How can General practitioners improve the quality of their care?
Aims: To examine General Practitioners work it seems necessary to identify and estimate their medical consultations or to ask them for their view on their work with patients. Methods: In this study about quality management in psychosomatic basic care, we collected data of 378 GPs and Internists out...
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| Veröffentlicht in: | Journal of psychosomatic research 2018-06, Vol.109, p.98-98 |
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| container_title | Journal of psychosomatic research |
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| creator | Deter, H.C. Dilg, R. Mitzenegg, P. |
| description | Aims: To examine General Practitioners work it seems necessary to identify and estimate their medical consultations or to ask them for their view on their work with patients. Methods: In this study about quality management in psychosomatic basic care, we collected data of 378 GPs and Internists out of all 3212 working in Berlin. They were asked for their needs in practical care and 156 of them took part on different quality management programs. Results: If symptoms decrease since first diagnosis and it was a better health status this was seen as therapeutic success by GP's (56.1%) and by patients (65.8%). If the patient has understood the physician (79.3%) and the GP had shown empathy (92.6%) this was another reason for satisfaction in both. GP's reported their need to improve the epidemiologic and clinical knowledge in psychosomatic disturbances like functional GI disorders, pain, depression, anxiety and sleeping disorders as well as sexual dysfunctions. They wanted to improve psychosomatic diagnostic and therapeutic abilities, strengthen the patient-physician relationship and utilize the placebo response. This was done in a 9 x 2 hours teaching course which was evaluated in 66 physicians. Diagnostic capabilities (p |
| doi_str_mv | 10.1016/j.jpsychores.2018.03.045 |
| format | Article |
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Methods: In this study about quality management in psychosomatic basic care, we collected data of 378 GPs and Internists out of all 3212 working in Berlin. They were asked for their needs in practical care and 156 of them took part on different quality management programs. Results: If symptoms decrease since first diagnosis and it was a better health status this was seen as therapeutic success by GP's (56.1%) and by patients (65.8%). If the patient has understood the physician (79.3%) and the GP had shown empathy (92.6%) this was another reason for satisfaction in both. GP's reported their need to improve the epidemiologic and clinical knowledge in psychosomatic disturbances like functional GI disorders, pain, depression, anxiety and sleeping disorders as well as sexual dysfunctions. They wanted to improve psychosomatic diagnostic and therapeutic abilities, strengthen the patient-physician relationship and utilize the placebo response. This was done in a 9 x 2 hours teaching course which was evaluated in 66 physicians. Diagnostic capabilities (p<0.05), prescription behaviour changed and satisfaction with work improved (p<0.001). Conclusion: To optimize GP's work in all health problems the first step is to understand the need of patients and the need of physicians to optimize consultations. In a second step to tailor special programs for doctor patient relationship and different diseases. In the third step time is so precious that it needs a special consideration: cost adequate behaviour should be taken in account.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2018.03.045</identifier><language>eng</language><publisher>London: Elsevier Inc</publisher><subject>Anxiety ; Data analysis ; Empathy ; Epidemiology ; Family physicians ; Health problems ; Health status ; Medical diagnosis ; Mental depression ; Pain ; Physician patient relationships ; Physicians ; Psychosomatic medicine ; Quality management ; Quality of care ; Sleep disorders ; Teaching</subject><ispartof>Journal of psychosomatic research, 2018-06, Vol.109, p.98-98</ispartof><rights>2018</rights><rights>Copyright Elsevier Science Ltd. Jun 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S002239991830254X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30976,65306</link.rule.ids></links><search><creatorcontrib>Deter, H.C.</creatorcontrib><creatorcontrib>Dilg, R.</creatorcontrib><creatorcontrib>Mitzenegg, P.</creatorcontrib><creatorcontrib>the Quality Management in Psychosomatic Basic Care Study Group (QSPSGV)</creatorcontrib><title>How can General practitioners improve the quality of their care?</title><title>Journal of psychosomatic research</title><description>Aims: To examine General Practitioners work it seems necessary to identify and estimate their medical consultations or to ask them for their view on their work with patients. Methods: In this study about quality management in psychosomatic basic care, we collected data of 378 GPs and Internists out of all 3212 working in Berlin. They were asked for their needs in practical care and 156 of them took part on different quality management programs. Results: If symptoms decrease since first diagnosis and it was a better health status this was seen as therapeutic success by GP's (56.1%) and by patients (65.8%). If the patient has understood the physician (79.3%) and the GP had shown empathy (92.6%) this was another reason for satisfaction in both. GP's reported their need to improve the epidemiologic and clinical knowledge in psychosomatic disturbances like functional GI disorders, pain, depression, anxiety and sleeping disorders as well as sexual dysfunctions. They wanted to improve psychosomatic diagnostic and therapeutic abilities, strengthen the patient-physician relationship and utilize the placebo response. This was done in a 9 x 2 hours teaching course which was evaluated in 66 physicians. Diagnostic capabilities (p<0.05), prescription behaviour changed and satisfaction with work improved (p<0.001). Conclusion: To optimize GP's work in all health problems the first step is to understand the need of patients and the need of physicians to optimize consultations. In a second step to tailor special programs for doctor patient relationship and different diseases. In the third step time is so precious that it needs a special consideration: cost adequate behaviour should be taken in account.