University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Kumla Primary Health Care Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Scand J Prim Health Care. 2022 Jun;40(2):271-280. doi: 10.1080/02813432.2022.2097611. Epub 2022 Jul 15.
Today's health care system faces challenges in meeting the needs of older people with multimorbidity. To better cope with these needs, tailored primary health care with geriatric competence and person-centred care has been suggested. The aim of this study was to explore older patients' experiences of a tailored primary health care unit. This was a qualitative study using semi-structured individual interviews and qualitative content analysis. Nineteen patients were recruited from a tailored PHC unit for people aged 75 years or older in a region in central Sweden. The interview data were analysed using inductive category development. In the analysis, the theme emerged. The interviewees expressed a desire to participate in their own care. Easy access, enough consultation time and a calm environment, along with the PHC professionals' welcoming and attentive approach enhanced their feeling of being in safe hands. PHC professionals were perceived as having geriatric knowledge and taking responsibility for the care of older patients. Although the interviewees experienced that they received attention for their health conditions, a need for a more preventive approach to care emerged. Older patients highly appreciated their tailored PHC unit and they emphasised that it was an improvement compared to the ordinary PHC centre. This study provides insights into older patients' experiences, which may be helpful in the ongoing process of improving care for older patients in PHC.KEY POINTSOlder patients attending a tailored Primary health care (PHC) unit felt acknowledged, unlike in the ordinary PHC centre, which facilitated their participation in their care.The calm environment, specialist geriatric competence and ample patient contact time enabled them to feel secure and taken care of.Older patients expressed a need for an incorporation of social services and health promotion visits at the tailored PHC unit.
今天的医疗保健系统在满足多病共存的老年人的需求方面面临挑战。为了更好地应对这些需求，已经提出了具有老年医学能力和以患者为中心的量身定制的初级保健。本研究旨在探讨老年患者对量身定制的初级保健单位的体验。这是一项定性研究，使用半结构化的个人访谈和定性内容分析。从瑞典中部一个地区为 75 岁及以上人群量身定制的初级保健单位招募了 19 名患者。使用归纳类别开发方法分析访谈数据。在分析中，出现了主题 。受访者表示希望参与自己的护理。便捷的访问、足够的咨询时间和安静的环境，以及初级保健专业人员的欢迎和关注态度，增强了他们感到安全的感觉。初级保健专业人员被认为具有老年医学知识，并对老年患者的护理负责。尽管受访者认为他们的健康状况得到了关注，但出现了对护理更具预防性方法的需求。老年患者非常赞赏他们的量身定制的初级保健单位，并强调与普通初级保健中心相比，这是一个改进。本研究提供了对老年患者体验的深入了解，这可能有助于改善初级保健中老年患者的护理。关键点：参加量身定制的初级保健 (PHC) 单位的老年患者感到被认可，与普通 PHC 中心不同，这促进了他们参与自己的护理。安静的环境、专业的老年医学能力和充足的患者接触时间使他们感到安全和得到照顾。老年患者表示需要在量身定制的 PHC 单位纳入社会服务和健康促进访问。
