Understanding "revolving door" patients in general practice: a qualitative study
'Revolving door' patients in general practice are repeatedly removed from general practitioners' (GP) lists. This paper reports a qualitative portion of the first mixed methods study of these marginalised patients. We conducted qualitative semi-structured interviews with six practitio...
Gespeichert in:
| Veröffentlicht in: | BMC family practice 2014-02, Vol.15 (1), p.33-33, Article 33 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 33 |
|---|---|
| container_issue | 1 |
| container_start_page | 33 |
| container_title | BMC family practice |
| container_volume | 15 |
| creator | Williamson, Andrea E Mullen, Kenneth Wilson, Philip |
| description | 'Revolving door' patients in general practice are repeatedly removed from general practitioners' (GP) lists. This paper reports a qualitative portion of the first mixed methods study of these marginalised patients.
We conducted qualitative semi-structured interviews with six practitioner services staff and six GPs in Scotland, utilizing Charmazian grounded theory to characterise 'revolving door' patients and their impact from professionals' perspectives.
'Revolving door' patients were reported as having three necessary characteristics; they had unreasonable expectations, exhibited inappropriate behaviours and had unmet health needs. A range of boundary breaches were reported too when 'revolving door' patients interacted with NHS staff.
We utilise the 'sensitising concepts' of legitimacy by drawing on literature about 'good and bad' patients and 'dirty work designations.' We relate these to the core work of general practice and explore the role that medical and moral schemas have in how health service professionals understand and work with 'revolving door' patients. We suggest this may have wider relevance for the problem doctor patient relationship literature. |
| doi_str_mv | 10.1186/1471-2296-15-33 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3930014</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A710282315</galeid><sourcerecordid>A710282315</sourcerecordid><originalsourceid>FETCH-LOGICAL-b547t-bf06720fafa832143e20d8ced090ac892d339b37bc4561c4862ae598cf5996e13</originalsourceid><addsrcrecordid>eNp1kk1P3DAQhi0EKpT2zK2K6KWXgD8Th0MlQLRUQmoP5Ww59mRrlNiLnazEv8fRwpZFIB9szTx-Z-bVIHRE8AkhsjolvCYlpU1VElEytoMONpHdF-999DGlO4xJLSn9gPYpF5Szih2gP7feQkyj9tb5RXEcYRX61fy0IcTjYqlHB35MhfPFAjxE3RfLqM3oDJwVurifdO_GDK2gSONkHz6hvU73CT4_3Yfo9sfV38vr8ub3z1-X5zdlK3g9lm2Hq5riTndaMko4A4qtNGBxg7WRDbWMNS2rW8NFRQyXFdUgGmk60TQVEHaIvq91l1M7gDW5ydybWkY36PiggnZqO-PdP7UIK8Ualo3gWeBiLdC68I7AdsaEQc2OqtlRRYRiLIt8e-oihvsJ0qgGlwz0vfYQppQpTFjNhZzrfX2F3oUp-uzRTGE5Q_g_tdA9KOe7kGubWVSd1wRTSRkRmTp5g8rHwuBM8NC5HN_6cLr-YGJIKUK3mZNgNW_SG5N9eenvhn9eHfYIjaHCuQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1500845840</pqid></control><display><type>article</type><title>Understanding "revolving door" patients in general practice: a qualitative study</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>PubMed Central Open Access</source><source>PubMed Central</source><creator>Williamson, Andrea E ; Mullen, Kenneth ; Wilson, Philip</creator><creatorcontrib>Williamson, Andrea E ; Mullen, Kenneth ; Wilson, Philip</creatorcontrib><description>'Revolving door' patients in general practice are repeatedly removed from general practitioners' (GP) lists. This paper reports a qualitative portion of the first mixed methods study of these marginalised patients.
We conducted qualitative semi-structured interviews with six practitioner services staff and six GPs in Scotland, utilizing Charmazian grounded theory to characterise 'revolving door' patients and their impact from professionals' perspectives.
