Patients’ expectations of primary health care from both patients’ and physicians’ perspectives: a questionnaire study with a qualitative approach

BMC Primary Care, Journal Year: 2024, Volume and Issue: 25(1)

Published: April 24, 2024

Abstract Background Patients’ ideas, concerns, and expectations are three important concepts in consultation techniques. Limited studies on these include responses from both health care providers recipients of the same consultation. Highlighting perspectives provides an increased understanding This study aims to explore patients professionals about patients’ primary during consultations with physicians compare two sets perspectives. Methods A cross-sectional study. Patients ( n = 113) 67) five centers completed a questionnaire after planned consultations. Their open-ended questions expectations, physicians’ were analyzed qualitative content analyses. Results The expected personal journey, through system where they subject interest. ready access provider followed by physician, medical measures administered, their outcomes discussed, plan developed for continued care. observed concern responsibilities placed object short-term described similar way physicians. expressed long-term as more interpersonal whereas them professional organizational standpoint. Conclusions have different views what expect While perceived physicians, not. journey while Identifying meeting is part patient-centered care, better needed improve professionals’ skills.

Language: Английский

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Patient's Perception of Primary Health Care Provision With Respect to Access, Continuity and Coordination—InCept: An International Qualitative Perspective

The International Journal of Health Planning and Management, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 3, 2025

ABSTRACT Health care systems are confronted with an increasing burden of (multi‐)morbidity and a shortfall healthcare providers. Coordination continuity in chronic multi‐morbid patient is especially important. As qualitative experience data within processes scarce, we aim to increase the understanding chronically ill patient's perspectives by assessing experiences different health while treated primary care. Patients were recruited via GPs from Germany, Sweden, Switzerland, British island Jersey. To ascertain regular utilisation, inclusion criteria either stroke, and/or myocardial infarction or heart failure during past year, underlying metabolic syndrome. Identical semi‐structured interview‐guides used respective language. Transcribed interviews analysed according inductive‐deductive content analysis. Based on 22 derived four main categories (patient centeredness, continuity, coordination, access). Overall, considered positive if information flow was personal functional. Non‐physician staff seemed create reassurance. A long‐lasting doctor‐patient relationship connected context trust security. critical perceived lack time, inducing insufficient counselling information‐flow. This international explorative study suggests that patients' can provide important about provision. consistently focused more relational aspects rather than structures functions. has connotations for planning; example, providing non‐physician support patients through their pathway improve cooperation between

Language: Английский

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People-centred primary health care: a scoping review

BMC Primary Care, Journal Year: 2023, Volume and Issue: 24(1)

Published: Nov. 9, 2023

Abstract Background Integrated people-centred health services (IPCHS) are vital for ensuring comprehensive care towards achieving universal coverage (UHC). The World Health Organisation (WHO) envisions IPCHS in delivery and access to services. This scoping review aimed synthesize available evidence on primary (PHC) care. Methods We conducted a of published literature PHC. searched eight databases (PubMed, Scopus, Embase, CINAHL, Cochrane, PsycINFO, Web Science, Google Scholar) using search terms related integrated PHC/primary followed the Preferred Reporting Items Systematic Reviews Meta-Analyses Extension Scoping (PRISMA-ScR) checklist select studies. analyzed data generated themes Gale's framework thematic analysis method. Themes were explained under five components WHO framework. Results A total fifty-two studies included review; most from high-income countries (HICs), primarily focusing patient-centred each component included: engaging empowering people communities (engagement community, empowerment empathy); strengthening governance accountability (organizational leadership, mutual accountability); reorienting model (residential care, multimorbidity, participatory care); coordinating within across sectors (partnership with stakeholders sectors, coordination creating an enabling environment funding support (flexible management change; environment). Conclusions Several PHC approaches implemented HICs but have little priority low-income countries. Potential strategies could be end users delivering accountability, implementing residential communities. Flexible options create systems deliver

Language: Английский

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Treatment Utilisation and Satisfaction With Management in Individuals With Osteoarthritis and Metabolic Multimorbidity: A Cross‐Sectional Multi‐Country Study

