From: Family physician enabling attitudes: a qualitative study of patient perceptions
Themes | Sub-themes | Verbatim* |
---|---|---|
1. A) Developing a partnership: a relationship of trust Table 2 | Helping the patient feel comfortable | I feel very good with Doctor X, I am not embarrassed to tell him everything. (22) |
Showing empathy | She is so always ready to listen to the person, that if I have problems, I know I will be able to talk to her. (14) | |
Showing respect | You don’t feel things are imposed on you but you don’t feel judged either. (16) | |
Being sincere | She is good, she tells you the truth, and she doesn’t hide anything, you know. (21) | |
Demonstrating professionalism | Me, her relationships with one and another don’t interest me. (10) | |
Demonstrating engagement | When my husband was in his last weeks, she was pregnant, she was about to stop working. She would go see him once or twice a week. That really touched me. She did not have to do that. (30) | |
Spending adequate time | He does not look at the time, he listens, looks at you and he catches everything you say. After that, he responds to what you asked him. (2) | |
Fostering relationship continuity | I think that by seeing each other, we developed a privileged contact. (17) | |
1. B) Developing a partnership: Finding common ground | Informing | He says just enough. He explains what you want to know. (2) |
Providing results | She comes and reads my results she just received. I am encouraged when I do something good. (13) | |
Taking preferences into account and respecting choices | He accepts your choices. You are the one who decides. (16) | |
2. Promoting patient interests in the healthcare system | Demonstrating professional competence | I would expect him to use all his medical knowledge to find the problem. (20) |
Fostering collaborations with other health professionals, specialists, community resources and alternative and complementary medicines | It is even her (physician) who gave me the name of an acupuncturist that I went to see. She oriented me. (16) | |
Fostering continuity of care | She knew everything the cardiologist was doing with me, because he would convey the information to my family physician. (24) | |
Fostering accessibility to care | So that, knowing I can call him… that is less stressful. (3) | |
Accompanying in the steps to be taken | He helped me a lot step by step to get to the surgery. (1) | |
Ensuring patient safety | He left a message on my answering machine. He wanted to know how I was doing. He thought… I looked so bad that he was worried. (19) | |
3. Starting from the patient situation | Knowing the antecedents and the health status of the patient | She knows me from A to Z. (24) |
Knowing the feelings (anger, sadness…) | When I found out I had diabetes. He noticed that I was shaken … (19) | |
Knowing the repercussions | She will ask me: what about the pain, how are you doing? How are your days? (9) | |
Knowing the expectations | And in the end, he will ask, do you want anything? (18) | |
Knowing the personality | He knows I am fearful. He went to get a book with an image to show me where it was in my knee and how he would give me the infiltration… I thought that was kind of him. (2) | |
Knowing the family context | She always asks about my grandchildren. You know, there is something there … (14) | |
Knowing about the work status | In regards to work…you know we cover that. (16) | |
Knowing about leisure time or activities | My leisure activities, if I practice sports. She asks about everything. (14) | |
Knowing about the life context | She asked me what kind of summer I had… you see that she is interested in your life… that’s a lot. (25) | |
Addressing the subject of sex | I have a follow-up on everything… even on the issue of sex. (18) | |
4. Legitimizing the illness experience | Recognizing the suffering | God you suffer, it makes no sense… you know, she can’t believe how I am so organised. (9) |
Managing emotions linked to the absence of a diagnosis or an uncertain or worrisome diagnosis | They want to help me on that aspect… because for me, not to know what it is, it’s difficult. (8) | |
5. Acknowledging and promoting the patient’s expertise | Promoting healthy lifestyle habits | He also mentions things to do or to not do… that are not related to medication. Therefore, not everything is settled by a pill…There are other things all around that we look at. (5) |
Encouraging self-care | I have a prescription but I am the one who manages it. (16) | |
Advising | The advice she’s going to give me, for sure I will take it cause I know it will work. (24) | |
Fostering greater awareness | He always had the right way to make me understand things that I really did not want to understand. (22) | |
Fostering self-confidence | He knows I can understand… occasionally, he says: “Now, you know what to do, it’s up to you, it’s your responsibility, go ahead”. (5) | |
6. Helping the patient maintain hope | Playing it down | He can help me put things in perspective. (15) |
 | Supporting | If I have concerns, Dr X reassures me. That allows me to be free. (2) |