Primary care provider approaches to preventive health delivery: a qualitative study
| Autor: | Christy M. McKinney, Hemalatha Murugan, Christopher J. Wong, Clarence Spigner |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Health Personnel Psychological intervention Primary care Grounded theory Interviews as Topic 03 medical and health sciences 0302 clinical medicine Nursing Preventive Health Services Humans 030212 general & internal medicine Deferral Care Planning Qualitative Research Primary Health Care Research 030503 health policy & services Public Health Environmental and Occupational Health Preventive health Middle Aged Primary care clinic Conceptual framework Grounded Theory Female 0305 other medical science Psychology Qualitative research |
| Zdroj: | Primary Health Care Research & Development. 19:464-474 |
| ISSN: | 1477-1128 1463-4236 |
| Popis: | AimThe objective of this study was to seek decision-making insights on the provider level to gain understanding of the values that shape how providers deliver preventive health in the primary care setting.BackgroundThe primary care clinic is a core site for preventive health delivery. While many studies have identified barriers to preventive health, less is known regarding how primary care providers (PCPs) make preventive health decisions such as what services to provide, under what circumstances, and why they might choose one over another.MethodsQualitative methods were chosen to deeply explore these issues. We conducted semi-structured, one-on-one interviews with 21 PCPs at clinics affiliated with an academic medical center. Interviews with providers were recorded and transcribed. We conducted a qualitative analysis to identify themes and develop a theoretical framework using Grounded Theory methods.FindingsThe following themes were revealed: longitudinal care with an established PCP–patient relationship is perceived as integral to preventive health; conflict and doubt accompany non-preventive visits; PCPs defer preventive health for pragmatic reasons; when preventive health is addressed, providers use multiple contextual factors to decide which interventions are discussed; and PCPs desired team-based preventive health delivery, but wish to maintain their role when shared decision-making is required. We present a conceptual framework called Pragmatic Deferral. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |