• Atencion primaria · May 2020

    []"Sacred encounters" in primary care: What do they mean for family physicians?]

    • Mikel Baza Bueno, Elena Serrano Ferrández, Ana Dosio Revenga, Nabil Diouri, M José Fernández de Sanmamed Santos, Carlos Calderón Gómez, Grupo Kuxkuxeroak, and Grupo Kuxkuxeroak curiosas os por orden alfabético.
    • Consultorio de Dima, OSI Barrualde-Galdakao, Dima, Osakidetza, España. Electronic address: mikelbaza@gmail.com.
    • Aten Primaria. 2020 May 1; 52 (5): 335344335-344.

    ObjectiveTo determine the perceptions and attitudes of the general practitioners (GP) towards consultations with great emotional component, initially called "sacred encounters", and to identify areas of improvement.DesignA qualitative methodology based on a socio-subjective approach and focused on health services research. Descriptive-interpretative study.LocationHealth Centres of Alava and Biscay.ParticipantsSelection of 23 GP from 23 urban and rural Health Centres.MethodIntentional sampling aimed at looking for discursive diversity. Data generated in 2016 by means of 3 discussion groups and 3 individual interviews recorded and transcribed after informed consent. Presentation to the ethics committee of the Basque Country. Thematic analysis with the aid of conceptual maps and MaxQDA program. Triangulation of the results between researchers and verification by the participants.Results And DiscussionThe findings were clustered into overlapping thematic areas related to the meaning of these encounters, attitudes of GP, health context, and patients. The importance of the emotions in primary care encounters and their invisibility is underlined, but the adequacy of the term "sacred" is questioned. This expression is built into the GP-patient relationship, if GP favours it and the patient also allows it, discussing the main circumstances that intervene in an essential dimension of integral care.ConclusionsThe attention to the emotional dimension in the encounters has deficiencies that need to be corrected. In addition to its recognition and evaluation, it would be necessary to modify the organisational, training and professional factors that determine the involvement of the GPs in their good health care.Copyright © 2019 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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