Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-11-24 Cooperative journals: 《中国全科医学》
Abstract: General practitioners(GPs) play an important role in diabetes care in primary care as the "gatekeepers "of population health. The management of diabetes can slow its progression,reduce complications and improve patient outcomes,which requires effective communication and collaboration between patients and their doctors. GPs with good communication skills can help to build long-term care relationships with diabetes patients and help them develop effective self-management skills. This paper summarizes the design and development of diabetes communication skills training for GPs guided by research team with multiple theoretical frameworks,including evidence-based findings from systematic review,experiences and ideas of diabetes patients communicating with GPs based on qualitative studies,prioritization of training content for patient-doctor communication in GPs captured by mixed-methods research,in order to provide solutions for high-quality diabetes management in primary care and inform the design of training programmes for GPs based on evidence and medical education frameworks.
Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-07-31 Cooperative journals: 《中国全科医学》
Abstract: Background Patients with type 2 diabetes commonly experience a high treatment burden. Currently,both domestic and international researches on the treatment burden of the specific diseases is still in its initial stage. Objectives To summarize the conceptual framework of treatment burden related to type 2 diabetes in the Chinese population and explore proactive responding approaches for general practitioners based on video recordings of clinical consultation scenarios. Methods A retrospective analysis of video recordings from general practice training clinics in a standardized training base in Guangdong Province from 2018 to 2019 was conducted by using qualitative research methods such as observation record forms,notes from the fields,encoding-retrieval and thematic analysis,combining with existing conceptual framework of treatment burden. Results A total of 49 video recordings of doctor-patient communication about the treatment burden of type 2 diabetes were extracted from25 video recordings. All 6 themes of the original conceptual framework were mentioned and 2 new themes (burden of medical information and drug-induced hypoglycemia) were identified by analysis that were mentioned repeatedly. A modified conceptual framework of the treatment burden of type 2 diabetes was finally developed containing 7 observable dimensions including economic,drug,medical management,lifestyle change,healthcare system,time/travel,and medical information burdens and the connotation of subtopics in each dimension. According to the analysis of the response approach,general practitioners who have received training can respond consciously to some of the treatment burdens(medications,medical information,time/travel,lifestyle change) by utilizing the skills of health education,enhanced communication,shared decision-making and motivational interviewing. Conclusion This study constructs a modified conceptual framework of treatment burden for patients with type 2 diabetes. General practitioners can consciously respond to treatment burdens of patients by using effective doctor#2;patient communication skills,in combination with the identification of conceptual dimensions in clinical practice.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-01-30 Cooperative journals: 《中国全科医学》
Abstract:
General Practitioners (GPs) play an important role in diabetes care at the primary level as the ‘gatekeepers’ of population health. The management of diabetes can slow its progression, reduce complications and improve patient outcomes, which requires effective communication and collaboration between patients and their doctors. Good communication skills in general practice can help to build long-term care relationships with people with diabetes and help them to develop effective self-management skills. This paper summarises the research team's design and development of diabetes communication skills training for GPs guided by a variety of theoretical frameworks, evidence-based findings from a systematic review, experiences and feelings of people with diabetes and GPs based on qualitative studies, and mixed methods research to find the prioritisation of training content in communication skills training. The aim of the paper is to provide solution ideas for high-quality diabetes management in primary care and to inform the design training programmes for GPs based on evidence and medical education frameworks.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-08-17 Cooperative journals: 《中国全科医学》
Abstract: Patient-reported outcomes (PROs) can provide strong evidence for medical decision making, health policy development, and also serve as a benchmark for monitoring symptoms when provide timely and personalized medical care to participants. With the widespread applications of PROs in clinical research, ethical issues have received deeply attention. This guideline was established to develop an international, consensus-based reference for clinical research that focuses on the ethical considerations of PROs. Addressing ethical issues in PROs can improve the quality of PROs data while minimizing the risk, burden, and harm to patients and protecting the rights of participants and investigators in clinical research.