Development of a strategy of physician-patient relationship for improving care for patients with disorders of sex development: a qualitative study

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dc.contributor.author Telles-Silveira, Mariana [UNIFESP]
dc.contributor.author Knobloch, Felicia
dc.contributor.author Kater, Claudio Elias [UNIFESP]
dc.date.accessioned 2020-08-14T13:44:21Z
dc.date.available 2020-08-14T13:44:21Z
dc.date.issued 2016
dc.identifier http://dx.doi.org/10.1590/1516-3180.2015.01750309
dc.identifier.citation Sao Paulo Medical Journal. Sao Paulo, v. 134, n. 4, p. 300-305, 2016.
dc.identifier.issn 1516-3180
dc.identifier.uri https://repositorio.unifesp.br/handle/11600/57623
dc.description.abstract CONTEXT AND OBJECTIVE: Care for patients with disorders of sex development (DSD) should be provided in integrated-care centers by a multidisciplinary team. Implementation of this project within the teaching clinic routine presents several challenges: 1) difficulties in relationships between the medical team and patients and their families en
dc.description.abstract 2) age, ethnic and cultural differences en
dc.description.abstract 3) DSD-related prejudice en
dc.description.abstract and 4) physicians' anxiety. We report on a psychologist's work strategy that focused on creating arrangements that could contribute towards development of the relationship between the medical team and patients and their families, as a way of preparing the clinical staff to manage treatment of adult DSD patients. DESIGN AND SETTING: Prospective qualitative study. METHODS: Between February 2010 and April 2015, we conducted a qualitative study in the Adrenal Outpatient Clinic of Escola Paulista de Medicina (Sao Paulo, Brazil), based on interviews, team discussions and group dynamics with resident physicians, postgraduate students and attending physicians. RESULTS: Implementation of the project allowed residents to build a story of differentiated care for their patients, thus facilitating dialog between them and making it possible to address taboo topics. Sequential care provided by the same resident led patients to feel that their doctor cared for them, with individuality, continuity and a sense of interest in their story. CONCLUSION: Presence of a psychologist in the outpatient routine enabled inclusion of subjective factors in the routine of medical consultations, thus broadening the notion of healthcare for patients with DSD, facilitating bonds and providing support for difficulties faced. en
dc.description.sponsorship Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
dc.format.extent 300-305
dc.language.iso eng
dc.publisher Associacao Paulista Medicina
dc.relation.ispartof Sao Paulo Medical Journal
dc.rights Acesso aberto
dc.subject Disorders of sex development en
dc.subject Adrenal hyperplasia, congenital en
dc.subject Education, medical en
dc.subject Physician-patient relation en
dc.subject Interdisciplinary communication en
dc.title Development of a strategy of physician-patient relationship for improving care for patients with disorders of sex development: a qualitative study en
dc.type Artigo
dc.description.affiliation Univ Fed Sao Paulo EPM Unifesp, Dept Med, Escola Paulista Med, Div Endocrinol, Sao Paulo, SP, Brazil
dc.description.affiliation Pontificia Univ Catolica Sao Paulo, Sch Human & Hlth Sci, Psychol, Sao Paulo, SP, Brazil
dc.description.affiliation Univ Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Med, Med, Sao Paulo, SP, Brazil
dc.description.affiliationUnifesp Univ Fed Sao Paulo EPM Unifesp, Dept Med, Escola Paulista Med, Div Endocrinol, Sao Paulo, SP, Brazil
dc.description.affiliationUnifesp Univ Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Med, Med, Sao Paulo, SP, Brazil
dc.identifier.file WOS000383793900005.pdf
dc.identifier.scielo S1516-31802016000400300
dc.identifier.doi 10.1590/1516-3180.2015.01750309
dc.description.source Web of Science
dc.identifier.wos WOS:000383793900005
dc.coverage Sao Paulo
dc.citation.volume 134
dc.citation.issue 4



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