What does trauma-informed care mean in general practice? A qualitative study of general practitioners’ perspectives

Abstract

Background and objective At the frontline of the healthcare system, general practitioners (GPs) regularly see the health consequences of traumatic life experiences, yet their perspectives on what constitutes trauma-informed primary care are not well understood. This qualitative study sought to explore Australian GPs’ perspectives on trauma-informed care. Methods Fifteen GPs with an interest in supporting patients with histories of trauma and abuse were interviewed. Data were analysed thematically. Results Four key themes were identified: (1) shifts in understanding; (2) it is the relationship that is important; (3) dynamics of power and control; and (4) beyond the GP. Discussion This study sheds light on how GPs understand and seek to practise trauma-informed care, and the factors that support and hinder them in this work. Findings support the need for greater integration of trauma-informed principles across the healthcare system, including in funding structures and training programs, and for increased support for GPs’ own wellbeing.