Towards a patient-centred approach in therapeutic patient education. A qualitative study exploring health care professionals’ practices and related representations

Roussel, Sandrine;Porcu, Marie;Rondeaux, Sarah;Braeckman, Tessa;Van den Broucke, Stephan;et.al.
(2021) 11th IUHPE European conference in Health promotion — Location: Girona (15.June.2021)

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Objectives: Diagnostic self-tests can be considered a way to empower patients. They might also challenge the relationship between patients and health professionals in primary health care. Building a typology of the patient-professional relationship, valid for patients, general practitioners and community pharmacists from the Brussels Capital Region (BCR) was a first step of a larger study exploring the influence of diagnostic self-tests on the health care relationship Material and methods: A qualitative study was conducted using semi-structured interviews with 17 patients, 25 doctors and 16 pharmacists from the BCR (Belgium). A reflexive thematic analysis was performed. Starting from a provisional typology based on the literature about the power distribution between patients and health care professionals, the typology was refined during the analysis of reported practices regarding referrals, explanations, motivation, decision-making, non-adherence and extreme situation of life-threatening cessation of treatment. Results: The resulting typology consists of four types and nine subtypes (Three subtypes for "passivity/activity"; one for "guidance/cooperation"; two for "mutual partnership"; three for "autonomism") for which equivalents were found in each of the three groups (patients, doctors and pharmacists). Classification of participants into this broad category system allowed for comparisons of relationship types. Classification, however, encountered various difficulties: a "participation" language (communication, explanation, patient partner, shared responsibility, autonomy, etc.) was integrated into the language of health professionals but it does not appear to have a shared meaning. Practices were often intuitive, for example, beliefs and prior knowledge were rarely explored and recognized as they should be from a learning perspective. These health professionals were seldom trained in participative approaches. Conclusions: The construction of a common typology for the relationship between patients and health professionals allows a classification of relationships and the triangulation of data sources. Such a typology opens up possibilities for research regarding partnership-based educational practices.
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Roussel, S., Porcu, M., Rondeaux, S., Braeckman, T., De Vriese, C., & Van den Broucke, S. (2021). Towards a patient-centred approach in therapeutic patient education. A qualitative study exploring health care professionals’ practices and related representations. 11th IUHPE European conference in Health promotion, Girona. https://hdl.handle.net/2078.5/26039