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Patient and primary care practitioners’ perspectives on consultations for fibromyalgia : a qualitative evidence synthesis
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Byrne, Ailish, Jones, Katherine, Backhouse, Michael, Rose, Fiona, Moatt, Emma and van der Feltz-Cornelis, Christina (2023) Patient and primary care practitioners’ perspectives on consultations for fibromyalgia : a qualitative evidence synthesis. Primary Health Care Research & Development, 24 . E58. doi:10.1017/S1463423623000506 ISSN 1463-4236.
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Official URL: http://doi.org/10.1017/S1463423623000506
Abstract
Background:
Fibromyalgia presents a challenge to both the patients experiencing symptoms and the staff aiming to treat them. This qualitative review aimed to synthesise how patients and practitioners experience primary care consultations, develop a rounded picture of how they perceive each other, the challenges to primary care consultation and how they might be tackled.
Methods:
CINAHL, Embase, CENTRAL and Medline were searched from inception to November 2021. Qualitative studies were included if they explored the perspectives and experiences of either fibromyalgia patients or primary care practitioners. Quantitative data, studies not published in English, not set in primary care or that did not distinguish the type of patient or clinician were excluded. Included studies were analysed using thematic synthesis and their quality assessed.
Results:
In total, 30 studies met the inclusion criteria. Thematic synthesis identified three overarching themes: (1) life turned upside down – exploring the chaos experienced by patients as they seek help; (2) negative cycle – highlighting how patient and practitioner factors can create a detrimental cycle; and (3) breaking the cycle – validating patient–doctor relationships underpinned by clear communication can help break the negative cycle.
Conclusions:
Fibromyalgia patients experience uncertainty and chaos that can clash with the attitudes of GPs and the help they can feasibly provide. Difficult consultations in which neither the GP nor patient are satisfied can easily occur. Promoting supportive, reciprocal and open patient–doctor relationships is essential. Future research is required to further explore GP attitudes and to develop an intervention that could improve consultations, patient outcomes and GP satisfaction.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RC Internal medicine | ||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Fibromyalgia, Primary care (Medicine), Patients -- Attitudes, Physicians (General practice) -- Attitudes, Qualitative research | ||||||
Journal or Publication Title: | Primary Health Care Research & Development | ||||||
Publisher: | Cambridge University Press | ||||||
ISSN: | 1463-4236 | ||||||
Official Date: | 26 September 2023 | ||||||
Dates: |
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Volume: | 24 | ||||||
Article Number: | E58 | ||||||
DOI: | 10.1017/S1463423623000506 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 28 September 2023 | ||||||
Date of first compliant Open Access: | 28 September 2023 | ||||||
RIOXX Funder/Project Grant: |
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