurs sociales exprimées dans l' organisation, la dispensation et le financement des...

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“…These dentists practise in underprivileged areas and have developed an approach we call "humanistic" [8]. The positive impacts of this humanistic approach, on both the clinical and human levels, were reported to us by dentists who had participated in one of our studies.…”

Section: Introductionmentioning

confidence: 98%

“…Taking into account the capabilities and resources of people living in poverty contributes to positive interactions between dentists and patients and may help healthcare professionals provide effective care [8]. Unfortunately, studies in primary care to date provide no data on what helps make these interactions positive and how some physicians develop best practices in this regard.…”

Section: Introductionmentioning

confidence: 99%

What makes primary care effective for people in poverty living with multiple chronic conditions?: study protocol

Loignon

Haggerty

Fortin

et al. 2010

BMC Health Serv Res

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BackgroundThe inverse care law persists: people living in poverty have the greatest needs and face considerable challenges in getting the care they need. Evidence reveals that GPs encounter difficulties in delivering care to poor patients, while many of those patients feel stigmatized by healthcare professionals. Patients living in poverty report negative healthcare experiences and unmet healthcare needs. Indeed, there is a growing recognition in primary care research of the importance of addressing the capabilities and social conditions of the poor when delivering care. Few studies have looked at the factors contributing to effective and "socially responsive" care for people living in poverty.Methods/DesignOur study adopts a qualitative ethnographic approach in four healthcare organizations in deprived areas of metropolitan Montreal (Québec, Canada), using patient shadowing techniques and interviews. Data will be collected through fieldwork observations and informal interviews with patients before and after consultations. We will observe medical consultations, care organization activities, and waiting areas and reception of patients. We will conduct a total of 36 individual interviews with 12 GPs and 24 patients. The interviews will be audio-recorded and transcribed for purposes of analysis. The analysis consists of debriefing sessions, coding and interpretive analysis.DiscussionThis study aims to investigate how positive healthcare interactions between physicians and patients can improve the management of chronic conditions. We hypothesize that factors related to care organization, to healthcare professionals' experience and to patients may enhance the quality of healthcare interactions, which may have positive impacts for preventing and managing chronic conditions. Our study will provide a unique set of data grounded in the perspectives of healthcare professionals and of patients living in poverty.

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Providing Humanistic Care

Cited by 46 publications

References 16 publications

Patient-centred care in general dental practice - a systematic review of the literature

Patient-centred care in general dental practice - a systematic review of the literature

Social Values, Regulatory Tensions and Professional Practices with Underprivileged Populations: The Case of Quebec’s Oral Healthcare System

What makes primary care effective for people in poverty living with multiple chronic conditions?: study protocol

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