Department of Research, Education and Development, Region Halland, Halmstad, Sweden.
Primary Health Care Unit, Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Scand J Prim Health Care. 2020 Mar;38(1):33-41. doi: 10.1080/02813432.2020.1718311. Epub 2020 Jan 31.
To explore lived experiences of patients communicating with and receiving information from primary health care. Qualitative study analysing transcribed interviews by descriptive content analysis. Recruitment and interviews took place in southern Sweden in three primary care centres where privacy and undisturbed interview environments was ensured. 17 primary care patient informants, 9 men and 8 women aged 31 - 84 years with varying educational levels from primary school to post graduates. Thematic categories and subcategories reporting the lived experience of the patients. The analysis yielded three categories and identified as a main theme a feeling of unpredictability based on the emotional aspects of feeling lost and vulnerable when trying to access primary care. The category" Need for easy access" illustrated emotional aspects of importance to patients when contacting primary health care." Need for individual adaptation" described the need to individually adapt health related information." Information exchange" comprised experiences of information evaluation and understanding new information. Patients generally trusted the information received, but experienced a lack of communication, which evoked feelings of unpredictability and abandonment. Experiences of limited access to primary health care and the need for varying degrees of adaptation on the part of the individual were factors of concern for how patients experienced the care.Key PointsSmooth communication and understandable information are fundamental for quality primary health care. This qualitative interview study identified the following key points from analysing the views of 17 patients:• Patients indicated a feeling of unpredictability due to lack of access to and communication with health professionals.• Patients sometimes reported an inability to understand information conveyed by health professionals.• Being able to form relationships with health professionals was crucial for patients' trust and understanding.
探索患者与初级保健沟通并接收信息的体验。这是一项定性研究，通过描述性内容分析对转录访谈进行分析。招募和访谈在瑞典南部的三个初级保健中心进行，这些中心确保了隐私和不受干扰的访谈环境。17 名初级保健患者信息提供者，9 名男性和 8 名女性，年龄在 31 至 84 岁之间，教育程度从小学到研究生不等。报告患者体验的主题类别和子类别。分析产生了三个类别，并确定了一个主要主题，即基于迷失和脆弱的情感方面的不可预测感，这是患者尝试获得初级保健时的感受。“需要便捷的获取途径”类别说明了患者在联系初级卫生保健时对重要的情感方面的需求。“需要个性化适应”描述了对个人适应健康相关信息的需求。“信息交流”包括对信息评估和理解新信息的体验。患者通常信任所收到的信息，但经历了沟通不畅，这引起了不可预测性和被抛弃的感觉。有限的初级卫生保健获取途径的体验以及个人需要不同程度的适应是患者体验护理的关注点。
沟通顺畅和信息易懂是初级卫生保健质量的基础。这项定性访谈研究通过分析 17 名患者的观点，确定了以下关键点：
患者由于缺乏与卫生专业人员的联系和沟通而感到不可预测。
患者有时报告说他们无法理解卫生专业人员传达的信息。
能够与卫生专业人员建立关系对患者的信任和理解至关重要。
