“It’s crucial they’re treated as patients”: ethical guidance and empirical evidence regarding treating doctor–patients
Ethical guidance from the British Medical Association (BMA) about treating doctor–patients is compared and contrasted with evidence from a qualitative study of general practitioners (GPs) who have been patients. Semistructured interviews were conducted with 17 GPs who had experienced a significant i...
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Veröffentlicht in: | Journal of medical ethics 2010-01, Vol.36 (1), p.7-11 |
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creator | Fox, F E Taylor, G J Harris, M F Rodham, K J Sutton, J Scott, J Robinson, B |
description | Ethical guidance from the British Medical Association (BMA) about treating doctor–patients is compared and contrasted with evidence from a qualitative study of general practitioners (GPs) who have been patients. Semistructured interviews were conducted with 17 GPs who had experienced a significant illness. Their experiences were discussed and issues about both being and treating doctor–patients were revealed. Interpretative phenomenological analysis was used to evaluate the data. In this article data extracts are used to illustrate and discuss three key points that summarise the BMA ethical guidance, in order to develop a picture of how far experiences map onto guidance. The data illustrate and extend the complexities of the issues outlined by the BMA document. In particular, differences between experienced GPs and those who have recently completed their training are identified. This analysis will be useful for medical professionals both when they themselves are unwell and when they treat doctor–patients. It will also inform recommendations for professionals who educate medical students or trainees. |
doi_str_mv | 10.1136/jme.2008.029066 |
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Semistructured interviews were conducted with 17 GPs who had experienced a significant illness. Their experiences were discussed and issues about both being and treating doctor–patients were revealed. Interpretative phenomenological analysis was used to evaluate the data. In this article data extracts are used to illustrate and discuss three key points that summarise the BMA ethical guidance, in order to develop a picture of how far experiences map onto guidance. The data illustrate and extend the complexities of the issues outlined by the BMA document. In particular, differences between experienced GPs and those who have recently completed their training are identified. This analysis will be useful for medical professionals both when they themselves are unwell and when they treat doctor–patients. It will also inform recommendations for professionals who educate medical students or trainees.</description><identifier>ISSN: 0306-6800</identifier><identifier>EISSN: 1473-4257</identifier><identifier>DOI: 10.1136/jme.2008.029066</identifier><identifier>PMID: 20026686</identifier><identifier>CODEN: JMETDR</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Institute of Medical Ethics</publisher><subject>Acknowledgments ; Analysis ; Bioethics ; Care and treatment ; Clinical ethics ; Confidentiality ; Diseases ; Empirical evidence ; Ethical aspects ; Ethics ; General practice ; General practitioners ; Health aspects ; Health care ; Health care industry ; Humans ; Interprofessional Relations - ethics ; Medical ethics ; Medical referrals ; Patient care ; Patient confidentiality ; Patient Satisfaction ; Patients ; Physician-Patient Relations - ethics ; Physicians ; Physicians (General practice) ; Physicians, Family - psychology ; Primary health care ; Professional development ; Qualitative research ; Quality of Health Care - ethics ; Quality of Health Care - standards ; Research ethics ; Researchers ; Studies ; Surveys and Questionnaires ; Therapeutic baths</subject><ispartof>Journal of medical ethics, 2010-01, Vol.36 (1), p.7-11</ispartof><rights>BMJ Publishing Group Ltd & Institute of Medical Ethics. All rights reserved.</rights><rights>Copyright © 2010 BMJ Publishing Group Ltd and the Institute of Medical Ethics</rights><rights>Copyright: 2010 BMJ Publishing Group Ltd & Institute of Medical Ethics. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b457t-d858bd193d1871a450fce90f931b4604b60a541301018875da6a828eecf1e05a3</citedby><cites>FETCH-LOGICAL-b457t-d858bd193d1871a450fce90f931b4604b60a541301018875da6a828eecf1e05a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jme.bmj.com/content/36/1/7.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jme.bmj.com/content/36/1/7.