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Fam Pract. 2006 Apr;23(2):210-9. Epub 2005 Dec 16.

Patients' views on interpersonal continuity in primary care: a sense of security based on four core foundations.

Author information

1
Swedish National Board of Health and Welfare, Göteborg, Sweden. inger.von.bultzingslowen@liv.se

Abstract

BACKGROUND:

A deep and comprehensive understanding of what patients value about having a personal doctor in primary care is lacking.

OBJECTIVES:

To acquire a comprehensive understanding of the core values of having a personal doctor in a continuing doctor-patient relationship in primary care among long-term, chronically ill patients.

METHOD:

In this qualitative study, 14 chronically ill patients at three primary health care centres were strategically selected. The centres were selected to include patients with experiences from both long-term and short-term doctors. The patients were asked about their views on having a personal doctor in a continuing doctor-patient relationship in primary care compared with having different short-term doctors. Sixteen health care professionals were interviewed about what chronically ill patients convey to them about having a personal doctor in contrast to seeing different short-term locum doctors. The in-depth interviews were transcribed verbatim and analysed by qualitative content analysis.

RESULTS:

The core category, i.e. a universal concept that many patients used to describe the impact of having access to a personal doctor, was a sense of security. This was based on four main categories or core foundations which were: feelings of coherence, confidence in care, a trusting relationship and accessibility. In turn, the four main categories emerged from two to four of subcategories.

CONCLUSION:

The foundations that underpin the value of personal care from the patients' perspective could be based on categories found in this study.

PMID:
16361395
DOI:
10.1093/fampra/cmi103
[Indexed for MEDLINE]

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