Evidence map›Paper›PMID 39285291›Full record

ArticleBMC primary care2024

"Do they think I'm good enough?": General practitioners' experiences when treating doctor-patients.

Claire J Hutton, Margaret Kay, Penny Round, Chris Barton

Abstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Treating doctor-patients and work colleagues: a need for some international principles.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Claire J HuttonDepartment of General Practice, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, 3000, Australia. Claire.hutton1@monash.edu.ORCID 0000-0002-1895-8095
Margaret KayGeneral Practice Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, Australia.ORCID 0000-0002-9381-1704
Penny RoundSchool of Curriculum Teaching and Inclusive Education, Faculty of Education, Monash University, Melbourne, Australia.ORCID 0000-0001-9638-6144
Chris BartonDepartment of General Practice, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, 3000, Australia.ORCID 0000-0001-9823-7425

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhen doctors seek medical care, there is evidence that the treating doctor can struggle to provide optimal treatment. Guidelines state that doctor-patients should be treated like any other patient, but this is challenging for the treating doctor. This study set out to explore both the positive experiences general practitioners (GPs) have when caring for doctor-patients, and the challenges they confront. It sought to identify whether GPs believe they treat doctor-patients differently to other patients and if so, in what ways, for what reasons, and how this impacts their provision of care. The study also aimed to develop a model that makes sense of GPs' experiences when caring for a patient who is also a medical doctor.

methodQualitative in-depth interviews with 26 GPs were carried out, with analysis of de-identified transcripts using pragmatic grounded theory. Evolving understandings were used to develop a model to make sense of GPs' experiences caring for their doctor-patients.

resultsThe core aspects of GPs' experiences of treating fellow doctors centred around concepts of respect and collegiality. These play a central role in mediating how a treating doctor experiences a consultation with a doctor-patient, influencing the quality of care provided. GPs shared that the use of medical language (and assumptions about the doctor-patient's knowledge/behaviours), testing, the exploration of sensitive issues, and the degree of shared decision-making were areas where their treatment might vary when treating a doctor-patient. Treating doctors often experience anxiety about errors and the likely scrutiny from the medical, and wider community. The decision to treat the doctor-patient differently was driven by a desire to maintain a sense of collegiality, to not offend, to meet their doctor-patient's expectations, and to appear competent.

conclusionThe professional socialisation of doctors, with its emphasis on collegiality and respect, plays a significant role in the dynamics of the therapeutic relationship when a doctor treats a doctor-patient. Current guidelines make little reference to these dynamics with the over-simplified 'keep it normal' recommendations. Treating doctors need evidence-informed training to navigate these challenges and ensure they can effectively deliver quality care to their doctor-patients.

Indexed as

Attitude of Health PersonnelGeneral PractitionersPhysician-Patient RelationsQualitative ResearchAdultFemaleGrounded TheoryHumansInterviews as TopicMaleMiddle AgedQuality of Health CareFamilyGeneral practitionersGrounded theoryPhysician-patient relationsPhysiciansPhysician’s rolePractice patterns

Identifiers

PMID39285291
PMCPMC11406865

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.