Perceptions, practice, and “ownership:” experiences in continuity of the patient-doctor relationship in a family medicine residency

Background: The objective of this mixed-methods study was to determine interpersonal continuity (the ongoing therapeutic relationship between patient and health care provider) experiences of family medicine residents and preceptors, and explore their perceptions of interpersonal continuity. Methods:...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ann Lee, Sandra Kennett, Sheny Khera, Shelley Ross
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2017
Materias:	continuity of patient care internship and residency family practice patient-centered medical home Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a1a29404647d430fb83da90f6f5e98f0
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a1a29404647d430fb83da90f6f5e98f0
record_format	dspace
spelling	oai:doaj.org-article:a1a29404647d430fb83da90f6f5e98f02021-12-03T17:53:34ZPerceptions, practice, and “ownership:” experiences in continuity of the patient-doctor relationship in a family medicine residency10.36834/cmej.422881923-1202https://doaj.org/article/a1a29404647d430fb83da90f6f5e98f02017-12-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/42288https://doaj.org/toc/1923-1202Background: The objective of this mixed-methods study was to determine interpersonal continuity (the ongoing therapeutic relationship between patient and health care provider) experiences of family medicine residents and preceptors, and explore their perceptions of interpersonal continuity. Methods: Quantitative data on resident and preceptor encounters were extracted from the electronic medical record (EMR). Opportunities for developing interpersonal continuity were determined using the Usual Provider Continuity (UPC) Index. A qualitative descriptive research method was used for the qualitative portion. Semi-structured interviews were conducted and constant comparative analysis was used to determine emerging themes. Results: Residents were found to have low UPC rates; preceptor rates were higher. Qualitative findings showed variable experiences with interpersonal continuity not apparent from UPC rates. Both preceptors and residents expressed perception of “ownership” of patients as a significant barrier to interpersonal continuity. Conclusion: This study suggests that a perceived lack of individual “ownership” of a patient panel was a significant barrier to developing interpersonal continuity. This might conflict with current changes towards team-based health care delivery. Understanding perceptions and changing them through a multi-faceted approach including resident teaching and faculty development might help improve interpersonal continuity which are core to both family medicine curricula and current models of health care delivery. Ann LeeSandra KennettSheny KheraShelley RossCanadian Medical Education Journalarticlecontinuity of patient careinternship and residencyfamily practicepatient-centered medical homeEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 8, Iss 4 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	continuity of patient care internship and residency family practice patient-centered medical home Education (General) L7-991 Medicine (General) R5-920
spellingShingle	continuity of patient care internship and residency family practice patient-centered medical home Education (General) L7-991 Medicine (General) R5-920 Ann Lee Sandra Kennett Sheny Khera Shelley Ross Perceptions, practice, and “ownership:” experiences in continuity of the patient-doctor relationship in a family medicine residency
description	Background: The objective of this mixed-methods study was to determine interpersonal continuity (the ongoing therapeutic relationship between patient and health care provider) experiences of family medicine residents and preceptors, and explore their perceptions of interpersonal continuity. Methods: Quantitative data on resident and preceptor encounters were extracted from the electronic medical record (EMR). Opportunities for developing interpersonal continuity were determined using the Usual Provider Continuity (UPC) Index. A qualitative descriptive research method was used for the qualitative portion. Semi-structured interviews were conducted and constant comparative analysis was used to determine emerging themes. Results: Residents were found to have low UPC rates; preceptor rates were higher. Qualitative findings showed variable experiences with interpersonal continuity not apparent from UPC rates. Both preceptors and residents expressed perception of “ownership” of patients as a significant barrier to interpersonal continuity. Conclusion: This study suggests that a perceived lack of individual “ownership” of a patient panel was a significant barrier to developing interpersonal continuity. This might conflict with current changes towards team-based health care delivery. Understanding perceptions and changing them through a multi-faceted approach including resident teaching and faculty development might help improve interpersonal continuity which are core to both family medicine curricula and current models of health care delivery.
format	article
author	Ann Lee Sandra Kennett Sheny Khera Shelley Ross
author_facet	Ann Lee Sandra Kennett Sheny Khera Shelley Ross
author_sort	Ann Lee
title	Perceptions, practice, and “ownership:” experiences in continuity of the patient-doctor relationship in a family medicine residency
title_short	Perceptions, practice, and “ownership:” experiences in continuity of the patient-doctor relationship in a family medicine residency
title_full	Perceptions, practice, and “ownership:” experiences in continuity of the patient-doctor relationship in a family medicine residency
title_fullStr	Perceptions, practice, and “ownership:” experiences in continuity of the patient-doctor relationship in a family medicine residency
title_full_unstemmed	Perceptions, practice, and “ownership:” experiences in continuity of the patient-doctor relationship in a family medicine residency
title_sort	perceptions, practice, and “ownership:” experiences in continuity of the patient-doctor relationship in a family medicine residency
publisher	Canadian Medical Education Journal
publishDate	2017
url	https://doaj.org/article/a1a29404647d430fb83da90f6f5e98f0
work_keys_str_mv	AT annlee perceptionspracticeandownershipexperiencesincontinuityofthepatientdoctorrelationshipinafamilymedicineresidency AT sandrakennett perceptionspracticeandownershipexperiencesincontinuityofthepatientdoctorrelationshipinafamilymedicineresidency AT shenykhera perceptionspracticeandownershipexperiencesincontinuityofthepatientdoctorrelationshipinafamilymedicineresidency AT shelleyross perceptionspracticeandownershipexperiencesincontinuityofthepatientdoctorrelationshipinafamilymedicineresidency
_version_	1718373118055022592

Perceptions, practice, and “ownership:” experiences in continuity of the patient-doctor relationship in a family medicine residency

Ejemplares similares