Research and Development Unit in Region Östergötland, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Department of Health, Medicine and Caring Sciences, Management Department in Region Östergötland, Linköping University, Linköping, Sweden.
Health Expect. 2022 Feb;25(1):245-253. doi: 10.1111/hex.13370. Epub 2021 Oct 8.
Health care in many countries entails long waiting times. Avoidable healthcare visits by young adults have been identified as one probable cause.
The aim of this study was to explore healthcare providers' experiences and opinions about young adults' healthcare utilisation in the first line of care.
This study used latent qualitative conventional content analysis with focus groups. Four healthcare units participated: two primary healthcare centres and two emergency departments. This study included 36 participants, with 4-7 participants in each group, and a total of 21 registered nurses and 15 doctors. All interviews followed an interview guide.
Data were divided into eight categories, which all contained the implicit theme of distribution of responsibility between the healthcare provider and the healthcare user. Young adult healthcare consumers were considered to be highly influenced by external resources, often greatly concerned with small/vague symptoms they had difficulty explaining and unable to wait with. The healthcare provider's role was much perceived as being part of a healthcare structure-a large organisation with multiple units-and having to meet different priorities while also considering ethical dilemmas, though feeling supported by experience.
Healthcare personnel view young adults as transferring too much of the responsibility of staying healthy to the healthcare system. The results of this study show that the discussion of young adults unnecessarily seeking health care includes an underlying discussion of scarcity of resources.
The conduct of this study is based on interviews with young adult patients about their experiences of seeking healthcare.
许多国家的医疗保健都需要长时间等待。年轻人可避免的医疗就诊被认为是一个可能的原因。
本研究旨在探讨医疗保健提供者在第一线医疗保健中对年轻人医疗保健利用的经验和看法。
本研究使用潜在的定性常规内容分析与焦点小组。有四个医疗单位参与：两个初级保健中心和两个急诊部门。这项研究包括 36 名参与者，每组 4-7 人，共有 21 名注册护士和 15 名医生。所有访谈都遵循访谈指南。
数据分为八个类别，都包含了医疗保健提供者和医疗保健使用者之间责任分配的隐含主题。年轻的成年医疗消费者被认为受到外部资源的极大影响，他们往往非常关注自己难以解释和无法等待的小/模糊症状。医疗保健提供者的角色被认为是医疗结构的一部分——一个拥有多个单位的大型组织——必须满足不同的优先事项，同时考虑到道德困境，但他们感到经验的支持。
医疗保健人员认为年轻人将保持健康的责任过多地转移到医疗保健系统上。本研究的结果表明，对年轻人不必要地寻求医疗保健的讨论包括对资源稀缺性的潜在讨论。
本研究的进行是基于对年轻患者寻求医疗保健的经验的访谈。
