Seeking, delaying, and avoiding routine health care services: patient perspectives.
Seeking, delaying, and avoiding routine health care services: patient perspectives.
复制标题
DOI：
10.4278/ajhp.120702-qual-318
复制
发表时间：
2014-05
期刊：
影响因子：
--
通讯作者：
Yarborough BJ
中科院分区：
文献类型：
--
作者：
Green CA;Johnson KM;Yarborough BJ
探索/识别患者对寻求，延迟和避免医疗服务的观点，特别是障碍和促进因素。与健康计划调查受访者进行面对面访谈。一项为俄勒冈州和华盛顿的48万人提供全面护理的综合健康计划。自愿受访者随机选择，以最大限度地提高异质性在以下层次：性别，医疗保健利用，自我报告的酒精消费量（健康实践的指标）。受试者为75名男性和75名女性（共150名），年龄为21-64岁，健康计划成员资格≥12个月。参与者通过信函招募（52.5%同意）。当计划的访谈完成时，数据收集停止;关键研究问题达到饱和（额外访谈不会产生新信息的点）。半结构化的采访记录，转录，并编码。对与寻求护理和对提供者的感情/态度有关的守则进行审查，产生了共同的主题。寻求护理的促进因素包括热情的工作人员，与提供者的合作关系，以及有关预防护理价值的教育。障碍包括费用、预约所需时间和繁琐的程序。一些参与者推迟程序，一些避免护理，直到绝对必要的，其他框架的护理作为例行必要的。增加舒适度，改善预约和访问相关的过程中，有积极的病人-医生的关系，并加强沟通和临床医生提供的教育，可能有助于适当使用预防服务。需要进一步的研究，更大的，有代表性的，样本来评估结果。
To explore/identify patient perspectives regarding seeking, delaying, and avoiding health care services, particularly barriers and facilitators. Face-to-face interviews with health plan survey respondents. An integrated health plan providing comprehensive care to 480,000 people in Oregon and Washington. Willing respondents randomly selected to maximize heterogeneity within the following strata: gender, health care utilization, and self-reported alcohol consumption (indicator of health practices). Participants were 75 men and 75 women (150 total), 21–64 years old, with ≥12 months of health plan membership. Participants were recruited by letter (52.5% agreed). Data collection stopped when planned interviews were completed; saturation (the point at which additional interviews were not producing novel information) was achieved for key study questions. Semi-structured interviews were recorded, transcribed, and coded. Reviews of codes related to care seeking and feelings/attitudes about providers produced common themes. Facilitators of care seeking included welcoming staff, collaborative relationships with providers, and education about the value of preventive care. Barriers included costs, time needed for appointments, and cumbersome processes. Some participants delayed procedures, some avoided care until absolutely necessary, others framed care as routinely necessary. Increasing comfort, improving appointment and visit-related processes, having positive patient-physician relationships, and enhancing communication and clinician-provided education may facilitate appropriate use of preventive services. Further research is needed with larger, representative, samples to evaluate findings.
影响因子：
2.9
作者：
Green CA;Polen MR;Leo MC;Perrin NA;Anderson BM;Weisner CM
通讯作者：
Weisner CM