'Revolving door' patients were reported as having three necessary characteristics; they had unreasonable expectations, exhibited inappropriate behaviours and had unmet health needs. A range of boundary breaches were reported too when 'revolving door' patients interacted with NHS staff.
We utilise the 'sensitising concepts' of legitimacy by drawing on literature about 'good and bad' patients and 'dirty work designations.' We relate these to the core work of general practice and explore the role that medical and moral schemas have in how health service professionals understand and work with 'revolving door' patients. We suggest this may have wider relevance for the problem doctor patient relationship literature.</description><identifier>ISSN: 1471-2296</identifier><identifier>EISSN: 1471-2296</identifier><identifier>DOI: 10.1186/1471-2296-15-33</identifier><identifier>PMID: 24524363</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Dissent and Disputes ; Family medicine ; General Practice - standards ; Humans ; Patient Selection ; Physician-Patient Relations ; Qualitative Research ; Services ; Social aspects</subject><ispartof>BMC family practice, 2014-02, Vol.15 (1), p.33-33, Article 33</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>2014 Williamson et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.</rights><rights>Copyright © 2014 Williamson et al.; licensee BioMed Central Ltd. 2014 Williamson et al.; licensee BioMed Central Ltd.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b547t-bf06720fafa832143e20d8ced090ac892d339b37bc4561c4862ae598cf5996e13</citedby><cites>FETCH-LOGICAL-b547t-bf06720fafa832143e20d8ced090ac892d339b37bc4561c4862ae598cf5996e13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930014/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930014/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24524363$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williamson, Andrea E</creatorcontrib><creatorcontrib>Mullen, Kenneth</creatorcontrib><creatorcontrib>Wilson, Philip</creatorcontrib><title>Understanding "revolving door" patients in general practice: a qualitative study</title><title>BMC family practice</title><addtitle>BMC Fam Pract</addtitle><description>'Revolving door' patients in general practice are repeatedly removed from general practitioners' (GP) lists. This paper reports a qualitative portion of the first mixed methods study of these marginalised patients.
We conducted qualitative semi-structured interviews with six practitioner services staff and six GPs in Scotland, utilizing Charmazian grounded theory to characterise 'revolving door' patients and their impact from professionals' perspectives.
'Revolving door' patients were reported as having three necessary characteristics; they had unreasonable expectations, exhibited inappropriate behaviours and had unmet health needs. A range of boundary breaches were reported too when 'revolving door' patients interacted with NHS staff.
We utilise the 'sensitising concepts' of legitimacy by drawing on literature about 'good and bad' patients and 'dirty work designations.' We relate these to the core work of general practice and explore the role that medical and moral schemas have in how health service professionals understand and work with 'revolving door' patients. We suggest this may have wider relevance for the problem doctor patient relationship literature.</description><subject>Dissent and Disputes</subject><subject>Family medicine</subject><subject>General Practice - standards</subject><subject>Humans</subject><subject>Patient Selection</subject><subject>Physician-Patient Relations</subject><subject>Qualitative Research</subject><subject>Services</subject><subject>Social aspects</subject><issn>1471-2296</issn><issn>1471-2296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kk1P3DAQhi0EKpT2zK2K6KWXgD8Th0MlQLRUQmoP5Ww59mRrlNiLnazEv8fRwpZFIB9szTx-Z-bVIHRE8AkhsjolvCYlpU1VElEytoMONpHdF-999DGlO4xJLSn9gPYpF5Szih2gP7feQkyj9tb5RXEcYRX61fy0IcTjYqlHB35MhfPFAjxE3RfLqM3oDJwVurifdO_GDK2gSONkHz6hvU73CT4_3Yfo9sfV38vr8ub3z1-X5zdlK3g9lm2Hq5riTndaMko4A4qtNGBxg7WRDbWMNS2rW8NFRQyXFdUgGmk60TQVEHaIvq91l1M7gDW5ydybWkY36PiggnZqO-PdP7UIK8Ualo3gWeBiLdC68I7AdsaEQc2OqtlRRYRiLIt8e-oihvsJ0qgGlwz0vfYQppQpTFjNhZzrfX2F3oUp-uzRTGE5Q_g_tdA9KOe7kGubWVSd1wRTSRkRmTp5g8rHwuBM8NC5HN_6cLr-YGJIKUK3mZNgNW_SG5N9eenvhn9eHfYIjaHCuQ</recordid><startdate>20140213</startdate><enddate>20140213</enddate><creator>Williamson, Andrea