Abstract：
BACKGROUND: In a therapeutic partnership, physicians rely on patients to describe their health conditions, join in shared decision-making, and engage with supported self-management activities. In shared care, the patient, primary care, and specialist services partner together using agreed processes and outputs for the patient to be placed at the centre of their care. However, few empirical studies have explored physicians\' trust in patients and its implications for shared care models.
OBJECTIVE: To explore trust in patients amongst general practitioners (GPs), and the impacts of trust on GPs\' willingness to engage in new models of care, such as colorectal cancer shared care.
METHODS: GP participants were recruited through professional networks for semi-structured interviews. Transcripts were integrity checked, coded inductively, and themes developed iteratively.
RESULTS: Twenty-five interviews were analysed. Some GPs view trust as a responsibility of the physician and have a high propensity for trusting patients. For other GPs, trust in patients is developed over successive consultations based on patient characteristics such as honesty, reliability, and proactivity in self-care. GPs were more willing to engage in colorectal cancer shared care with patients with whom they have a developed, trusting relationship.
CONCLUSIONS: Trust plays a significant role in the patient\'s access to shared care. The implementation of shared care should consider the relational dynamics between the patient and health care providers.
In a therapeutic partnership, physicians rely on patients to describe their health conditions, join in shared decision-making and engage with supported self-management activities. In shared care, the patient, primary care, and specialist services partner together using agreed processes and outputs for the patient to be placed at the centre of their care. Trust is key to this partnership. However, few studies have explored the physicians’ trust in patients and its implications for shared care models. This study aims to explore trust in patients amongst general practitioners (GPs), and the impacts of trust on GPs’ willingness to engage in new models of care, such as colorectal cancer shared care. After analysing 25 interview transcripts with GPs, we found some GPs view trust as a responsibility of the physicians, while in others, trust in patients developed over successive consultations based on patient characteristics such as honesty, reliability, and proactivity in self-care. GPs were more willing to engage in colorectal cancer shared care with patients whom they have a developed, trusting relationship. Trust plays a significant role in the patient’s access to shared care. The rollout of shared care should consider the relational dynamics between the patient and health care providers.
OBJECTIVE: To explore trust in patients amongst general practitioners (GPs), and the impacts of trust on GPs\' willingness to engage in new models of care, such as colorectal cancer shared care.
METHODS: GP participants were recruited through professional networks for semi-structured interviews. Transcripts were integrity checked, coded inductively, and themes developed iteratively.
RESULTS: Twenty-five interviews were analysed. Some GPs view trust as a responsibility of the physician and have a high propensity for trusting patients. For other GPs, trust in patients is developed over successive consultations based on patient characteristics such as honesty, reliability, and proactivity in self-care. GPs were more willing to engage in colorectal cancer shared care with patients with whom they have a developed, trusting relationship.
CONCLUSIONS: Trust plays a significant role in the patient\'s access to shared care. The implementation of shared care should consider the relational dynamics between the patient and health care providers.
In a therapeutic partnership, physicians rely on patients to describe their health conditions, join in shared decision-making and engage with supported self-management activities. In shared care, the patient, primary care, and specialist services partner together using agreed processes and outputs for the patient to be placed at the centre of their care. Trust is key to this partnership. However, few studies have explored the physicians’ trust in patients and its implications for shared care models. This study aims to explore trust in patients amongst general practitioners (GPs), and the impacts of trust on GPs’ willingness to engage in new models of care, such as colorectal cancer shared care. After analysing 25 interview transcripts with GPs, we found some GPs view trust as a responsibility of the physicians, while in others, trust in patients developed over successive consultations based on patient characteristics such as honesty, reliability, and proactivity in self-care. GPs were more willing to engage in colorectal cancer shared care with patients whom they have a developed, trusting relationship. Trust plays a significant role in the patient’s access to shared care. The rollout of shared care should consider the relational dynamics between the patient and health care providers.
摘要：
背景：在治疗伙伴关系中，医生依靠病人来描述他们的健康状况，加入共同决策，并参与支持的自我管理活动。在共享护理中，病人,初级保健,和专家服务合作伙伴一起使用商定的流程和输出，将患者置于其护理中心。然而,很少有实证研究探讨医生对患者的信任及其对共享护理模式的影响。
目的：探索全科医生（GP）对患者的信任，以及信任对全科医生参与新护理模式的意愿的影响，如结直肠癌共同护理。
方法：通过专业网络招募GP参与者进行半结构化访谈。成绩单经过完整性检查，感应编码，和主题迭代发展。
结果：分析了25次访谈。一些全科医生认为信任是医生的责任，并且很容易信任患者。对于其他GP，对患者的信任是基于患者的特点，如诚实，可靠性,和自我保健的主动性。全科医生更愿意与他们开发的患者进行结直肠癌共享护理，信任关系。
结论：信任在患者获得共享护理方面发挥着重要作用。共享护理的实施应考虑患者与医疗保健提供者之间的关系动态。
在治疗伙伴关系中,医生依靠病人来描述他们的健康状况，参与共同决策，并参与支持的自我管理活动。在共享护理中，病人,初级保健,和专家服务合作伙伴一起使用商定的流程和输出，将患者置于其护理中心。信任是这种伙伴关系的关键。然而,很少有研究探讨医生对患者的信任及其对共享护理模式的影响。这项研究旨在探索全科医生(GP)对患者的信任，以及信任对全科医生参与新护理模式的意愿的影响，如结直肠癌共同护理。在分析了25份全科医生的采访记录后，我们发现一些全科医生认为信任是医生的责任，而在别人,对患者的信任是基于患者的特征，如诚实，可靠性,和自我保健的主动性。全科医生更愿意与他们开发的患者进行结直肠癌共享护理，信任关系。信任在患者获得共享护理方面起着重要作用。共享护理的推出应考虑患者与医疗保健提供者之间的关系动态。
目的：探索全科医生（GP）对患者的信任，以及信任对全科医生参与新护理模式的意愿的影响，如结直肠癌共同护理。
方法：通过专业网络招募GP参与者进行半结构化访谈。成绩单经过完整性检查，感应编码，和主题迭代发展。
结果：分析了25次访谈。一些全科医生认为信任是医生的责任，并且很容易信任患者。对于其他GP，对患者的信任是基于患者的特点，如诚实，可靠性,和自我保健的主动性。全科医生更愿意与他们开发的患者进行结直肠癌共享护理，信任关系。
结论：信任在患者获得共享护理方面发挥着重要作用。共享护理的实施应考虑患者与医疗保健提供者之间的关系动态。
在治疗伙伴关系中,医生依靠病人来描述他们的健康状况，参与共同决策，并参与支持的自我管理活动。在共享护理中，病人,初级保健,和专家服务合作伙伴一起使用商定的流程和输出，将患者置于其护理中心。信任是这种伙伴关系的关键。然而,很少有研究探讨医生对患者的信任及其对共享护理模式的影响。这项研究旨在探索全科医生(GP)对患者的信任，以及信任对全科医生参与新护理模式的意愿的影响，如结直肠癌共同护理。在分析了25份全科医生的采访记录后，我们发现一些全科医生认为信任是医生的责任，而在别人,对患者的信任是基于患者的特征，如诚实，可靠性,和自我保健的主动性。全科医生更愿意与他们开发的患者进行结直肠癌共享护理，信任关系。信任在患者获得共享护理方面起着重要作用。共享护理的推出应考虑患者与医疗保健提供者之间的关系动态。
