This paper is concerned with quality issues in the treatment of depression by generalpractitioners (GPs). The main focus of inquiry of the paper is the utilisation of patient-centred care in general practice. The utility of this approach will be demonstrated at a general level, but more specifically its importance for guiding GP-patient consultations involving individuals suffering from depression will be highlighted. The results of this study, in which both GPs and sufferers of depression were interviewed, indicated that a patient-centred style is often very much contingent on issues such as time, and whether the doctorfeels the patient can cope with such an approach. However, results from both sets of interviews indicate a particularly strong recognition of the need fora patient-centred style in the treatment of depression in general practice.
|Journal||International Journal of Health Care Quality Assurance,|
|Publication status||Published - 2000|
Bibliographical noteReference text: 1. (1994), The Hutchinson Dictionary of Ideas,
2. Arborelius, E (1996), "Using doctor-patient communication to affect patients’ lifestyles", Psychology and Health, Vol.11, No. 6, pp 845-85.
3. Bensing, J., Schreurs, K, De Rijk, A (1996), "The role of the general practitioner’s affective behaviour in medical encounters", Psychology and Health, Vol.11, No. 6, pp 825-38
4. Bowman, F.M., Goldberg, D.P., Millar, T, Gask, L, McGrath, G (1992), "Improving the skills of established general practitioners: the long-term benefits of group teaching", Medical Education, No. 1, pp 63-8
5. Bryman, A (1984), "The debate about quantitative and qualitative research: a question of method or epistemology?", British Journal of Sociology, Vol.35, No. 1, pp 75-92.
6. Carmel, S., Glick, S.M (1996), "Compassionate-empathic physicians’ personality traits and social-organisational factors that enhance or inhibit this behaviour pattern", Social Science and Medicine, Vol.43, No. 8, pp 1253-61
7. Cecil, D.W (1998), "Relational control patterns in physician-patient clinical encounters: continuing the conversation", Health Communication, Vol.10, No. 2, pp 125-49
8. Dickson, D, Hargie, O, Morrow, N (1997), Communication Skills Training for Health Professionals,
9. Dominian, J (1990), Depression: What Is it? How Do We Cope?,
10. Engel, G.L (1977), "The need for a new medical model: a challenge for biomedicine", Science, Vol.196, pp 29-36
11. Evans, B.J., Coman, G.J, Goss, B (1996), "Consulting skills training and medical students’ interviewing efficiency", Medical Education, Vol.30, No. 2, pp 121-8.
12. Fielding, N (1993), "Qualitative interviewing", Researching Social Life, pp 135-53
13. Gask, L (1992), "Teaching psychiatric interview skills to general practitioners", The Prevention of Depression and Anxiety: The Role of the Primary Care Team, pp 39-45.
14. Goldberg, D. (1992), "Early diagnosis and secondary prevention", The Prevention of Depression and Anxiety: The Role of the Primary Care Team, pp 33-8
15. Hargie, O, Dickson, D, Boohan, M, Hughes, K (1998), "A survey of CST in UK schools of medicine: present practices and prospective proposals", Medical Education, Vol.32, No. 1, pp 25-34
16. Hargie, O. (1997), A Handbook of Communication Skills,
17. Holloway, I. (1997), Basic Concepts for Qualitative Research,
18. Jenkins, R. (1992), "Depression and anxiety: an overview of preventive strategies", The Prevention of Depression and Anxiety: The Role of the Primary Care Team, pp 11-21
19. Kendrick, T (1996), "Prescribing anti-depressants in general practice", British Medical Journal, Vol.313, No. 7,061, pp 829-30.
20. Kurtz, S.M., Silverman, J.D (1996), "The Calgary-Cambridge Referenced Observation Guides: an aid to defining the curriculum and organising the teaching in communication training problems", Medical Education, Vol.30, No. 2, pp 83-9
21. Lambert, B.L, Street, R.L., Cegala, D.J, Smith, D.H, Kurtz, S., Schofield, T. (1997), "Provider-patient communication, patient-centred care and the mangle of practice", Health Communication, Vol.9, No. 1, pp 27-43
22. Lickey, M, Gordon, (1983), Drugs for Mental Illness: A Revolution in Psychiatry,
23. Lindlof, T (1995), Qualitative Communication Research Methods,
24. Mann, A (1992), "Depression and anxiety in primary care: the epidemiological evidence", The Prevention of Depression and Anxiety: The Role of the Primary Care Team, pp 1-10
25. Marteau, T.M, Humphrey, C, Matoon, G, Kidd, J, Lloyd, M, Horder, J (1991), "Factors influencing the communication skills of first-year clinical medical students", Medical Education, Vol.25, No. 2, pp 127-34
26. May, T (1997), Social Research: Issues, Methods and Process,
27. Maykut, P, Morehouse, R (1994), Beginning Qualitative Research: A Philosophical and Practical Guide,
28. Miller, S.M, Brody, D.S., Summerton, J (1988), "Styles of coping with threat: implications for health", Journal of Personality and Social Psychology, Vol.54, pp 142-8
29. Morris, L.A (1990), Communicating Therapeutic Risks,
30. Ogden, J (1996), Health Psychology: A Textbook,
31. Priest, R.G, Vize, C., Roberts, A, Roberts, M, Tylee, A "Lay people’s attitudes to treatment of depression: results of opinion poll for Defeat Depression Campaign just before its launch", British Medical Journal, Vol.313, No. 7061, pp 858-9
32. Savage, R, Armstrong, D (1990), "Effect of a general practitioner’s consulting style on patient satisfaction", British Medical Journal, Vol.301, No. 6758, pp 968-70.
33. Smith, J (1996), "Qualitative methodology: analysing participants’ perspectives", Current Opinion in Psychiatry, Vol.9, No. 6, pp 417-21
34. Stewart, M, Brown, J, Weston, W, McWhinney, I., McWilliams, C., Freeman, T (1995), Patient-Centred Medicine: Transforming the Clinical Method,
35. Trickett, S (1989), Anxiety and Depression,
36. Vanderford, M., Jenks, E.B., Sharf, B.F (1997), "Exploring patients’ experiences as a primary source of meaning", Health Communication, Vol.9, No. 1, pp 13-26
37. Watson, B., Gallois, C (1998), "Nurturing communication by health professionals towards patients: a communication accommodation theory approach", Health Communication, Vol.10, No. 4, pp 343-55
38. Watts, C.A.H (1973), Depression: The Blue Plague,
39. Weston, W., Brown, J. (1995), "Dealing with common difficulties in learning and teaching the patient-centred method", Patient-Centred Medicine: Transforming the Clinical Method, pp 132-42
40. Winefield, H.R, Murrell, T, Clifford, J, Farmer, E. (1996), "The search for reliable and valid measures of patient-centredness", Psychology and Health, Vol.11, No. 6, pp 811-24.
41. Wright, A.F (1996), "Unrecognised psychiatric illness in general practice", British Journal of General Practice, Vol.46, No. 407, pp 327-8