E</creator><creator>Mullen, Kenneth</creator><creator>Wilson, Philip</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140213</creationdate><title>Understanding "revolving door" patients in general practice: a qualitative study</title><author>Williamson, Andrea E ; Mullen, Kenneth ; Wilson, Philip</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b547t-bf06720fafa832143e20d8ced090ac892d339b37bc4561c4862ae598cf5996e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Dissent and Disputes</topic><topic>Family medicine</topic><topic>General Practice - standards</topic><topic>Humans</topic><topic>Patient Selection</topic><topic>Physician-Patient Relations</topic><topic>Qualitative Research</topic><topic>Services</topic><topic>Social aspects</topic><toplevel>online_resources</toplevel><creatorcontrib>Williamson, Andrea E</creatorcontrib><creatorcontrib>Mullen, Kenneth</creatorcontrib><creatorcontrib>Wilson, Philip</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</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 Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</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>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC family practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Williamson, Andrea E</au><au>Mullen, Kenneth</au><au>Wilson, Philip</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Understanding "revolving door" patients in general practice: a qualitative study</atitle><jtitle>BMC family practice</jtitle><addtitle>BMC Fam Pract</addtitle><date>2014-02-13</date><risdate>2014</risdate><volume>15</volume><issue>1</issue><spage>33</spage><epage>33</epage><pages>33-33</pages><artnum>33</artnum><issn>1471-2296</issn><eissn>1471-2296</eissn><abstract>'Revolving door' patients in general practice are repeatedly removed from general practitioners' (GP) lists. This paper reports a qualitative portion of the first mixed methods study of these marginalised patients.
We conducted qualitative semi-structured interviews with six practitioner services staff and six GPs in Scotland, utilizing Charmazian grounded theory to characterise 'revolving door' patients and their impact from professionals' perspectives.
'Revolving door' patients were reported as having three necessary characteristics; they had unreasonable expectations, exhibited inappropriate behaviours and had unmet health needs. A range of boundary breaches were reported too when 'revolving door' patients interacted with NHS staff.
We utilise the 'sensitising concepts' of legitimacy by drawing on literature about 'good and bad' patients and 'dirty work designations.' We relate these to the core work of general practice and explore the role that medical and moral schemas have in how health service professionals understand and work with 'revolving door' patients. We suggest this may have wider relevance for the problem doctor patient relationship literature.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24524363</pmid><doi>10.1186/1471-2296-15-33</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1471-2296 |
| ispartof | BMC family practice, 2014-02, Vol.15 (1), p.33-33, Article 33 |
| issn | 1471-2296 1471-2296 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3930014 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; PubMed Central |
| subjects | Dissent and Disputes Family medicine General Practice - standards Humans Patient Selection Physician-Patient Relations Qualitative Research Services Social aspects |
| title | Understanding "revolving door" patients in general practice: a qualitative study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-09T19%3A16%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Understanding%20%22revolving%20door%22%20patients%20in%20general%20practice:%20a%20qualitative%20study&rft.jtitle=BMC%20family%20practice&rft.au=Williamson,%20Andrea%20E&rft.date=2014-02-13&rft.volume=15&rft.issue=1&rft.spage=33&rft.epage=33&rft.pages=33-33&rft.artnum=33&rft.issn=1471-2296&rft.eissn=1471-2296&rft_id=info:doi/10.1186/1471-2296-15-33&rft_dat=%3Cgale_pubme%3EA710282315%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1500845840&rft_id=info:pmid/24524363&rft_galeid=A710282315&rfr_iscdi=true |