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.citation.issue4
dc.citation.volume134
dc.contributor.authorTelles-Silveira, Mariana [UNIFESP]
dc.contributor.authorKnobloch, Felicia
dc.contributor.authorKater, Claudio Elias [UNIFESP]
dc.coverageSao Paulo
dc.date.accessioned2020-08-14T13:44:21Z
dc.date.available2020-08-14T13:44:21Z
dc.date.issued2016
dc.description.abstractCONTEXT 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 familiesen
dc.description.abstract2) age, ethnic and cultural differencesen
dc.description.abstract3) DSD-related prejudiceen
dc.description.abstractand 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.affiliationUniv Fed Sao Paulo EPM Unifesp, Dept Med, Escola Paulista Med, Div Endocrinol, Sao Paulo, SP, Brazil
dc.description.affiliationPontificia Univ Catolica Sao Paulo, Sch Human & Hlth Sci, Psychol, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Med, Med, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo EPM Unifesp, Dept Med, Escola Paulista Med, Div Endocrinol, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Med, Med, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES)
dc.format.extent300-305
dc.identifierhttp://dx.doi.org/10.1590/1516-3180.2015.01750309
dc.identifier.citationSao Paulo Medical Journal. Sao Paulo, v. 134, n. 4, p. 300-305, 2016.
dc.identifier.doi10.1590/1516-3180.2015.01750309
dc.identifier.fileWOS000383793900005.pdf
dc.identifier.issn1516-3180
dc.identifier.scieloS1516-31802016000400300
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/57623
dc.identifier.wosWOS:000383793900005
dc.language.isoeng
dc.publisherAssociacao Paulista Medicina
dc.relation.ispartofSao Paulo Medical Journal
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDisorders of sex developmenten
dc.subjectAdrenal hyperplasia, congenitalen
dc.subjectEducation, medicalen
dc.subjectPhysician-patient relationen
dc.subjectInterdisciplinary communicationen
dc.titleDevelopment of a strategy of physician-patient relationship for improving care for patients with disorders of sex development: a qualitative studyen
dc.typeinfo:eu-repo/semantics/article
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