“Working the system”: The experience of being a primary care patient

Health care providers and system administrators are in the midst of a paradigm shift; moving from paternalism toward an egalitarian approach. For patient centred care to occur, health care providers must prioritize patient needs; provide information regarding treatments while taking patient preferen...

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Autores principales:	Michelle Nelson, Mark Torchia, Jennifer Mactavish, Ruby Grymonpre
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2014
Materias:	patient-centred care primary health care qualitative research personal narrative physician patient relationship interpersonal interactions Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/320b42c4578d4b2dbd2d820a105e8ebb
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spelling	oai:doaj.org-article:320b42c4578d4b2dbd2d820a105e8ebb2021-11-15T03:34:04Z“Working the system”: The experience of being a primary care patient2372-0247https://doaj.org/article/320b42c4578d4b2dbd2d820a105e8ebb2014-04-01T00:00:00Zhttps://pxjournal.org/journal/vol1/iss1/6https://doaj.org/toc/2372-0247Health care providers and system administrators are in the midst of a paradigm shift; moving from paternalism toward an egalitarian approach. For patient centred care to occur, health care providers must prioritize patient needs; provide information regarding treatments while taking patient preferences and expectations into account. While there is literature regarding patient centredness, there is less information from the patient perspective about the experience of being a patient and the influence on behaviour. Using phenomenological research methods and the theory of planned behaviour as a theoretical framework, this study addressed the questions, a) what is the essence of being a primary health care patient, and b) what influence do beliefs, attitudes, and experience have on people’s behaviour as a patient? Nineteen individuals participated. Seven shared elements of being a primary health care patient were identified and contributed to the development of a composite vignette. The patient experience was a socially oriented, governed and reinforced cyclical process. Patients described themselves as actively engaged in their health care – “working the system” to get what they needed, when they needed it. Patients changed their beliefs, attitudes and behaviour as a result of experiences with their physicians, and their perceived success or failure in acquiring the best health care possible. Being a patient was not a single, observable behaviour, but rather a set of contextually dependent strategies patients’ directed at the specific goal of getting the best healthcare possible. The theory of planned behaviour was unsuitable for understanding patients’ beliefs, attitudes and behaviour.Michelle NelsonMark TorchiaJennifer MactavishRuby GrymonpreThe Beryl Institutearticlepatient-centred careprimary health carequalitative researchpersonal narrativephysician patient relationshipinterpersonal interactionsMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal, Vol 1, Iss 1 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient-centred care primary health care qualitative research personal narrative physician patient relationship interpersonal interactions Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient-centred care primary health care qualitative research personal narrative physician patient relationship interpersonal interactions Medicine (General) R5-920 Public aspects of medicine RA1-1270 Michelle Nelson Mark Torchia Jennifer Mactavish Ruby Grymonpre “Working the system”: The experience of being a primary care patient
description	Health care providers and system administrators are in the midst of a paradigm shift; moving from paternalism toward an egalitarian approach. For patient centred care to occur, health care providers must prioritize patient needs; provide information regarding treatments while taking patient preferences and expectations into account. While there is literature regarding patient centredness, there is less information from the patient perspective about the experience of being a patient and the influence on behaviour. Using phenomenological research methods and the theory of planned behaviour as a theoretical framework, this study addressed the questions, a) what is the essence of being a primary health care patient, and b) what influence do beliefs, attitudes, and experience have on people’s behaviour as a patient? Nineteen individuals participated. Seven shared elements of being a primary health care patient were identified and contributed to the development of a composite vignette. The patient experience was a socially oriented, governed and reinforced cyclical process. Patients described themselves as actively engaged in their health care – “working the system” to get what they needed, when they needed it. Patients changed their beliefs, attitudes and behaviour as a result of experiences with their physicians, and their perceived success or failure in acquiring the best health care possible. Being a patient was not a single, observable behaviour, but rather a set of contextually dependent strategies patients’ directed at the specific goal of getting the best healthcare possible. The theory of planned behaviour was unsuitable for understanding patients’ beliefs, attitudes and behaviour.
format	article
author	Michelle Nelson Mark Torchia Jennifer Mactavish Ruby Grymonpre
author_facet	Michelle Nelson Mark Torchia Jennifer Mactavish Ruby Grymonpre
author_sort	Michelle Nelson
title	“Working the system”: The experience of being a primary care patient
title_short	“Working the system”: The experience of being a primary care patient
title_full	“Working the system”: The experience of being a primary care patient
title_fullStr	“Working the system”: The experience of being a primary care patient
title_full_unstemmed	“Working the system”: The experience of being a primary care patient
title_sort	“working the system”: the experience of being a primary care patient
publisher	The Beryl Institute
publishDate	2014
url	https://doaj.org/article/320b42c4578d4b2dbd2d820a105e8ebb
work_keys_str_mv	AT michellenelson workingthesystemtheexperienceofbeingaprimarycarepatient AT marktorchia workingthesystemtheexperienceofbeingaprimarycarepatient AT jennifermactavish workingthesystemtheexperienceofbeingaprimarycarepatient AT rubygrymonpre workingthesystemtheexperienceofbeingaprimarycarepatient
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“Working the system”: The experience of being a primary care patient

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