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Trauma-Informed Care in Primary Health Settings—Which Is Even More Needed in Times of COVID-19

Included in the general practitioner’s (GP) core competencies is the ability to adopt a person-centered approach, and the use of the biopsychosocial model in their clinical work. Traumatic events (TEs) are frequently experienced within the population and are known to dysregulate the stress response...

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Autores principales: Tomaz, Teresa, Castro-Vale, Ivone
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551418/
https://www.ncbi.nlm.nih.gov/pubmed/32937966
http://dx.doi.org/10.3390/healthcare8030340
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author Tomaz, Teresa
Castro-Vale, Ivone
author_facet Tomaz, Teresa
Castro-Vale, Ivone
author_sort Tomaz, Teresa
collection PubMed
description Included in the general practitioner’s (GP) core competencies is the ability to adopt a person-centered approach, and the use of the biopsychosocial model in their clinical work. Traumatic events (TEs) are frequently experienced within the population and are known to dysregulate the stress response system and to be associated with psychiatric and physical disorders. GPs may feel reluctant to confront TEs for a variety of reasons, such as a lack of sufficient training in trauma-informed care or a fear of causing harm when discussing a patient’s more complicated issues, among others. This perspective paper aims to review the existing studies that support the practice of trauma-informed healthcare and to summarise best practices. Studies have shown that patients appreciate the questions that clinicians ask them about trauma-related issues and that they understand that this can be important for their healthcare. Furthermore, asking about trauma-related issues in a patient-centered and empathic way can result in better doctor–patient relationships, which improves the levels of satisfaction of both the patient and the doctor with the consultation, as well as improved health-related outcomes. As past traumatic experiences increase the risk of developing post-traumatic stress disorder on exposure to a new TE, the onset of the COVID-19 pandemic has led to trauma-informed care becoming even more important if the strategy is to continue to invest in preventive medicine.
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spelling pubmed-75514182020-10-14 Trauma-Informed Care in Primary Health Settings—Which Is Even More Needed in Times of COVID-19 Tomaz, Teresa Castro-Vale, Ivone Healthcare (Basel) Perspective Included in the general practitioner’s (GP) core competencies is the ability to adopt a person-centered approach, and the use of the biopsychosocial model in their clinical work. Traumatic events (TEs) are frequently experienced within the population and are known to dysregulate the stress response system and to be associated with psychiatric and physical disorders. GPs may feel reluctant to confront TEs for a variety of reasons, such as a lack of sufficient training in trauma-informed care or a fear of causing harm when discussing a patient’s more complicated issues, among others. This perspective paper aims to review the existing studies that support the practice of trauma-informed healthcare and to summarise best practices. Studies have shown that patients appreciate the questions that clinicians ask them about trauma-related issues and that they understand that this can be important for their healthcare. Furthermore, asking about trauma-related issues in a patient-centered and empathic way can result in better doctor–patient relationships, which improves the levels of satisfaction of both the patient and the doctor with the consultation, as well as improved health-related outcomes. As past traumatic experiences increase the risk of developing post-traumatic stress disorder on exposure to a new TE, the onset of the COVID-19 pandemic has led to trauma-informed care becoming even more important if the strategy is to continue to invest in preventive medicine. MDPI 2020-09-14 /pmc/articles/PMC7551418/ /pubmed/32937966 http://dx.doi.org/10.3390/healthcare8030340 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Perspective
Tomaz, Teresa
Castro-Vale, Ivone
Trauma-Informed Care in Primary Health Settings—Which Is Even More Needed in Times of COVID-19
title Trauma-Informed Care in Primary Health Settings—Which Is Even More Needed in Times of COVID-19
title_full Trauma-Informed Care in Primary Health Settings—Which Is Even More Needed in Times of COVID-19
title_fullStr Trauma-Informed Care in Primary Health Settings—Which Is Even More Needed in Times of COVID-19
title_full_unstemmed Trauma-Informed Care in Primary Health Settings—Which Is Even More Needed in Times of COVID-19
title_short Trauma-Informed Care in Primary Health Settings—Which Is Even More Needed in Times of COVID-19
title_sort trauma-informed care in primary health settings—which is even more needed in times of covid-19
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551418/
https://www.ncbi.nlm.nih.gov/pubmed/32937966
http://dx.doi.org/10.3390/healthcare8030340
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