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Confl icts of interest: none reported
BibTeX
@MISC{Elder_conflicts,
author = {Nancy C. Elder and C. Jeffrey Jacobson and Therese Zink and Lora Hasse and Nancy C. Elder},
title = {Confl icts of interest: none reported},
year = {}
}
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Abstract
PURPOSE We wanted to explore how patients ’ experiences with preventable problems in primary care have changed their behavioral interactions with the health care system. METHODS We conducted semistructured interviews with 24 primary care patients, asking them to describe their experiences with self-perceived preventable problems. We analyzed these interviews using the editing method and classifi ed emotional and behavioral responses to experiencing preventable problems. RESULTS Anger was the most common emotional response, followed by mistrust and resignation. We classifi ed participants ’ behavioral responses into 4 categories: avoidance (eg, stop going to the doctor), accommodation (eg, learn to deal with delays), anticipation (eg, attend to details, attend to own emotions, acquire knowledge, actively communicate), and advocacy (eg, get a second opinion). CONCLUSIONS Understanding how patients react to their experiences with preventable problems can assist health care at both the physician-patient and system levels. We propose an association of mistrust with the behaviors of avoidance and advocacy, and suggest that further research explore the potential impact these patient behaviors have on the provision of health care. Ann Fam Med 2005;3:537-544. DOI: 10.1370/afm.346.
Keyphrases
confl icts preventable problem health care self-perceived preventable problem common emotional response system level primary care patient second opinion primary care behavioral interaction potential impact health care system ann fam med conclusion understanding behavioral response ed participant behavioral response patient behavior result anger semistructured interview
