Patients with severe mental illness and their carers' expectations for GPs' communication skills: a qualitative approach in Spain.
Background: Effective communication with GPs (General Practitioners) enables higher rates of patient satisfaction and adherence to treatment plans. People with severe mental illness (SMI) and their caregivers present unique characteristics that present difficulties in the GP-carer-patient communicat...
| Publicado en: | BJGP Open Vol. 8; no. 1; pp. 1 - 13 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Royal College of General Practitioners
Apr2024
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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=177543379&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177543379 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23983795 LW60 jtl: BJGP Open issn: 23983795 maglogo: N pubinfo: dt: Apr2024 vid: 8 iid: 1 pid: 11854 pub: Royal College of General Practitioners artinfo: ui: 177543379 177543379 177543379 10.3399/BJGPO.2023.0124 177543379 ppf: 1 ppct: 12 formats: tig: atl: Patients with severe mental illness and their carers' expectations for GPs' communication skills: a qualitative approach in Spain. aug: au: Ramos-Ruiz, Juan Andrés Pérez-Milena, Alejandro Noguera-Cuenca, Carmen Rodríguez-Bayón, Antonina Ruiz-Díaz, Beatriz affil: Multiprofessional Teaching Unit of Family and Community Care Jaén North - Northeast Andalusian Healthcare Service, Andalusia, Spain sug: subj: Mental Disorders Psychiatric Patients Physicians, Family Communication Skills Evaluation Caregiver Attitudes Evaluation Patient Attitudes Evaluation Human Qualitative Studies Spain Male Female Adult Middle Age Aged Descriptive Statistics Funding Source Semi-Structured Interview Focus Groups Methods Content Analysis Thematic Analysis Quality of Health Care Empathy Child, Preschool Attitude to Health Time Management Telemedicine Computer Terminals Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Child, Preschool: 2-5 years Male Female ab: Background: Effective communication with GPs (General Practitioners) enables higher rates of patient satisfaction and adherence to treatment plans. People with severe mental illness (SMI) and their caregivers present unique characteristics that present difficulties in the GP-carer-patient communication process. Aim: To explore the expectations of patients with SMI and their caregivers regarding GPs' communication skills in primary care consultations. Design & setting: Face-to-face interviews, using focus group methodology, which were undertaken in southern Spain. Method: Forty-two participants took part in 21 paired semi-structured interviews with an average duration of 19±7.2 minutes. Information was audio-recorded and transcribed verbatim. Qualitative content analysis was undertaken, obtaining a codification in categories by means of triangulation. Results: Four themes emerged from the analysis. Theme 1 was interviewer communication characteristics. The ability of GPs to use a language that was colloquial and adapted to each person was perceived as a determinant of the quality of care provided. An empathetic attitude, low reactivity, and efficient time management were the most valued communication skills. Theme 2 was telemedicine: telephone consultation and video consultation. The telephone consultation was perceived as a useful tool to care for people with SMI. Video consultation was valued as a requirement in isolated rural areas. Theme 3 was the role of the caregiver during the clinical interview. The caregiver was considered by the patients as an ally who improves the clinical interview. Theme 4 was the perceived barriers and facilitators during the clinical interview. The continuity of care, defined by a low turnover of GPs, determined the quality perceived by those who required care. Conclusion: Themes emerging from this study have suggested that people with SMI require an inclusive, collaborative, and personalised approach in the care they receive from the public health system. Improved communication between GPs and patients with SMI is an essential requirement for quality medical care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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