Is there a doctor in the house? Systems-psychodynamic research into general practitioners' experiences of changes in healthcare delivery

Tools

Greenway, Elizabeth (2022) Is there a doctor in the house? Systems-psychodynamic research into general practitioners' experiences of changes in healthcare delivery. Organisational and Social Dynamics, 22 (1). pp. 45-65. ISSN 1474-2780 (Print) ; 2044-3765 (Online)

Full text not yet available from this repository.

Abstract

My qualitative research uses a psychosocial approach to explore GPs' experiences during changes in healthcare delivery prior to the impact of the Covid-19 pandemic. The challenges of running everyday general practice under the neoliberal paradigm meant that GPs were retiring early, and that new GPs were hard to recruit. Even before March 2020, the biopsychosocial model of medicine was contending with many complexities, including workforce shortages, an ageing population, increasing incidence of chronic comorbidity, and the development of clinical technologies, to name but a few. General practice is also challenged by the requirements of commissioning, bidding, and contracting in order to sustain income and viability. What defines GPs' primary tasks, roles, and systems, and how are GPs' motivations and identities affected by this situation of clinical complexity and financial challenge? My research reveals three types of GP and an ecosystem's model of the organisationin-the-mind, involving various social defences and valencies for individual and group functioning.

Item Type: Article
Additional Information: Publication date: June 1, 2022
Uncontrolled Keywords: General Practice, Orgaanisation-in-the-Mind, Social defences, System-Psychodynamics, Valencies
Subjects: Groups & Organisations > Groups/Institutions/Organisations
Groups & Organisations > Occupational Groups
Groups & Organisations > Organisational Development
Health and Medical Sciences > General Practice
Psychological Therapies, Psychiatry, Counselling > Consultation
Department/People: Tavistock Consultancy Service
Related URLs:
URI: https://repository.tavistockandportman.ac.uk/id/eprint/2836

Actions (Library Staff login required)

View Item View Item