Patients' Subjective Concepts about Primary Health Care Utilization: a Qualitative Comparative Study Between Norway and Germany

患者对初级卫生保健利用的主观观念：挪威和德国的定性比较研究

基本信息

批准号：
211510595
负责人：
Professor Dr. Wolfram Joachim Herrmann
金额：
--
依托单位：
Division for General Practice
依托单位国家：
德国
项目类别：
Research Grants
财政年份：
2012
资助国家：
德国
起止时间：
2011-12-31 至 2014-12-31
项目状态：
已结题

来源：
https://gepris.dfg.de/gepris/projekt/211510595?language=en
关键词：
Patients Subjective Concepts about Primary

项目摘要

In Germany, utilization of ambulatory health care services is high compared to other countries: Whereas a study based on the process data of a large German public health care insurance show in an average 17.9 physician-patient-contacts per year, the comparable figure for Norway is down at about 5. The usual models of health care utilization, such as Rosenstock's Health Belief Model and Andersen's Behavioral Model cannot explain these differences adequately. Organizational factors of the health care system, such as gatekeeping, do not explain the magnitude of the differences.Our hypothesis is that patients' subjective concepts about primary health care utilization play a major role in explaining different health care utilization behavior in different countries. Hence, the aim of this study is to explore these subjective concepts comparatively, exemplary between Germany and Norway.To that aim, we opted for a comparative qualitative study design. In Norway and Germany, we are going to interview 20 patients each with qualitative episodic interviews. In addition, we are going to conduct participant observation in four German and four Norwegian primary care practices. The data is going to be analyzed by thematic coding. By selected categories, we are going to conduct comparative case and group analyses. Thus, we are going to develop a concept and understanding of similarities and differences between the subjective concepts regarding primary health care utilization in Germany and Norway.

在德国，与其他国家相比，对卧床保健服务的利用很高：基于一项基于德国大型公共医疗保险的过程数据，平均每年17.9台医师患者接触术的平均17.9个挪威人的数字约为5。医疗保健系统的组织因素，例如守门，无法解释差异的大小。我们的假设是患者关于初级卫生保健利用的主观概念在解释不同国家的不同医疗保健利用行为方面起着重要作用。因此，这项研究的目的是相对探索这些主观概念，即德国和挪威之间的典范。为此，我们选择了比较的定性研究设计。在挪威和德国，我们将采访20名患者，并进行定性情节访谈。此外，我们将以四种德国和四种挪威初级保健实践进行参与者的观察。数据将通过主题编码进行分析。通过选定的类别，我们将进行比较案例和小组分析。因此，我们将发展一个概念和理解，对德国和挪威初级卫生保健利用的主观概念之间的相似性和差异。