Broken bones and apple brandy: resilience and sensemaking of general practitioners and their at-risk patients during the COVID-19 pandemic in Switzerland.

Details

Serval ID
serval:BIB_9B6606925DFF
Type
Article: article from journal or magazin.
Collection
Publications
Title
Broken bones and apple brandy: resilience and sensemaking of general practitioners and their at-risk patients during the COVID-19 pandemic in Switzerland.
Journal
Anthropology & medicine
Author(s)
Hoeks R.A., Deml M.J., Dubois J., Senn O., Streit S., Rachamin Y., Jungo K.T.
ISSN
1469-2910 (Electronic)
ISSN-L
1364-8470
Publication state
Published
Issued date
12/2023
Peer-reviewed
Oui
Volume
30
Number
4
Pages
346-361
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
In early 2020, when the first COVID-19 cases were confirmed in Switzerland, the federal government started implementing measures such as national stay-at-home recommendations and a strict limitation of health care services use. General practitioners (GPs) and their at-risk patients faced similar uncertainties and grappled with subsequent sensemaking of the unprecedented situation. Qualitative interviews with 24 GPs and 37 at-risk patients were conducted which were analyzed using thematic analysis. Weick's (1993) four sources of -resilience - improvisation, virtual role systems, attitudes of wisdom and respectful interaction - heuristically guide the exploration of on-the-ground experiences and informal ways GPs and their at-risk patients sought to ensure continuity of primary care. GPs used their metaphorical Swiss army knives of learned tools as well as existing knowledge and relationships to adapt to the extenuating circumstances. Through improvisation, GPs and patients found pragmatic solutions, such as using local farmer apple brandy as disinfectant or at-home treatments of clavicle fractures. Through virtual role systems, GPs and patients came to terms with new and shifting roles, such as "good soldier" and "at-risk patient" categorizations. Both parties adopted attitudes of wisdom by accepting that they could not know everything. They also diversified their sources of information through personal relationships, formal networks, and the internet. The GP-patient relationship grew in importance through respectful interaction, and intersubjective reflection helped make sense of shifting roles and ambiguous guidelines. The empirical analysis of this paper contributes to theoretical considerations of sensemaking, resilience, crisis settings and health systems.
Keywords
Humans, General Practitioners, Malus, Switzerland, Resilience, Psychological, Pandemics, COVID-19, Qualitative Research, Anthropology, Medical, Attitude of Health Personnel, Fractures, Bone, continuity of care, general practitioners, primary care, risk patients
Pubmed
Web of science
Open Access
Yes
Create date
20/02/2024 15:37
Last modification date
12/04/2024 10:53
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