Oster Andreas, Wiking Eivor, Nilsson Gunnar H, Olsson Christina B
Barkarby Primary Health Care Center, Region Stockholm, Stockholm, Sweden.
Academic Primary Health Care Center, Region Stockholm, Stockholm, Sweden.
BMC Prim Care. 2024 Apr 24;25(1):128. doi: 10.1186/s12875-024-02389-2.
Patients' ideas, concerns, and expectations are three important concepts in consultation techniques. Limited studies on these concepts include responses from both health care providers and care recipients of the same consultation. Highlighting both perspectives provides an increased understanding of the consultation. This study aims to explore the perspectives of patients and health care professionals about patients' expectations of primary health care during consultations with primary care physicians and compare the two sets of perspectives.
A cross-sectional study. Patients (n = 113) and physicians (n = 67) from five primary health care centers completed a questionnaire after planned consultations. Their responses to open-ended questions about patients' expectations, from patients' and physicians' perspectives were analyzed with qualitative content analyses.
The patients expected a personal journey, through the primary health care system where they were the subject of interest. A journey, with ready access to a health care provider followed by a consultation with the physician, medical measures administered, their outcomes discussed, and a plan developed for continued health care. The physicians observed patients' expectations to concern the responsibilities placed on primary health care where patients were the object of interest. Patients' short-term expectations were described in a similar way by both patients and physicians. Patients expressed their long-term expectations as more personal and interpersonal whereas physicians observed them from a more professional and organizational standpoint.
Patients and physicians have different views of what patients expect of primary health care. While patients' short-term expectations were perceived by physicians, their long-term expectations were not. Patients expected more of a personal journey through the primary health care system while physicians observed patients' expectations to concern the responsibilities placed on primary health care. Identifying and meeting patients' expectations is an important part of patient-centered care, and a better understanding of patients' expectations is needed to improve health professionals' consultation skills.
患者的想法、担忧和期望是咨询技巧中的三个重要概念。关于这些概念的研究有限，其中包括同一咨询中医疗服务提供者和接受者双方的反馈。突出双方观点能增进对咨询的理解。本研究旨在探讨患者和医疗专业人员对于患者在与初级保健医生咨询过程中对初级卫生保健期望的观点，并比较这两组观点。
一项横断面研究。来自五个初级卫生保健中心的患者（n = 113）和医生（n = 67）在计划好的咨询结束后完成一份问卷。他们针对关于患者期望的开放式问题的回答，从患者和医生的角度，采用定性内容分析法进行分析。
患者期望在初级卫生保健系统中有一段以他们自身为关注对象的个人经历。这段经历包括能随时联系到医疗服务提供者，接着与医生进行咨询，接受医疗措施，讨论治疗结果，并制定持续医疗保健计划。医生观察到患者的期望涉及以患者为关注对象的初级卫生保健所承担的责任。患者和医生对患者短期期望的描述相似。患者将他们的长期期望表达得更具个人化和人际化，而医生则从更专业和组织的角度看待这些期望。
患者和医生对于患者对初级卫生保健的期望有不同看法。虽然医生察觉到了患者的短期期望，但他们的长期期望却未被察觉。患者期望在初级卫生保健系统中有更多个人化的经历，而医生观察到患者的期望涉及初级卫生保健所承担的责任。识别并满足患者期望是以患者为中心的医疗的重要组成部分，需要更好地理解患者期望以提高卫生专业人员的咨询技巧。
