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The GP's perception of poverty: a qualitative study

The GP's perception of poverty: a qualitative study,Sara J Willems,Wilfried Swinnen,Jan M De Maeseneer

The GP's perception of poverty: a qualitative study   (Citations: 10)
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practitioners make to improve health care for the deprived. Method. The study involved qualitative methodology using 21 semi-structured interviews. The interviews were recorded and transcribed verbatim. The transcripts were coded using Framework Analysis techniques. Interviews were undertaken with general practitioners in primary care, working in a deprived area in the city of Ghent. Results. In the definition of poverty, three concepts can be identified: socioeconomic aspects, psychological and individual characteristics, and socio-cultural concepts. General practitioners adopt different types of approaches to deal with deprived patients in practice: adaptation of the doctor-patient communication, lowering of the financial threshold, referral to specialists and other health care professionals. Conclusion. Including the issue of poverty and poverty in the curriculum of the medical students and in the in-service training for practicing doctors could have a positive impact on their attitude towards this patient group. Further research is needed into the barriers in the accessibility of the health care system for the deprived, exploring qualitatively and quantitavely the experiences and the living conditions of deprived patients and the perceptions of health care providers.
Published in 2005.
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    • ...Unwelcoming attitudes or disrespect towards low-income patients and discrimination by family physicians based on ethnicity, immigration status, and gender, in conjunction with low income, may also constitute a barrier to care [23,24]...

    Gary Blochet al. Barriers to primary care responsiveness to poverty as a risk factor fo...

    • ...Stereotypical Table 1 Methodologies of the healthcare studies discussed Ethnography, participant observation, qualitative interviews, focus groups Cassell, 2004 [3]; Zola, 1963 [8]; Glaser, 1964 [9]; Roth, 1972 [10]; Varcoe, 2003 [12]; Emerson, 1976 [16]; Jeffery, 1979 [18]; Bolton, 2005 [19]; Willems, 2005 [40]; Monnickendam, 2007 [45]; Fiscella, 1997 [46]; May, 2004 [48]; Wear, 2006 [50]; Hadfield, 2009 [54]; Lyth, 1988 [60]...
    • ...Primary care physicians serving poor communities are often troubled by what they perceive as their patients’ inadequate motivation and dysfunctional behavioral characteristics [40]...
    • ...The only article I could find from the past two decades directly addressing physician explanations of poverty was from Belgium [40]...

    Terry E Hill. How clinicians make (or avoid) moral judgments of patients: implicatio...

    • ...Research in Israel and Belgium shows that PCPs' poverty perceptions were associated with their waiving user-fees for visits, donating medical samples, and using simple language in their encounters with patients living in poverty (Willems, Swinnen & De Maeseneer, 2005; Monnickendam, Monnickendam, Katz, & Katan, 2007)...

    Menachem Monnickendam. Poverty Perceptions of Social Workers and Physicians in Israel

    • ...Qualitative research has the advantage of revealing issues and problems not accessible with quantitative methods using closed-ended questions [21]...

    Matthias Backenstrasset al. The care of patients with subthreshold depression in primary care: Is ...

    • ...This qualitative study was designed to explore the domain, returning to some questions that were left unanswered in a previous study (9)...
    • ...GPs are largely the same as in the previous study (9) conducted in...

    Snauwaert Cet al. GP attitudes towards health, prevention and poverty in deprived commun...

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