Gender medicine in GP training. Design, evaluation and development

Contains fulltext : 91448.pdf (publisher's version ) (Open Access)Radboud Universiteit Nijmegen, 1 februari 2012Promotor : Lagro-Janssen, A.L.M. Co-promotores : Bottema, B.J.A.M., Verdonk, P.168 p

[More sensitive approach to question of sexual orientation]

Item does not contain fulltextDoctors encounter lesbian, gay and bisexual (LGB) patients. Most LGBs are physically and mentally healthy, but LGBs also have unique healthcare needs, that is mental health issues, sexually-transmitted diseases including HIV infection, substance use, and avoidance of healthcare. Sexual minority stress due to stigmatisation, rejection, internalised homophobia, bullying and violence is a causal issue. Optimising care for LGBs involves knowing patients' sexual orientation by asking them. As sexual orientation comprises the domains of sexual identity, sexual attraction and sexual behaviour, all should be addressed appropriately as these domains together or separately determine the impact on health. Sexual identity correlates closely, but not completely, with sexual behaviour. Individuals may engage in same-sex sexual behaviour, but not identify themselves as lesbian, gay or bisexual. Patients are willing to answer questions about their sexual orientation. Doctors should take the initiative to discuss sexual orientation and avoid making heteronormative assumptions. The uptake of LGB-related issues in guidelines and educational programmes may improve doctors' awareness

Chronische buik- en bekkenpijn.

Item does not contain fulltex

Amputation for reflex sympathetic dystrophy

Contains fulltext : 20489___.PDF (publisher's version ) (Open Access

Een nieuw gezicht in de huisartsenzorg. Kaderhuisarts bouwt bruggen.

Item does not contain fulltex

De diagnostiek van Chlamydia trachomatis: het verschil tussen mannen en vrouwen.

Contains fulltext : 69508.pdf (publisher's version ) (Closed access

Differences between GP perception of delivered empathy and patient-perceived empathy: a cross-sectional study in primary care

Contains fulltext : 196756.pdf (Publisher’s version ) (Closed access)BACKGROUND: Empathy has positive effects on a range of healthcare outcomes. It is therefore an important skill for a GP. However, the correlation between GP perception of delivered empathy and patient perception of GP empathic communication during consultations is still unclear. AIM: To investigate the correlation between GP perception of delivered empathy and patient-perceived empathy. DESIGN AND SETTING: Cross-sectional study in primary care in the Netherlands, between December 2016 and February 2017. METHOD: GPs and their patients were asked to fill in an empathy questionnaire directly after a consultation. Patient perception of received empathy during the consultation was measured through the Dutch version of the Consultation and Relational Empathy (CARE) questionnaire. GP perception of delivered empathy during the consultation was measured with an adapted version of the CARE questionnaire. RESULTS: The authors obtained questionnaires from 147 consultations by 34 different GPs in 16 primary care practices. A total of 143 consultations were eligible for inclusion in the analysis. Mean patient-perceived empathy score was significantly higher than mean GPs' empathy score (42.1, range 20.0 to 50.0 and 31.6, range 24.0 to 41.0, respectively, P<0.0001). Furthermore, a low correlation (r = 0.06) was found between GP empathy score and patient-perceived empathy score. CONCLUSION: GPs rate the delivered empathy during consultations consistently and significantly lower than their patients experience empathy during consultations. Moreover, GPs' impressions of the empathy delivered during the consultation do not predict the actual amount of empathy perceived by their patients. Patients experience a great deal of empathy during their clinical encounter. GPs' self-reports on empathy delivered gives an inaccurate reflection, and underestimates patient-perceived empathy

Geïntegreerde seksespecifieke huisartsgeneeskunde in de Nijmeegse huisartsenopleiding: competenties, opzet en evaluatie.

Item does not contain fulltex