TITLE

The last frontier? Autonomy, uncertainty and standardisation in general practice

AUTHOR(S)
Carlsen, Benedicte
PUB. DATE
June 2010
SOURCE
Health Sociology Review;Jun2010, Vol. 19 Issue 2, p260
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Earlier studies, mainly based in the UK, the US, Canada and the Netherlands, indicate that GPs are reluctant to follow guidelines. This study explores the rationale behind GPs' reluctance to follow guidelines through focus group interviews with Norwegian GPs. A central concern appearing in the interviews is the GPs' notion of professional identity. The GP was identified as an autonomous generalist with a close alliance to the patient and a sceptical distance to academic medicine and health authorities. Guidelines are seen to conflict with the GPs' sense of clinical autonomy. Another aspect discussed by the GPs was an authority-based clinical insecurity which made them sceptical about the evidence. The findings highlight the need to ground the debate about standardisation of practice in the practitioners' professional identity. The study also underlines the importance of transparency in the standardisation process.
ACCESSION #
52118003

 

Related Articles

  • HOW TO MANAGE DIFFICULT PATIENT ENCOUNTERS. Hull, Sharon K.; Broquet, Karen // Family Practice Management;Jun2007, Vol. 14 Issue 6, p30 

    The article discusses the proper strategy in handling difficult patient encounters in the U.S. Physicians illustrate some of the common attributes of difficult patient encounter including anxiety disorder and severity symptom. The common factors which contributed in difficult patient encounters...

  • "Heartsink" patients. Ciapponi, Nelsa // Family Practice Management;Sep/Oct2012, Vol. 19 Issue 5, p10 

    A letter to the editor is presented in response to the article "Rethinking the Different Patient Encounter," by Jennifer edgoose published in the May/June 2012 issue.

  • Opinion: Your say online … www.healthcarerepublic.com/forums.  // GP: General Practitioner;1/15/2010, p28 

    The article presents the views of readers regarding the patients' re-registration with general practices (GPs) every two years. One of the reader says that rather than more paperwork in the name of competition, time would be better spent caring about and treating patients. Another reader...

  • Practice: How can I help my heartsink patients? Indrasenan // GP: General Practitioner;8/5/2005, p32 

    The article focuses on ways in which general practitioners (GP) can help their heartsink patients. Meta model questioning is a technique that GPs can learn to use in surgery with heartsink patients to open them up to possibilities. The Meta model is based on the theory that people are unhappy,...

  • The Balint group approach. Balint, Enid // Journal of the Royal Society of Medicine;Jun1979, Vol. 72 Issue 6, p469 

    The article discusses the contribution of psychoanalysts and psychiatrists in general practice and how useful the general practitioner (GP) can be to them. Balint groups are formed when GPs and physicians decide to meet together with psychiatrists or psychoanalysts to discuss issues about their...

  • Get a note from your doctor requests on increase again.  // Pulse;3/23/2006, Vol. 66 Issue 12, p20 

    The article reports on the increase in get a note from your doctor requests (GANFYD) in South-West Great Britain. With the examination season starting, general practitioners (GP) are anticipating an increase in GANFYD request to excuse students. GP are receiving GANFYD requests that are not part...

  • Plain Tales from the Surgery.  // GP: General Practitioner;9/11/2009, p64 

    The article presents stories from readers regarding their experiences as physicians. One of the readers says that erectile dysfunction was discussed by a 73-year-old man was surprised to discover that he would need to pay for this. Another reader says that her patient told him that the saline...

  • Heartsink I see more than my own kids.  // Pulse;3/5/2005, Vol. 65 Issue 9, p34 

    Presents views of three general practitioners on a practice problem involving a patient who set appointments frequently. Need to explain to the patient the consequences of his or her action on the physician; Suggestion to negotiate a routine appointment with the patient; Ways of dealing with...

  • How to take the aggravation out of a complaint. Lilley, Roy; Lambden, Paul // Pulse;5/28/2005, Vol. 65 Issue 21, p44 

    The article offers tips to general practitioners on how to handle complaints directed against them. Every practice should have a nominated complaints manager skilled in handling problems. A receipt of a complaint is important. The tips include keeping defense body informed, avoidance of ignoring...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics