Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist

Purpose: Sweden has tried to speed up the process of early cancer detection by standardization of care. This increased focus on early cancer detection provides people with a conflicting norm regarding the importance of recognizing possible cancer symptoms and the responsibility of not delaying seeki...

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Autores principales:	Cecilia Hultstrand, Anna-Britt Coe, Mikael Lilja, Senada Hajdarevic
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	cancer symptoms seeking care primary healthcare patients’ experiences encounters standardization cpp Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/dfcae374b7ff441ca660656734e451b6
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spelling	oai:doaj.org-article:dfcae374b7ff441ca660656734e451b62021-12-01T14:40:59ZShifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist1748-26231748-263110.1080/17482631.2021.2001894https://doaj.org/article/dfcae374b7ff441ca660656734e451b62021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/17482631.2021.2001894https://doaj.org/toc/1748-2623https://doaj.org/toc/1748-2631Purpose: Sweden has tried to speed up the process of early cancer detection by standardization of care. This increased focus on early cancer detection provides people with a conflicting norm regarding the importance of recognizing possible cancer symptoms and the responsibility of not delaying seeking care. Based on existing norms about patients’ responsibility and care seeking, this study explores how patients experience encounters with primary care physicians when they seek care for symptoms potentially indicating cancer. Methods: Thirteen semi-structured interviews were conducted with patients receiving care for symptoms indicative of cancer in one county in northern Sweden. Data was analysed with thematic analysis. Results: The common notion of describing patients as customers in a healthcare context does not sufficiently capture all aspects of what counts as being a person seeking care. Instead, people interacting with primary care face a twofold role in where they are required to take the role not only of customer but also of seller. Consequently, people shift between these two roles in order to legitimize their care seeking. Conclusions: Standardization oversimplifies the complexity underlying patients’ experience of care seeking and interaction with healthcare. Hence, healthcare must acknowledge the individual person within a standardized system.Cecilia HultstrandAnna-Britt CoeMikael LiljaSenada HajdarevicTaylor & Francis Grouparticlecancersymptomsseeking careprimary healthcarepatients’ experiencesencountersstandardizationcppMedicine (General)R5-920ENInternational Journal of Qualitative Studies on Health & Well-Being, Vol 16, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cancer symptoms seeking care primary healthcare patients’ experiences encounters standardization cpp Medicine (General) R5-920
spellingShingle	cancer symptoms seeking care primary healthcare patients’ experiences encounters standardization cpp Medicine (General) R5-920 Cecilia Hultstrand Anna-Britt Coe Mikael Lilja Senada Hajdarevic Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist
description	Purpose: Sweden has tried to speed up the process of early cancer detection by standardization of care. This increased focus on early cancer detection provides people with a conflicting norm regarding the importance of recognizing possible cancer symptoms and the responsibility of not delaying seeking care. Based on existing norms about patients’ responsibility and care seeking, this study explores how patients experience encounters with primary care physicians when they seek care for symptoms potentially indicating cancer. Methods: Thirteen semi-structured interviews were conducted with patients receiving care for symptoms indicative of cancer in one county in northern Sweden. Data was analysed with thematic analysis. Results: The common notion of describing patients as customers in a healthcare context does not sufficiently capture all aspects of what counts as being a person seeking care. Instead, people interacting with primary care face a twofold role in where they are required to take the role not only of customer but also of seller. Consequently, people shift between these two roles in order to legitimize their care seeking. Conclusions: Standardization oversimplifies the complexity underlying patients’ experience of care seeking and interaction with healthcare. Hence, healthcare must acknowledge the individual person within a standardized system.
format	article
author	Cecilia Hultstrand Anna-Britt Coe Mikael Lilja Senada Hajdarevic
author_facet	Cecilia Hultstrand Anna-Britt Coe Mikael Lilja Senada Hajdarevic
author_sort	Cecilia Hultstrand
title	Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist
title_short	Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist
title_full	Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist
title_fullStr	Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist
title_full_unstemmed	Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist
title_sort	shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/dfcae374b7ff441ca660656734e451b6
work_keys_str_mv	AT ceciliahultstrand shiftingbetweenrolesofacustomerandasellerpatientsexperiencesoftheencounterwithprimarycarephysicianswhensuspicionsofcancerexist AT annabrittcoe shiftingbetweenrolesofacustomerandasellerpatientsexperiencesoftheencounterwithprimarycarephysicianswhensuspicionsofcancerexist AT mikaellilja shiftingbetweenrolesofacustomerandasellerpatientsexperiencesoftheencounterwithprimarycarephysicianswhensuspicionsofcancerexist AT senadahajdarevic shiftingbetweenrolesofacustomerandasellerpatientsexperiencesoftheencounterwithprimarycarephysicianswhensuspicionsofcancerexist
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Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist

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