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,777,781,800,3183,23552,27905,27906,57998,58231,77349,77380</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20026686$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fox, F E</creatorcontrib><creatorcontrib>Taylor, G J</creatorcontrib><creatorcontrib>Harris, M F</creatorcontrib><creatorcontrib>Rodham, K J</creatorcontrib><creatorcontrib>Sutton, J</creatorcontrib><creatorcontrib>Scott, J</creatorcontrib><creatorcontrib>Robinson, B</creatorcontrib><title>“It’s crucial they’re treated as patients”: ethical guidance and empirical evidence regarding treating doctor–patients</title><title>Journal of medical ethics</title><addtitle>J Med Ethics</addtitle><description>Ethical guidance from the British Medical Association (BMA) about treating doctor–patients is compared and contrasted with evidence from a qualitative study of general practitioners (GPs) who have been patients. Semistructured interviews were conducted with 17 GPs who had experienced a significant illness. Their experiences were discussed and issues about both being and treating doctor–patients were revealed. Interpretative phenomenological analysis was used to evaluate the data. In this article data extracts are used to illustrate and discuss three key points that summarise the BMA ethical guidance, in order to develop a picture of how far experiences map onto guidance. The data illustrate and extend the complexities of the issues outlined by the BMA document. In particular, differences between experienced GPs and those who have recently completed their training are identified. This analysis will be useful for medical professionals both when they themselves are unwell and when they treat doctor–patients. It will also inform recommendations for professionals who educate medical students or trainees.</description><subject>Acknowledgments</subject><subject>Analysis</subject><subject>Bioethics</subject><subject>Care and treatment</subject><subject>Clinical ethics</subject><subject>Confidentiality</subject><subject>Diseases</subject><subject>Empirical evidence</subject><subject>Ethical aspects</subject><subject>Ethics</subject><subject>General practice</subject><subject>General practitioners</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Humans</subject><subject>Interprofessional Relations - ethics</subject><subject>Medical ethics</subject><subject>Medical referrals</subject><subject>Patient care</subject><subject>Patient confidentiality</subject><subject>Patient Satisfaction</subject><subject>Patients</subject><subject>Physician-Patient Relations - ethics</subject><subject>Physicians</subject><subject>Physicians (General practice)</subject><subject>Physicians, Family - psychology</subject><subject>Primary health care</subject><subject>Professional development</subject><subject>Qualitative research</subject><subject>Quality of Health Care - ethics</subject><subject>Quality of Health Care - standards</subject><subject>Research ethics</subject><subject>Researchers</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Therapeutic baths</subject><issn>0306-6800</issn><issn>1473-4257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AVQMV</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>K50</sourceid><sourceid>M1D</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc1u1DAUhSMEokNhzQoUiQUSUqbXceI47KoR0EojugFmaTn2TeohP1PbQXSXd2CFBC83T4KHtFXFBm9snfvdoyOfKHpOYEkIZSfbDpcpAF9CWgJjD6IFyQqaZGlePIwWQIEljAMcRU-c20I4KS8fR0dhJWWMs0U07adf534__XSxsqMyso39JV4HwWLsLUqPOpYu3klvsPduP_1-G6O_NCqQzWi07BXGstcxdjtj_8r4zWg8yBYbabXpm9np8NCD8oPdTz9uDZ9Gj2rZOnx2cx9Hn9-_-7Q6S9YXH85Xp-ukyvLCJ5rnvNKkpJrwgsgsh1phCXVJSZUxyCoGMs8IBQKE8yLXkkmeckRVE4Rc0uPo9ey7s8PViM6LzjiFbSt7HEYnCkrLlOYZC-Srf8jtMNo-hBOk4AQ4pZwHKpmpRrYoTK-G3uN3r4a2xQZFyL66EKcp4TQUldLAn8y8soNzFmuxs6aT9loQEIcuRehSHLoUc5dh4-VNjrHqUN_xt-UF4MUMbF3403tzVrIC7kU0LkS7m0v7VbCCFrn4-GUlzqCEDdlsxDrwb2a-6rb_TfcHzCnENA</recordid><startdate>201001</startdate><enddate>201001</enddate><creator>Fox, F E</creator><creator>Taylor, G J</creator><creator>Harris, M F</creator><creator>Rodham, K J</creator><creator>Sutton, J</creator><creator>Scott, J</creator><creator>Robinson, B</creator><general>BMJ Publishing Group Ltd and Institute of Medical Ethics</general><general>Institute of Medical Ethics and BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>AABKS</scope><scope>ABSDQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AVQMV</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K50</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1D</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201001</creationdate><title>“It’s crucial they’re treated as patients”: ethical guidance and empirical evidence regarding treating doctor–patients</title><author>Fox, F