Heartlift patients? An interview-based study of GP trainers and the impact of 'patients they like'

Family Practice
Margaret O'RiordanAnne de la Croix

Abstract

The concept of the 'heartsink patient' is well known and much used when talking about general practice. The opposite of this type of patient, however, has been little explored. To identify patient characteristics valued by GPs. Structured interview to collect narratives from GPs of individual patients, analysed qualitatively through thematic analysis and word frequency. Primary Care in Ireland. GP trainers. Emergent themes from four lead questions: Tell me about a patient you like, Tell me about the patient's personality, What have you learned about yourself as a GP?, What is different about being a GP as opposed to any other kind of doctor? In addition, a corpus linguistic analysis of word frequencies disclosed further themes, not identifiable on the surface of discourse. Ten themes were identified: GPs valued patients who were likeable, a challenge, involved them in negotiation of the doctor-patient relationship, were interesting or virtuous and had a positive effect. GPs valued their profession in that they were facilitators, gave and elicited loyalty, formed personal attachments and had a different perspective. 'Heartlift patients' may be a robust concept, to counterbalance heartsink patients. Data collected are suitable fo...Continue Reading

References

Aug 20, 1988·BMJ : British Medical Journal·T C O'Dowd
Sep 17, 1999·BMJ : British Medical Journal·J G HowieH Rai
Dec 21, 2000·Medical Education·J Spencer
Oct 18, 2001·Family Practice·D Steinmetz, H Tabenkin
Jan 18, 2005·Patient Education and Counseling·Larry Wissow

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Citations

Sep 23, 2009·Family Practice·Jonne van der ZwetMarjan van den Akker
Mar 23, 2011·QJM : Monthly Journal of the Association of Physicians·D O'Neill
Jan 9, 2017·BJGP Open·John R SkeltonKatharine Weetman
Jan 9, 2019·Journal of Graduate Medical Education·Richard J Chung

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