Family Medicine
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World Book of Family Medicine – European Edition 2015 both patients (improved self-efficacy and better outcomes), and for health professionals (improved self-efficacy and job satisfaction). The future post 2015 This project will add to the growing evidence-base for integrating patient self-management into routine healthcare. In general practice we recognise the need to intervene earlier, even before chronic disease is established, when the person has risk factors like smoking, alcohol consumption, obesity, or cardiovascular risk due to a combination of several moderate risk factors. We hope this will prompt a fresh multifaceted interest in managing lifestyle risk factors for chronic disease in European general practice / family medicine, to reappraise our various models of chronic condition management and to ensure best practice models are disseminated. Exploring this complex topic has highlighted global issues which have an impact at grass roots level in routine general practice / family medicine. It would be encouraging to see GP/FP from all WONCA regions collaborate to develop a global team player approach in addressing the important role of the patient in determining their own health outcomes. Take home messages Patients have capacity to improve their own health through patient self-management. Patient empowerment for self-management is a core element of patient-centred care. Primary care health professionals with training in patient self-management support can help to empower patients for change. References THE EUROPEAN DEFINITIONS of The Key Features of the Discipline of General Practice, The Role of the General Practitioner and a description of the Core Competencies of the General Practitioner / Family Physician. Revised in 2011 by a Commission of the WONCA European Council led by Dr Ernesto Mola and Dr Tina Eriksson. http://www.woncaeurope.org/sites/default/files/documents/Definition%203rd%20ed%202011%20with %20revised%20wonca%20tree.pdf M Battersby et al Twelve Evidence-Based Principles for Implementing Self-Management Support in Primary Care. The Joint Commission Journal on Quality and Patient Safety. December 2010 Volume 36 Number 12. Mola Ernesto, Judith A De Bonis, Raffaele Giancane, Integrating patient empowerment as an essential characteristic of the discipline of general practice/family medicine. European Journal of General Practice. 2008, Vol. 14, No. 2, pp 89-94 http://informahealthcare.com/doi/full/10.1080/13814780802423463 An De Sutter, Jan De Maeseneer, Pauline Boeckxstaens. Empowering patients to determine their own health goals. Editorial. European Journal of General Practice. 2013; 19: 75–76 Patient Empowerment in Chronic Conditions, 20th Anniversary project 2015. www.woncaeurope.org 12
World Book of Family Medicine – European Edition 2015 Michael Jones, MB, ChB jomijones@netspace.net.au 2 – Communicating with Patients Michael Jones, MB, ChB Retired, Darlington, WA – Australia Patients want: Factual, authoritative information Both sides of the story Language they can understand Advice they can follow Using the newsletter: 1. Hand it to patients 2. Keep it topical 3. Include personal bits and pieces This presentation, from Western Australian GP Dr Michael Jones, was aimed at encouraging GPs to use a practice newsletter. The talk illustrated the benefits, to both patients and doctors, of using this form of communication. The speaker reminded the audience that “doctor” used to mean “teacher” and that GPs need to focus on their role as educators about health, as well as dealing with the specific issues raised at any given consultation. In 1991, frustrated by some of his patients making unwise decisions based on what they had read in the popular media, or seen on TV, Dr Jones decided to produce a newsletter for the patients of his practice. The purpose of the newsletter would be to give patients accurate information on topical medical issues, remind them about preventative health matters, and give general advice about nutrition and other health-related topics. At the same time, the newsletter would keep them informed about current activities in the practice, such as details of new doctors, practice policies, staff leave, etc. He rapidly realised the enormity of this task and hit on the idea of producing a ‘generic’ newsletter which could then be personalised for individual subscribing doctors or practices. As a result, the concept of the practice newsletter ‘Your Doctor’ was born. With the help of an experienced journalist, Dr Jones produced the first edition in February 1992. It is a monthly 4 page A4 newsletter (one page of A3 paper folded once) with articles of general medical interest, plus reminders about preventive health measures such as pap smears, mammograms and immunisations. One segment – Good