Meeting in the middle: improving communication in primary health care consultations with people with an intellectual disability.
The increased presence and participation in Australian society of people with an intellectual disability provides challenges for the provision of primary health care. General practitioners (GPs) identify themselves as ill equipped to provide for this heterogeneous population. A major obstacle to the...
| Publicado en: | Journal of Intellectual & Developmental Disability Vol. 29; no. 3; pp. 211 - 226 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106570223&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106570223 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13668250 DDI jtl: Journal of Intellectual & Developmental Disability issn: 13668250 maglogo: Y pubinfo: dt: Sep2004 vid: 29 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106570223 106570223 2005025752 10.1080/13668250412331285163 106570223 ppf: 211 ppct: 15 formats: fmt: @attributes: type: P tig: atl: Meeting in the middle: improving communication in primary health care consultations with people with an intellectual disability. aug: au: Ziviani J Lennox N Allison H Lyons M Del Mar C affil: Associate Professor, School of Health and Rehabilitation Sciences, University of Queensland, St Lucia 4072, Brisbane, Australia; j.ziviani@uq.edu.au sug: subj: Communication Intellectual Disability Physician-Patient Relations Primary Health Care Evaluation Collaboration Communication Barriers Content Analysis Data Analysis Software Data Analysis, Statistical Interviews Purposive Sample Qualitative Studies Queensland Funding Source Human ab: The increased presence and participation in Australian society of people with an intellectual disability provides challenges for the provision of primary health care. General practitioners (GPs) identify themselves as ill equipped to provide for this heterogeneous population. A major obstacle to the provision of appropriate health care is seen as inadequate communication between the GP and the person with an intellectual disability, who may or may not be accompanied by a carer or advocate. This qualitative study in which five GPs, three people with intellectual disability, seven carers and two advocates (parent and friend) were interviewed was conducted in Brisbane, Australia. The aim was to better understand the factors that have an impact upon the success of communication in a medical consultation. Findings suggested that GPs were concerned with the aspects of communication difficulties which influenced their ability to adequately diagnose, manage and inform patients. Implications for practice management were also identified. People with intellectual disability reported frustration when they felt that they could not communicate adequately with the GP and annoyance when they were not included in the communication exchange. Carers were strong advocates for the person with intellectual disability, but indicated insufficient skill and knowledge to provide the level of assistance required in the consultation. The outcome was a model of cooperation that outlined the responsibilities of all players in the medical encounter, prior to, during and after the event. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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