How younger adults with psychosocial problems experienced person-centered health consultations

Much attention is focused on the social determinants of health. Family medicine is challenged with a growing number of vulnerable persons with psychosocial or lifestyle related problems. The objective of this work was to explore how vulnerable younger adults experience person-centered preventive hea...

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Autores principales:	Line Soot, Kirsten Freund, Jørgen Lous, Mikkel Vass, Lotte Hvas
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2018
Materias:	patient experience vulnerable populations general practice patient-centered care self-efficacy physician-patient relations Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e489bb773c6e4006b1d42be13890a2b2
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spelling	oai:doaj.org-article:e489bb773c6e4006b1d42be13890a2b22021-11-15T04:25:59ZHow younger adults with psychosocial problems experienced person-centered health consultations2372-0247https://doaj.org/article/e489bb773c6e4006b1d42be13890a2b22018-11-01T00:00:00Zhttps://pxjournal.org/journal/vol5/iss3/15https://doaj.org/toc/2372-0247Much attention is focused on the social determinants of health. Family medicine is challenged with a growing number of vulnerable persons with psychosocial or lifestyle related problems. The objective of this work was to explore how vulnerable younger adults experience person-centered preventive health consultations with their general practitioner. The design and setting for this work were a secondary qualitative analysis of a randomized controlled trial (RCT) in Danish general practices. Younger adults (20-45) were consecutively invited to answer a screening questionnaire about psychosocial and lifestyle-related problems when visiting general practice (28 general practitioners (GPs)) for ordinary consultations. The 30% most vulnerable persons were invited to participate in a randomized controlled study. Intervention participants (n = 209) received a structured 1- hour ‘health consultation’ with their general practitioner focusing on resources and self-chosen goals and a 20-min follow-up after 3 months; control participants (n = 255) received usual care. At 1 year, 180 participants answered a follow-up postal questionnaire, of whom 135 answered the open-ended question: “Do you think the health consultation was worthwhile?”. This question was analyzed using qualitative content analysis. Six themes were prevalent: ‘Meeting the doctor in a different way’, ‘Supporting dialogue’, ‘Food for thought’, ‘Feeling better’, ‘Opportunity for change’, and the health consultations were ‘Not worthwhile’. Offering vulnerable younger adults a structured, person-centered preventive health consultation strengthened the doctor-patient relationship, allowed patients to reflect on their life situation, enhanced their perceived ability to cope with their problems and their belief in and ability to initiate wanted changes, thereby enhancing self-efficacyLine SootKirsten FreundJørgen LousMikkel VassLotte HvasThe Beryl Institutearticlepatient experiencevulnerable populationsgeneral practicepatient-centered careself-efficacyphysician-patient relationsMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient experience vulnerable populations general practice patient-centered care self-efficacy physician-patient relations Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient experience vulnerable populations general practice patient-centered care self-efficacy physician-patient relations Medicine (General) R5-920 Public aspects of medicine RA1-1270 Line Soot Kirsten Freund Jørgen Lous Mikkel Vass Lotte Hvas How younger adults with psychosocial problems experienced person-centered health consultations
description	Much attention is focused on the social determinants of health. Family medicine is challenged with a growing number of vulnerable persons with psychosocial or lifestyle related problems. The objective of this work was to explore how vulnerable younger adults experience person-centered preventive health consultations with their general practitioner. The design and setting for this work were a secondary qualitative analysis of a randomized controlled trial (RCT) in Danish general practices. Younger adults (20-45) were consecutively invited to answer a screening questionnaire about psychosocial and lifestyle-related problems when visiting general practice (28 general practitioners (GPs)) for ordinary consultations. The 30% most vulnerable persons were invited to participate in a randomized controlled study. Intervention participants (n = 209) received a structured 1- hour ‘health consultation’ with their general practitioner focusing on resources and self-chosen goals and a 20-min follow-up after 3 months; control participants (n = 255) received usual care. At 1 year, 180 participants answered a follow-up postal questionnaire, of whom 135 answered the open-ended question: “Do you think the health consultation was worthwhile?”. This question was analyzed using qualitative content analysis. Six themes were prevalent: ‘Meeting the doctor in a different way’, ‘Supporting dialogue’, ‘Food for thought’, ‘Feeling better’, ‘Opportunity for change’, and the health consultations were ‘Not worthwhile’. Offering vulnerable younger adults a structured, person-centered preventive health consultation strengthened the doctor-patient relationship, allowed patients to reflect on their life situation, enhanced their perceived ability to cope with their problems and their belief in and ability to initiate wanted changes, thereby enhancing self-efficacy
format	article
author	Line Soot Kirsten Freund Jørgen Lous Mikkel Vass Lotte Hvas
author_facet	Line Soot Kirsten Freund Jørgen Lous Mikkel Vass Lotte Hvas
author_sort	Line Soot
title	How younger adults with psychosocial problems experienced person-centered health consultations
title_short	How younger adults with psychosocial problems experienced person-centered health consultations
title_full	How younger adults with psychosocial problems experienced person-centered health consultations
title_fullStr	How younger adults with psychosocial problems experienced person-centered health consultations
title_full_unstemmed	How younger adults with psychosocial problems experienced person-centered health consultations
title_sort	how younger adults with psychosocial problems experienced person-centered health consultations
publisher	The Beryl Institute
publishDate	2018
url	https://doaj.org/article/e489bb773c6e4006b1d42be13890a2b2
work_keys_str_mv	AT linesoot howyoungeradultswithpsychosocialproblemsexperiencedpersoncenteredhealthconsultations AT kirstenfreund howyoungeradultswithpsychosocialproblemsexperiencedpersoncenteredhealthconsultations AT jørgenlous howyoungeradultswithpsychosocialproblemsexperiencedpersoncenteredhealthconsultations AT mikkelvass howyoungeradultswithpsychosocialproblemsexperiencedpersoncenteredhealthconsultations AT lottehvas howyoungeradultswithpsychosocialproblemsexperiencedpersoncenteredhealthconsultations
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How younger adults with psychosocial problems experienced person-centered health consultations

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