Apprehensive parents: a qualitative study of parents seeking immediate primary care for their children
Apprehensive parents: a qualitative study of parents seeking immediate primary care for their children
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DOI：
10.3399/bjgp09x394996
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发表时间：
2009-03-01
影响因子：
5.9
通讯作者：
van Daalen, Rineke
中科院分区：
文献类型：
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作者：
Hugenholtz, Marjolijn;Broer, Christian;van Daalen, Rineke
背景儿童比其他年龄段的儿童更频繁地使用非工作时间初级保健，尽管他们的医疗问题不那么紧迫。目的了解要求立即为孩子寻求医疗服务的父母的求医行为。研究设计对访谈和电话进行定性分析。背景在荷兰，一个可容纳约30万人的一般非工作时间合作社。方法对27名父母进行了半结构化访谈，这些父母曾向自己的家庭医生或非工作时间机构寻求初级保健，因为他们想要为生病的孩子提供紧急医疗服务。分析了44个来自父母为孩子寻求医疗护理的电话。结果发现，孩子的症状始于观察到孩子的正常外表或行为有偏差。当父母们感觉自己失去了对情况的控制时，他们决定联系医疗服务部门。大多数父母咨询是因为他们想排除或预防严重疾病，而不是因为疾病本身；不想和孩子一起冒险是一个重要的动机。为了排除在家中患严重疾病的可能性，父母们还尝试了从专业人士那里抄袭的诊断程序。结论父母的担忧和他们的健康寻求行为可以被视为现代社会风险监管的核心作用的表现。医生需要意识到自己的贡献，父母希望通过这种方式排除孩子患有严重疾病的可能性。提高家长的知识水平并不能解决不适当使用非工作时间设施的问题。
BackgroundChildren are more frequent users of out-of-hours primary care than other age groups, although their medical problems are less urgent.AimTo gain insight into the health-seeking behaviour of parents who ask for immediate medical attention for their children.Design of studyQualitative analysis of interviews and telephone calls.SettingA general practice out-of-hours cooperative that caters for approximately 300 000 people in The Netherlands.MethodA semi-structured interview was conducted with 27 parents who had consulted their own GP or an out-of-hours facility for primary care because they wanted urgent medical attention for their child who was sick. Forty-four telephone calls from parents seeking medical care for a child were analysed.ResultsRecognising symptoms in a child started with the observation of a deviation from the child's normal appearance or behaviour. Parents decided to contact medical services when they felt they lost control of the situation. Most parents consulted because they wanted to rule out or prevent serious disease, not because of the condition itself; not wanting to take a risk with their child was an important motivation. In an attempt to rule out serious disease at home, parents also attempted diagnostic procedures they had copied from professionals.ConclusionWorry of parents and their health-seeking behaviour can be seen as an expression of the central role of risk regulation in modern society. Doctors need to realise their own contribution to the way parents want to rule out serious disease in their children. Improving parents' knowledge will not solve the problem of inappropriate use of out-of-hours facilities.