What general practitioners find satisfying in their work: implications for health care system reform
What general practitioners find satisfying in their work: implications for health care system reform
Purpose: we sought to explore general practitioners' satisfaction with their patient visits and the congruity between this satisfaction and new models of practice, such as those implicit in the new general medical services contract in the United Kingdom.
Methods: we undertook a qualitative study using audio recordings of patient visits and in-depth interviews with 19 general practitioners in Lothian, Scotland.
Results: doctors' reports of satisfying and unsatisfying experiences during consultations were primarily concerned with developing and maintaining relationships rather than with the technical aspects of diagnosis and treatment. In their most satisfying consultations, they used the interpersonal aspects of care, in particular their sense of knowing the patient, to effect a successful outcome. Success was seen in holistic terms-not as the prevention, treatment, or cure of a disease, but as restorative of the person. Positive experiences were implicated in maintaining their identity as "good" doctors. Negative experiences sometimes challenged this identity, and doctors resisted this challenge by finding explanations for unsatisfactory experiences that distanced themselves from their source or cause.
Conclusion: the attributes of a satisfying encounter found in this study derive from a model of practice that prioritizes the distress of patients, which cannot be measured, above the technical and quantifiable in diagnosis and treatment. Preoccupation with that which is technical and measurable in health care system reforms risks defining a model of practice with purpose and meaning not congruent with doctors' experiences of their work and may result in further destruction of professional morale
500-505
Fairhurst, Karen
1ec1717d-ecff-4ccc-8e86-5eda901e13f1
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
November 2006
Fairhurst, Karen
1ec1717d-ecff-4ccc-8e86-5eda901e13f1
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
Fairhurst, Karen and May, Carl
(2006)
What general practitioners find satisfying in their work: implications for health care system reform.
Annals of Family Medicine, 4 (6), .
(doi:10.1370/afm.565).
Abstract
Purpose: we sought to explore general practitioners' satisfaction with their patient visits and the congruity between this satisfaction and new models of practice, such as those implicit in the new general medical services contract in the United Kingdom.
Methods: we undertook a qualitative study using audio recordings of patient visits and in-depth interviews with 19 general practitioners in Lothian, Scotland.
Results: doctors' reports of satisfying and unsatisfying experiences during consultations were primarily concerned with developing and maintaining relationships rather than with the technical aspects of diagnosis and treatment. In their most satisfying consultations, they used the interpersonal aspects of care, in particular their sense of knowing the patient, to effect a successful outcome. Success was seen in holistic terms-not as the prevention, treatment, or cure of a disease, but as restorative of the person. Positive experiences were implicated in maintaining their identity as "good" doctors. Negative experiences sometimes challenged this identity, and doctors resisted this challenge by finding explanations for unsatisfactory experiences that distanced themselves from their source or cause.
Conclusion: the attributes of a satisfying encounter found in this study derive from a model of practice that prioritizes the distress of patients, which cannot be measured, above the technical and quantifiable in diagnosis and treatment. Preoccupation with that which is technical and measurable in health care system reforms risks defining a model of practice with purpose and meaning not congruent with doctors' experiences of their work and may result in further destruction of professional morale
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Published date: November 2006
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Local EPrints ID: 163557
URI: http://eprints.soton.ac.uk/id/eprint/163557
ISSN: 1544-1709
PURE UUID: bf6c5cca-8282-47b0-b57e-fcea6925291c
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Date deposited: 09 Sep 2010 10:39
Last modified: 14 Mar 2024 02:05
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Author:
Karen Fairhurst
Author:
Carl May
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