E ; Taylor, G J ; Harris, M F ; Rodham, K J ; Sutton, J ; Scott, J ; Robinson, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b457t-d858bd193d1871a450fce90f931b4604b60a541301018875da6a828eecf1e05a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Acknowledgments</topic><topic>Analysis</topic><topic>Bioethics</topic><topic>Care and treatment</topic><topic>Clinical ethics</topic><topic>Confidentiality</topic><topic>Diseases</topic><topic>Empirical evidence</topic><topic>Ethical aspects</topic><topic>Ethics</topic><topic>General practice</topic><topic>General practitioners</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health care industry</topic><topic>Humans</topic><topic>Interprofessional Relations - ethics</topic><topic>Medical ethics</topic><topic>Medical referrals</topic><topic>Patient care</topic><topic>Patient confidentiality</topic><topic>Patient Satisfaction</topic><topic>Patients</topic><topic>Physician-Patient Relations - ethics</topic><topic>Physicians</topic><topic>Physicians (General practice)</topic><topic>Physicians, Family - psychology</topic><topic>Primary health care</topic><topic>Professional development</topic><topic>Qualitative research</topic><topic>Quality of Health Care - ethics</topic><topic>Quality of Health Care - standards</topic><topic>Research ethics</topic><topic>Researchers</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Therapeutic baths</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fox, F E</creatorcontrib><creatorcontrib>Taylor, G J</creatorcontrib><creatorcontrib>Harris, M F</creatorcontrib><creatorcontrib>Rodham, K J</creatorcontrib><creatorcontrib>Sutton, J</creatorcontrib><creatorcontrib>Scott, J</creatorcontrib><creatorcontrib>Robinson, B</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>Philosophy Collection</collection><collection>Philosophy Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>Arts Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Art, Design & Architecture Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Arts & Humanities Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of medical ethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fox, F E</au><au>Taylor, G J</au><au>Harris, M F</au><au>Rodham, K J</au><au>Sutton, J</au><au>Scott, J</au><au>Robinson, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“It’s crucial they’re treated as patients”: ethical guidance and empirical evidence regarding treating doctor–patients</atitle><jtitle>Journal of medical ethics</jtitle><addtitle>J Med Ethics</addtitle><date>2010-01</date><risdate>2010</risdate><volume>36</volume><issue>1</issue><spage>7</spage><epage>11</epage><pages>7-11</pages><issn>0306-6800</issn><eissn>1473-4257</eissn><coden>JMETDR</coden><abstract>Ethical guidance from the British Medical Association (BMA) about treating doctor–patients is compared and contrasted with evidence from a qualitative study of general practitioners (GPs) who have been patients. Semistructured interviews were conducted with 17 GPs who had experienced a significant illness. Their experiences were discussed and issues about both being and treating doctor–patients were revealed. Interpretative phenomenological analysis was used to evaluate the data. In this article data extracts are used to illustrate and discuss three key points that summarise the BMA ethical guidance, in order to develop a picture of how far experiences map onto guidance. The data illustrate and extend the complexities of the issues outlined by the BMA document. In particular, differences between experienced GPs and those who have recently completed their training are identified. This analysis will be useful for medical professionals both when they themselves are unwell and when they treat doctor–patients. 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subjects | Acknowledgments Analysis Bioethics Care and treatment Clinical ethics Confidentiality Diseases Empirical evidence Ethical aspects Ethics General practice General practitioners Health aspects Health care Health care industry Humans Interprofessional Relations - ethics Medical ethics Medical referrals Patient care Patient confidentiality Patient Satisfaction Patients Physician-Patient Relations - ethics Physicians Physicians (General practice) Physicians, Family - psychology Primary health care Professional development Qualitative research Quality of Health Care - ethics Quality of Health Care - standards Research ethics Researchers Studies Surveys and Questionnaires Therapeutic baths |
title | “It’s crucial they’re treated as patients”: ethical guidance and empirical evidence regarding treating doctor–patients |
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