Why are patients removed from their doctors' lists? A comparison of patients' and doctors' accounts of removal

Family Practice
F SampsonJ Nicholl

Abstract

GPs in the UK may remove a patient from their list without supplying a reason to the patient or the local health authority. Little is known of the events that lead to such removal decisions, nor of patients' views of their removal. Our aim was to describe the events that lead to a removal from both the doctor and patient perspectives. An anonymized postal survey of 204 GPs and 319 patients with recent experience of removal was carried out. Violent, threatening or abusive behaviour was the most common reason for removal given by GPs (64%, 57 out of 89), with almost half of instances involving verbal abuse towards receptionists (42 out of 89). However, fewer than a fifth of patients admitted to threatening or abusive behaviour towards practice staff (15 out of 76). Although GPs reported giving patients a reason for the removal in 59% (44 out of 75) of cases, only 36% (26 out of 72) of patients reported receiving a reason. Patients often appeared not to understand why they had been removed. While doctors and patients frequently give differing accounts of the events which lead to removal, both emphasize relationship breakdown and loss of trust. Financial issues appear negligible. Since few removals seem preventable by policy measur...Continue Reading

Citations

Jan 8, 2008·Journal of General Internal Medicine·Neil J FarberE Gil Boyer
Sep 27, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Nicola BrennanVikki Entwistle
Sep 11, 2009·The Neurologist·Benjamin D Brody, Sheryl R Haut
Feb 15, 2014·BMC Family Practice·Andrea E WilliamsonPhilip Wilson
Jan 11, 2014·The British Journal of Dermatology·N A HarunA Y Finlay
May 2, 2013·Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees·Mark Wicclair
May 6, 2021·Journal of General Internal Medicine·Alissa R GroisserGordon D Schiff

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Hans Peter JungM Wensing
Health Communication
Jonathan Matusitz, Gerald-Mark Breen
International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services
Nabil RazzoukJanet Marie Webb
© 2021 Meta ULC. All rights reserved