dc.contributor.author | Brennan, N | |
dc.contributor.author | Langdon, N | |
dc.contributor.author | Keates, N | |
dc.contributor.author | Mattick, K | |
dc.contributor.author | Gale, T | |
dc.date.accessioned | 2023-02-20T10:30:33Z | |
dc.date.issued | 2023-01-16 | |
dc.date.updated | 2023-02-19T17:04:39Z | |
dc.description.abstract | BACKGROUND: A positive doctor-patient relationship is a crucial part of high-quality patient care. There is a general perception that it has been changing in recent years; however, there is a lack of evidence for this. Adapting to the changing doctor-patient relationship has been identified as an important skill doctors of the future must possess. This study explores (1) multiple stakeholder perspectives on how the doctor-patient relationship is changing and (2) in what ways medical graduates are prepared for working in this changing doctor-patient relationship. METHODS: We conducted a national qualitative study involving semi-structured interviews with multiple stakeholders across the United Kingdom. Interviews lasting 45-60 minutes were conducted with 67 stakeholders including doctors in the first 2 years of practice (ECD's), patient representatives, supervisors, deans, medical educators and other health care professionals. The interviews were audiorecorded, transcribed, analysed, coded in NVivo and analysed thematically using a Thematic Framework Analysis approach. RESULTS: The main ways the doctor-patient relationship was perceived to be changing related to increased shared decision making and patients having increasing access to information. Communication, patient-centred care and fostering empowerment, were the skills identified as being crucial for preparedness to work in the changing doctor-patient relationship. Graduates were reported to be typically well-prepared for the preconditions (communication and delivering patient-centred care) of patient empowerment, but that more work is needed to achieve true patient empowerment. CONCLUSION: This study offers a conceptual advance by identifying how the doctor-patient relationship is changing particularly around the 'patient-as-knowledge-source' dimension. On the whole ECD's are well-prepared for working in the changing doctor-patient relationship with the exception of patient empowerment skills. Further research is now needed to provide an in-depth understanding of patient empowerment that is shared among key stakeholders (particularly the patient perspective) and to underpin the design of educational interventions appropriate to career stage. | en_GB |
dc.description.sponsorship | General Medical Council 1203 | en_GB |
dc.format.medium | Print-Electronic | |
dc.identifier.citation | Published online 16 January 2023 | en_GB |
dc.identifier.doi | https://doi.org/10.1111/medu.15020 | |
dc.identifier.uri | http://hdl.handle.net/10871/132503 | |
dc.identifier | ORCID: 0000-0003-1800-773X (Mattick, Karen) | |
dc.identifier | ScopusID: 56723888400 | 57130622400 | 6701773218 (Mattick, Karen) | |
dc.language.iso | en | en_GB |
dc.publisher | Wiley / Association for the Study of Medical Education | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/36646510 | en_GB |
dc.rights.embargoreason | Under embargo until 16 January 2024 in compliance with publisher policy | en_GB |
dc.rights | © 2023 Association for the Study of Medical Education and John Wiley & Sons Ltd. | en_GB |
dc.title | Graduates' preparedness for the changing doctor-patient relationship: A qualitative study | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2023-02-20T10:30:33Z | |
dc.identifier.issn | 0308-0110 | |
exeter.place-of-publication | England | |
dc.description | This is the author accepted manuscript. The final version is available from Wiley via the DOI in this record | en_GB |
dc.identifier.eissn | 1365-2923 | |
dc.identifier.journal | Medical Education | en_GB |
dc.relation.ispartof | Med Educ | |
dc.rights.uri | http://www.rioxx.net/licenses/all-rights-reserved | en_GB |
dcterms.dateAccepted | 2023-01-11 | |
rioxxterms.version | AM | en_GB |
rioxxterms.licenseref.startdate | 2023-01-16 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2023-02-20T10:26:30Z | |
refterms.versionFCD | AM | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2023-01-16 | |