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"Do they think I'm good enough?": General practitioners' experiences when treating doctor-patients
Claire J Hutton1, Margaret Kay2, Penny Round3
1Department of General Practice, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, 3000, Australia. Claire.hutton1@monash.edu.
BMC Primary Care
|September 16, 2024
Summary
General practitioners (GPs) find treating doctor-patients challenging due to complex dynamics of respect and collegiality, often leading to varied care. Enhanced training is needed for GPs to effectively manage these unique patient relationships.
Area of Science:
- Medical Sociology
- Qualitative Health Research
- General Practice
Background:
- Doctors seeking medical care can face suboptimal treatment from colleagues.
- Existing guidelines recommend treating doctor-patients normally, but this is challenging in practice.
- General practitioners (GPs) experience unique positive and negative aspects when caring for doctor-patients.
Purpose of the Study:
- To explore GPs' positive experiences and challenges when treating doctor-patients.
- To determine if GPs treat doctor-patients differently and the reasons why.
- To develop a model explaining GPs' experiences with doctor-patients.
Main Methods:
- Qualitative in-depth interviews were conducted with 26 GPs.
- De-identified transcripts were analyzed using pragmatic grounded theory.
- A model was developed to conceptualize GPs' experiences with doctor-patients.
Main Results:
- Respect and collegiality are central to GPs' interactions with doctor-patients, influencing care quality.
- GPs may vary treatment regarding medical language, testing, sensitive issues, and shared decision-making.
- Anxiety about errors and scrutiny, alongside a desire for collegiality, drive differential treatment.
Conclusions:
- Professional socialization emphasizing collegiality significantly impacts the doctor-doctor therapeutic relationship.
- Current guidelines oversimplify the complexities of treating doctor-patients.
- GPs require evidence-informed training to effectively manage doctor-patients and ensure quality care.
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