Related Experiment Videos

'Breaking up is hard to do': perspectives of general practitioners and patients towards removals from GP lists

M Clarke1, D L Whitford, F O'Reilly

  • 1Department of Family Medicine and General Practice, Royal College of Surgeons in Ireland, Dublin, Ireland.

Irish Journal of Medical Science
|July 31, 2007
PubMed

Insights

Patient removal from general practitioner (GP) lists is increasing. While GPs find removing patients a positive experience, patients find it stressful and confusing, highlighting a need for a better system.

Area of Science:

  • General Practice
  • Healthcare Management
  • Patient Experience

Background:

  • Increasing patient removals from General Practitioner (GP) lists in Ireland raise concerns.
  • Understanding the perspectives of both GPs and patients is crucial.

Purpose of the Study:

  • To investigate the viewpoints of general practitioners and patients regarding patient removals from GP lists.
  • To identify discrepancies in experiences and perceptions.

Main Methods:

  • A questionnaire survey was distributed to 45 GPs in North Inner City Dublin who had removed patients.
  • 86 patients removed from GP lists participated in the survey.
  • Semi-structured interviews were conducted with 5 GPs and 10 patients for in-depth insights.

Main Results:

  • GPs generally perceive patient removal as a positive, relieving experience with a clear decision-making process.
  • Patients experience removal from GP lists negatively, reporting stress and confusion.
  • A significant disparity exists between the experiences of GPs and patients.

Conclusions:

  • A need exists for a transparent, responsive, and supportive system for managing patient removals from GP lists.
  • Developing clear protocols can mitigate patient distress and improve the process for all involved.
Abstract

Related Concept Videos

Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
Guidelines and Strategies for Safe Computer Charting01:18

Guidelines and Strategies for Safe Computer Charting

The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Classification of Illness01:17

Classification of Illness

The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
PPE Use in Healthcare Settings II: Doffing01:10

PPE Use in Healthcare Settings II: Doffing

The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.