123. Should We Give Patients What They Want? w/ Sarah Lord Ferguson
Nov 21, 2023
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Chris interviews Sarah Lord Ferguson, a clinician-researcher from Vancouver, Canada. They discuss the challenges of implementing evidence-based practice, managing patient expectations, and the importance of addressing patient beliefs. The chapter also explores the role of physical touch in building trust, validating patients' experiences, and addressing patient demands for unnecessary imaging scans.
Clinicians should develop skills to understand patient beliefs and expectations.
Clinics should create structures that support evidence-based practice.
Education and community-building are key in promoting evidence-based care.
Deep dives
Individual level
At the individual level, it is important for clinicians to develop skills such as asking the right questions and using motivational interviewing techniques to understand patients' beliefs and expectations. By listening and assessing where the patient is at, clinicians can meet them where they are and work towards common goals.
Clinic level
At the clinic level, creating a structure that supports evidence-based practice is crucial. This can include longer patient visits, alignment of incentive structures, and mentorship programs to support clinicians in implementing evidence-based interventions. Utilizing intake forms to assess patient beliefs and expectations can also help guide treatment approaches.
Community and organization level
At the community and organization level, it is important to focus on education and curriculum reform to ensure that clinicians are equipped with the necessary skills and knowledge to practice evidence-based care. Professional associations play a role in building awareness, educating the public, and uniting clinicians under a common message. Connecting with other professionals and organizations to foster a community of practice can also help drive the uptake of evidence-based practice.
Uniting as a profession
It is crucial for clinicians to have empathy and respect for each other, as well as for patients. By working together and supporting one another, the physiotherapy profession can overcome barriers and move towards solving societal problems. The potential for physiotherapy to make a positive impact is significant, and by uniting and driving change, the profession can create a brighter future.
Optimism for the future
Despite the challenges, there is reason for optimism about the future of physiotherapy. The profession has immense potential to contribute to healthcare and well-being. By continuing to evolve and adapt, embracing evidence-based practice, and focusing on collaboration and empathy, physiotherapists can make a meaningful difference in the lives of their patients and in the healthcare system as a whole.
Chris down with Sarah Lord Ferguson to discuss her recent editorial, “Should we give patients what they want? Patient expectations and financial pressures need to be addressed to increase uptake of evidence-based practice.” We dive into: the messy realities of EBP implementation, addressing common barriers, changes that can occur at the clinician, clinic, and community levels, and much more. Sarah is a clinician-researcher from Vancouver, Canada who is inspired by the problems that physiotherapists and other healthcare providers face. She has a special interest in patient psychology including patient belief systems and patient expectations of healthcare services, particularly in private practice settings.