Young pain patients’ experience in primary care. A qualitative study

Hiort, Jenny; Lindau, Maria; Löfgren, Monika

doi:10.1080/19012276.2016.1178166

Cited by 3 publications

(1 citation statement)

References 32 publications

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“…One quote noted how the GP saying, ‘I understand how you feel’ provided the patient with a ‘sense of validation and legitimacy’ (Skop, 2015 , p.180). This contrasts with negative accounts, in which GPs were described as ‘sympathy not there, empathy not there’ (Agyare, 2020 , p.100), not providing ‘proper conversation’ (Paulson et al ., 2002 , p.91) and not giving ‘straight answers’ (Hiort et al ., 2017 , p.91). The need for clear, open and effective communication was consistently highlighted, as the studies described encounters with misaligned priorities, miscommunication and assumptions about the other party.…”

Section: Resultsmentioning

confidence: 99%

Patient and primary care practitioners’ perspectives on consultations for fibromyalgia: a qualitative evidence synthesis

Byrne,

Jones,

Backhouse

et al. 2023

Prim Health Care Res Dev

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Background: Fibromyalgia presents a challenge to both the patients experiencing symptoms and the staff aiming to treat them. This qualitative review aimed to synthesise how patients and practitioners experience primary care consultations, develop a rounded picture of how they perceive each other, the challenges to primary care consultation and how they might be tackled. Methods: CINAHL, Embase, CENTRAL and Medline were searched from inception to November 2021. Qualitative studies were included if they explored the perspectives and experiences of either fibromyalgia patients or primary care practitioners. Quantitative data, studies not published in English, not set in primary care or that did not distinguish the type of patient or clinician were excluded. Included studies were analysed using thematic synthesis and their quality assessed. Results: In total, 30 studies met the inclusion criteria. Thematic synthesis identified three overarching themes: (1) life turned upside down – exploring the chaos experienced by patients as they seek help; (2) negative cycle – highlighting how patient and practitioner factors can create a detrimental cycle; and (3) breaking the cycle – validating patient–doctor relationships underpinned by clear communication can help break the negative cycle. Conclusions: Fibromyalgia patients experience uncertainty and chaos that can clash with the attitudes of GPs and the help they can feasibly provide. Difficult consultations in which neither the GP nor patient are satisfied can easily occur. Promoting supportive, reciprocal and open patient–doctor relationships is essential. Future research is required to further explore GP attitudes and to develop an intervention that could improve consultations, patient outcomes and GP satisfaction.

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Section: Resultsmentioning

confidence: 99%