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Resilience among family physicians during the COVID-19 pandemic in Canada.
Healthc Manage Forum
November 2024
University of Windsor, Windsor, Ontario, Canada.
The purpose of this study was to investigate how the COVID-19 pandemic's inaugural wave impacted the professional autonomy of family physicians in Canada. This study highlights how family physician's resilience enabled them to overcome the many challenges they faced to provide health services to patients and has enabled them to rebuild their sense of purpose and duty of care. Four themes were found to summarize physician experiences: (1) loss of clinical autonomy and control; (2) abandonment and neglect by the health system; (3) a fear of patients "falling through the cracks" and moral injury; and (4) building resilience to support duty of care in family practice.
View Article and Find Full Text PDFPersistent pain, long-term opioids, and restoring trust in the patient-clinician relationship.
J Pain
October 2024
Center for Accelerating Care Transformation, Kaiser Permanente Washington Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101, USA. Electronic address:
Article Synopsis
- The relationship between patients and doctors is getting weaker, which is a big part of the problem with prescription opioids.
- Patients dealing with pain often feel misunderstood and stigmatized, leading to a lack of trust in their doctors.
- Doctors also face challenges, like not having enough resources, feeling pressured to reduce prescriptions quickly, and worrying about how patients see them, making it hard to connect and help effectively.
Trust in Health Care and Science: Toward Common Ground on Key Concepts.
Hastings Cent Rep
September 2023
This essay summarizes key insights across the essays in the Hastings Center Report's special report "Time to Rebuild: Essays on Trust in Health Care and Science." These insights concern trust and trustworthiness as distinct concepts, competence as a necessary but not sufficient input to trust, trust as a reciprocal good, trust as an interpersonal as well as structural phenomena, the ethical impermissibility of seeking to win trust without being trustworthy, building and borrowing trust as distinct strategies, and challenges to trustworthiness posed by the contingent nature of science. Together, these insights stand to advance an area of research that we believe has been historically stymied by conceptual confusion and a long-standing insistence on treating trust as a purely instrumental good.
View Article and Find Full Text PDFRebuilding trust in the physician-patient relationship: addressing causes and implementing reforms in China.
Fam Pract
December 2024
Department of Psychiatry, Shantou University Mental Health Center, Shantou, China.
Challenges in preserving the "good doctor" norm: physicians' discourses on changes to the medical logic during the initial wave of the COVID-19 pandemic.
Front Psychol
June 2023
Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Introduction: The COVID-19 pandemic was a tremendous challenge to the practice of modern medicine. In this study, we use neo-institutional theory to gain an in-depth understanding of how physicians in Sweden narrate how they position themselves as physicians when practicing modern medicine during the first wave of the pandemic. At focus is medical logic, which integrates rules and routines based on medical evidence, practical experience, and patient perspectives in clinical decision-making.
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