Centre for Men's Health, Leeds Metropolitan University, Queen Square House, 80 Woodhouse Lane, Leeds, LS2 8NU, UK.
Psychol Health. 2012;27(7):865-80. doi: 10.1080/08870446.2011.636443. Epub 2012 Jan 10.
An important consideration that needs adding to discussions of patient choice and whether or not men are reluctant to use primary care services is that many frequent attenders are male. The aim of this article is to explore how male frequent attenders construct decisions to use or not use health-care services. This is achieved through secondary analysis of baseline interviews with male frequent attenders from the Self Care in Primary Care study. As this was a complex study, a three-step analytic process was employed to incorporate the involvement of multiple researchers working together over a number of years. First, the interviewer summarised each interview and second, the summaries were read as a group to find themes across them. Subsequently, we returned to the interviews to add detail that would further illustrate or challenge the analysis. Participants talked of 'engaging health and avoiding ill-health', constructing themselves as embodied, health conscious and rational in a similar vein to constructions of feminine interactions with health. While participants talked of 'choosing health services' as if they were drawing upon a range of choices, the dominance of the image of the GP was such that seeing a GP was the only legitimate health choice.
在讨论患者选择以及男性是否不愿意使用初级保健服务时，有一个重要的考虑因素需要加入：许多经常就诊的患者是男性。本文的目的是探讨男性经常就诊者如何构建使用或不使用医疗保健服务的决策。这是通过对初级保健中的自我保健研究中男性经常就诊者的基线访谈进行二次分析来实现的。由于这是一项复杂的研究，因此采用了三步分析过程，使多名研究人员在多年的时间里共同参与。首先，访谈者总结了每次访谈，其次，将这些总结作为一个整体进行阅读，以找到跨访谈的主题。随后，我们回到访谈中，添加进一步说明或挑战分析的细节。参与者谈到了“参与健康和避免健康不良”，将自己构建为具有身体、健康意识和理性的人，这与女性与健康互动的构建方式相似。虽然参与者谈到“选择保健服务”，就好像他们在利用一系列选择，但 GP 的形象如此突出，以至于看全科医生是唯一合理的健康选择。