Musculoskeletal Care, Journal Year: 2025, Volume and Issue: 23(1)

Published: Jan. 23, 2025

ABSTRACT Purpose To compare treatment utilisation for osteoarthritis (OA) and satisfaction with OA management between individuals without comorbid metabolic conditions (e.g., diabetes, obesity, dyslipidaemia, hypertension). Methods Secondary analysis of a cross‐sectional international survey study (Italy, Russia, Sweden) on people ≥ 40 years old knee/hip OA. Metabolic comorbidity was self‐reported. We used direct standardisation prevalence ratios mixed‐effect models to estimate the associations (score 0–100). Results analysed 401 (48% Sweden, 28% Italy, 24% Russia; 53% 1 condition). Those showed similar first‐line interventions (exercise, education, weight management). Metabolically unhealthy higher use opioids (prevalence ratio [95% CI] 1.9 [1.3–2.4]), antidepressants (1.8 [1.1–2.5]), corticosteroid injections (1.4 [1.0−1.8]), homoeopathic products (2.1 [1.2–3.0]). Satisfaction care (adjusted difference: −3.9 CI: −8.5 2.4]) information received about treatments (−4.0 [−9.7 1.7]) were similar. Conclusions While similarly used, those relied more second‐line non‐recommended treatments, showing comparable satisfaction. More effort is needed increase adoption lifestyle‐focused in minimise less recommended options among comorbidities.

Language: Английский

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Motivational Interviewing (MI) in Obesity Care: Cultivating Person‐Centered and Supportive Clinical Conversations to Reduce Stigma: A Narrative Review

Obesity Science & Practice, Journal Year: 2025, Volume and Issue: 11(1)

Published: Feb. 1, 2025

ABSTRACT Background Patients perceive high levels of weight prejudice, stigma, and discrimination within health systems, affecting their ability to manage obesity related chronic conditions. Scientific patient associations worldwide have prioritized the reduction stigma improve experiences in systems overall outcomes. Since a significant proportion population is now living with multiple diseases obesity, healthcare must shift toward multi‐disease management frameworks incorporating person‐centered non‐stigmatizing clinical conversations. Motivational Interviewing (MI) has potential transform interactions by using language, communication, practices. Studies MI solely focused on loss outcomes, while other experience outcomes would also be relevant evaluate. Methods A narrative review was undertaken critically analyze impact disease practices experiences. Findings An analysis contextualization theoretical framework for management, based philosophy motivational spirit, reviewed, assessing micro skills or strategies. Conclusion may assist professionals conduct conversations accordance basic principles collaborative therapeutic alliances. proposal research considerations that can help illuminate outlined.

Language: Английский

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Implementing Patient‐Centred Goal‐Setting in Practice: Perspectives of Primary Care Nurses

Scandinavian Journal of Caring Sciences, Journal Year: 2025, Volume and Issue: 39(2)

Published: April 8, 2025

ABSTRACT Background As a component of goal‐oriented care, goal‐setting is an important strategy to improve self‐management and reduce the economic personal burden chronic illness. Primary care nurses, as integral members healthcare team, play pivotal role in providing support patients with multiple illnesses. Yet, little known about their perspectives on partnering set meaningful goals within programmes. Aim To explore primary nurses practice self‐management. Methods For this qualitative exploratory study, we conducted semi‐structured interviews 28 who provided Data were analysed using inductive thematic analysis. This research was approved by Mayo Clinic Institutional Review Board. Results Key themes from focused on: (1) practices; (2) challenges encountered goal‐setting; (3) perceived value‐add patient‐centred approach. Nurses described practices that empower take charge goal‐setting, emphasising opportunity create enhances motivation enables development realistic action plans. faced patients' lack familiarity competing life stressors reluctance change. Conclusion Our findings contribute valuable insights how approach program. Notably, unlike previous studies where clinicians reported time‐limited appointments institutional expectations hindered our participants practicing institutionally supported model did not report time constraints or pressures prioritise clinical over patient goals. Instead, they are associated positive outcomes. potentially corroborate expand upon inform training, future should include survey RNs observational evaluate nurse–patient interactions.

Language: Английский

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Challenges to Exploring the Patient Perspective in Palliative Care Conversations: A Qualitative Study Among Chronic Obstructive Pulmonary Disease and Chronic Heart Failure Patients and Their Health Care Professionals

Palliative Medicine Reports, Journal Year: 2024, Volume and Issue: 5(1), P. 150 - 161

Published: April 1, 2024

Objectives: The aim of this study was to reveal the challenges faced in exploring patient's perspective as experienced by patients with chronic obstructive pulmonary disease or heart failure and their health care professionals (HCPs), including circumstances under which these are during palliative conversations.

Language: Английский

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Revisiting the hospital-issued gown in hospitalizations from a locus of control and patient-centered care perspectives: a call for design thinking

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: Sept. 16, 2024

Introduction Patient-centered care (PCC) is the preferred health policy approach that emphasizes responding to individual patient preferences, wishes, and needs. PCC requires active engagement. While there has been extensive research on physicians' robes, limited hospital-issued gowns during hospitalizations. How does gown affect cognitive–emotional experience of hospitalized patients? associated with PCC? Methods The sample this cross-sectional study consisted 965 patients who were at least once past year in a tertiary hospital. Measures previously published. Results was strongly lack control increased distress, negatively proactiveness, engagement, taking responsibility for self-management chronic illness. Compared male patients, female wearing had stronger negative emotions cognitively strong associations external locus control, which inhibited Discussion hospital an unacknowledged barrier achieving PCC, inhibits reflects paradoxes inadvertently excluding patients' needs from practice. must be modified protect patient's voice enhance Policymakers are called apply design thinking facilitate participation decision-making accord clothing improve healthcare delivery.

Language: Английский

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Lebanese nursing students' perceptions of barriers to the implementation of person‐centered care in clinical settings: A qualitative study

Nursing Open, Journal Year: 2024, Volume and Issue: 11(3)

Published: March 1, 2024

Abstract Aim This study aims to investigate how Lebanese nursing students perceive the challenges of implementing person‐centered care in clinical settings. Design A qualitative descriptive design was adopted for this study. Methods At one Lebanon's top universities, a used with 18 from various academic levels. Content analysis generate results after three focus group discussions. The Consolidated Criteria Reporting Qualitative Research were report Results content gave rise four main themes, namely, “overload”, “challenges education”, “unawareness”, “establishing connection”, and “lack initiatives related policy”. showed number obstacles that believed path providing care. These included organisational issues like time restraints an intense workload, as well interaction difficulties patients healthcare teams, educational insufficient instruction concepts during programs.

Language: Английский

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Atención centrada en la persona con pluripatología

Actualización en Medicina de Familia, Journal Year: 2024, Volume and Issue: unknown, P. 195 - 205

Published: April 1, 2024

En los últimos años se han descrito las dificultades del enfoque centrado exclusivamente en la enfermedad y medicina basada evidencia (MBE) para abordar crecientes desafíos de personas con pluripatología. La abstención intervenciones sanitarias bajo valor (ISBV), pese a ser una estrategia fundamentada pruebas, resulta insuficiente ante problemas salud causados por sobreactuación sanitaria. El seguimiento estricto GPC es principales causas excesiva intensificación clínica. Por ello, crucial reconsiderar actuaciones previamente justificadas. atención centrada persona (ACP) ha propuesto como perspectiva más pertinente. Modelos mínimamente disruptiva (MMD) son coherentes principios ACP, pero su operativización requiere superar limitaciones que MBE tiene al individualizar decisiones. Este proceso reflexión filosófica ya debe basarse teorías causales aplicables casos únicos distintos fundamentan MBE, dependientes repetición o frecuencia. Exploramos el disposicionalismo teoría causal gran capacidad aplicada contexto clínico, especialmente Atención Primaria (AP), mediante herramientas modelo vectorial.

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