Health on the Menu – contains nutritional advice plus a recipe relevant to that month’s topic. Doctors need to: Improve their business Areas on the front and back pages are left blank in the initial print run and then overprinted with information provided by the individual subscribing practice. Practices pay a fee which depends upon the number of copies required. The practice can change the content of its personalised section each month at no extra cost. The concept was promoted to GPs as a useful tool, benefitting both patients and doctors. Patients benefit from getting reliable information from a source they trust – their family doctor. Doctors benefit because in the competitive small-business environment of Australian general practice, where patients are free to see GPs from any practice, patient loyalty is critical for financial survival. Patients appreciate their doctor doing that little-bitextra to keep them informed and healthy. The presentation demonstrated the often sensational, out-of-perspective, manner in Show that they care Tell patients about themselves and the services they provide Make patients feel they ‘belong’ 13
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World Book of <strong>Family</strong> <strong>Medicine</strong> – European Edition 2015<br />
Michael Jones, MB, ChB<br />
jomijones@netspace.net.au<br />
2 – Communicating with Patients<br />
Michael Jones, MB, ChB<br />
Retired, Darlington, WA –<br />
Australia<br />
Patients want:<br />
<br />
<br />
<br />
<br />
Factual, authoritative<br />
information<br />
Both sides of the story<br />
Language they can<br />
understand<br />
Advice they can follow<br />
Using the newsletter:<br />
1. Hand it to patients<br />
2. Keep it topical<br />
3. Include personal bits<br />
and pieces<br />
This presentation, from Western Australian GP Dr Michael Jones, was aimed at<br />
encouraging GPs to use a practice newsletter. The talk illustrated the benefits, to both<br />
patients and doctors, of using this form of communication. The speaker reminded the<br />
audience that “doctor” used to mean “teacher” and that GPs need to focus on their<br />
role as educators about health, as well as dealing with the specific issues raised at any<br />
given consultation.<br />
In 1991, frustrated by some of his patients making unwise decisions based on what<br />
they had read in the popular media, or seen on TV, Dr Jones decided to produce a<br />
newsletter for the patients of his practice. The purpose of the newsletter would be to<br />
give patients accurate information on topical medical issues, remind them about<br />
preventative health matters, and give general advice about nutrition and other<br />
health-related topics. At the same time, the newsletter would keep them informed<br />
about current activities in the practice, such as details of new doctors, practice<br />
policies, staff leave, etc.<br />
He rapidly realised the enormity of this task and hit on the idea of producing a<br />
‘generic’ newsletter which could then be personalised for individual subscribing<br />
doctors or practices. As a result, the concept of the practice newsletter ‘Your Doctor’<br />
was born.<br />
With the help of an experienced journalist, Dr Jones<br />
produced the first edition in February 1992. It is a<br />
monthly 4 page A4 newsletter (one page of A3 paper<br />
folded once) with articles of general medical interest,<br />
plus reminders about preventive health measures<br />
such as pap smears, mammograms and<br />
immunisations. One segment – Good Health on the<br />
Menu – contains nutritional advice plus a recipe<br />
relevant to that month’s topic.<br />
Doctors need to:<br />
Improve their business<br />
Areas on the front and back pages are left blank in<br />
the initial print run and then overprinted with information provided by the individual<br />
subscribing practice. Practices pay a fee which depends upon the number of copies<br />
required. The practice can change the content of its personalised section each month<br />
at no extra cost. The concept was promoted to GPs as a useful tool, benefitting both<br />
patients and doctors. Patients benefit from getting reliable information from a source<br />
they trust – their family doctor.<br />
Doctors benefit because in the competitive small-business environment of Australian<br />
general practice, where patients are free to see GPs from any practice, patient loyalty<br />
is critical for financial survival. Patients appreciate their doctor doing that little-bitextra<br />
to keep them informed and healthy.<br />
The presentation demonstrated the often sensational, out-of-perspective, manner in<br />
<br />
<br />
<br />
Show that they care<br />
Tell patients about<br />
themselves and the<br />
services they provide<br />
Make patients feel they<br />
‘belong’<br />
13