</description><subject>Anxiety</subject><subject>Data analysis</subject><subject>Empathy</subject><subject>Epidemiology</subject><subject>Family physicians</subject><subject>Health problems</subject><subject>Health status</subject><subject>Medical diagnosis</subject><subject>Mental depression</subject><subject>Pain</subject><subject>Physician patient relationships</subject><subject>Physicians</subject><subject>Psychosomatic medicine</subject><subject>Quality management</subject><subject>Quality of care</subject><subject>Sleep disorders</subject><subject>Teaching</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFkE9LAzEQxYMoWKvfIeB510nSzWZP_inaCgUveg7Z7IRmaXe3ybbSb29KBY-ehgfvvZn5EUIZ5AyYfGjzdohHu-4DxpwDUzmIHGbFBZkwVVYZExIuyQSA80xUVXVNbmJsAUBWvJiQp2X_Ta3p6AI7DGZDh2Ds6EffJxmp3w6hPyAd10h3e7Px45H27iR9SLGAj7fkyplNxLvfOSVfb6-f82W2-li8z59XmU0XsKxyIJWS1ipsalfUnEtVlU5JA9xIV5RKWK4UB1czKK3AGdQCZmUNjVGCo5iS-3NvOmi3xzjqtt-HLq3UHJRSIrWz5FJnlw19jAGdHoLfmnDUDPSJl271Hy994qVB6MQrRV_OUUxfHDwGHa3HzmLjA9pRN73_v-QHfM94Yg</recordid><startdate>201806</startdate><enddate>201806</enddate><creator>Deter, H.C.</creator><creator>Dilg, R.</creator><creator>Mitzenegg, P.</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope></search><sort><creationdate>201806</creationdate><title>How can General practitioners improve the quality of their care?</title><author>Deter, H.C. ; Dilg, R. ; Mitzenegg, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1361-9f06886cc8edbf5b226897f86a02a6f5783c28820fb107c3e40b3047b0da832e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anxiety</topic><topic>Data analysis</topic><topic>Empathy</topic><topic>Epidemiology</topic><topic>Family physicians</topic><topic>Health problems</topic><topic>Health status</topic><topic>Medical diagnosis</topic><topic>Mental depression</topic><topic>Pain</topic><topic>Physician patient relationships</topic><topic>Physicians</topic><topic>Psychosomatic medicine</topic><topic>Quality management</topic><topic>Quality of care</topic><topic>Sleep disorders</topic><topic>Teaching</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deter, H.C.</creatorcontrib><creatorcontrib>Dilg, R.</creatorcontrib><creatorcontrib>Mitzenegg, P.</creatorcontrib><creatorcontrib>the Quality Management in Psychosomatic Basic Care Study Group (QSPSGV)</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deter, H.C.</au><au>Dilg, R.</au><au>Mitzenegg, P.</au><aucorp>the Quality Management in Psychosomatic Basic Care Study Group (QSPSGV)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>How can General practitioners improve the quality of their care?</atitle><jtitle>Journal of psychosomatic research</jtitle><date>2018-06</date><risdate>2018</risdate><volume>109</volume><spage>98</spage><epage>98</epage><pages>98-98</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>Aims: To examine General Practitioners work it seems necessary to identify and estimate their medical consultations or to ask them for their view on their work with patients. Methods: In this study about quality management in psychosomatic basic care, we collected data of 378 GPs and Internists out of all 3212 working in Berlin. They were asked for their needs in practical care and 156 of them took part on different quality management programs. Results: If symptoms decrease since first diagnosis and it was a better health status this was seen as therapeutic success by GP's (56.1%) and by patients (65.8%). If the patient has understood the physician (79.3%) and the GP had shown empathy (92.6%) this was another reason for satisfaction in both. GP's reported their need to improve the epidemiologic and clinical knowledge in psychosomatic disturbances like functional GI disorders, pain, depression, anxiety and sleeping disorders as well as sexual dysfunctions. They wanted to improve psychosomatic diagnostic and therapeutic abilities, strengthen the patient-physician relationship and utilize the placebo response. This was done in a 9 x 2 hours teaching course which was evaluated in 66 physicians. Diagnostic capabilities (p<0.05), prescription behaviour changed and satisfaction with work improved (p<0.001). Conclusion: To optimize GP's work in all health problems the first step is to understand the need of patients and the need of physicians to optimize consultations. In a second step to tailor special programs for doctor patient relationship and different diseases. In the third step time is so precious that it needs a special consideration: cost adequate behaviour should be taken in account.</abstract><cop>London</cop><pub>Elsevier Inc</pub><doi>10.1016/j.jpsychores.2018.03.045</doi><tpages>1</tpages></addata></record> |
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| ispartof | Journal of psychosomatic research, 2018-06, Vol.109, p.98-98 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Elsevier ScienceDirect Journals |
| subjects | Anxiety Data analysis Empathy Epidemiology Family physicians Health problems Health status Medical diagnosis Mental depression Pain Physician patient relationships Physicians Psychosomatic medicine Quality management Quality of care Sleep disorders Teaching |
| title | How can General practitioners improve the quality of their care? |
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