Primary health care teams and the patient perspective: A social network analysis

Cheong, Lynn; Armour, Carol; Bosnic‐Anticevich, Sinthia

doi:10.1016/j.sapharm.2012.12.003

Cited by 35 publications

(44 citation statements)

References 48 publications

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“…These not only included respiratory specialists, GPs and pharmacists, but also lay individuals, such as family and friends. Seeing as patients may turn to other health connections in place of traditional members of a MDC team, an additional study based on social network theory was conducted to identify and map patients' health connections in relation to asthma management . A social network approach investigates the properties of relations (ties) between individuals (nodes) in a network .…”

Section: Introductionmentioning

confidence: 99%

Patient asthma networks: understanding who is important and why

Cheong

Armour

Bosnic‐Anticevich

2014

Health Expectations

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Background Multidisciplinary care (MDC) has been proposed as an essential component to the delivery of effective and efficient health care. However, patients have shown to establish their own sources of health advice and support outside the professional domain. It remained unclear as to how patients' choices may impact on MDC.Objective This study aimed to explore the role of patients in MDC, specifically (i) how and why patients select sources of health services, information and support, that is, their health connections and (ii) the key elements contributing to the nature and development of patients' health connections.Methods In-depth semi-structured interviews were conducted with asthma participants from Sydney, Australia. Participants were recruited from a broad range of primary health-care access points. Face-to-face and telephone interviews were audio recorded, transcribed verbatim, independently reviewed by two authors and analysed using a qualitative approach.Results A total of 47 interviews were conducted. Participants established health connections around their asthma needs and selected a combination of professional, personal and impersonal health connections for advice and support. Several key elements were reported to contribute towards the nature and development of patients' health networks. These included participants' perceptions of the role of HCPs, their level of trust in relationships, the convenience of accessing health advice and their perceptions of asthma.Conclusion By exploring patients' sources of health advice and support, this research provided new insight into how patients choose to manage asthma, particularly the way in which they selected health connections and their potential impact on MDC.

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Section: Introductionmentioning

confidence: 99%

Patient asthma networks: understanding who is important and why

Cheong

Armour

Bosnic‐Anticevich

2014

Health Expectations

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“…This will require a better understanding of the factors and determinants of patient self-care behaviours and the resources they access, and recognising and incorporating patients’ perspectives of how they want to be supported to enhance their abilities to engage in self-care [9]. While patients in this study suggested that community pharmacy currently plays a limited role in self-care support of LTCs, this finding may be more closely linked to patients’ low awareness and lack of recognition of community pharmacists’ potential as a clinical healthcare professionals that could manage and support LTCs [23]. Furthermore, studies have shown that community pharmacists view themselves primarily as “dispensers of medicines” as their main professional role [81], which may reflect the lens that patients also use to view them.…”

Section: Discussionmentioning

confidence: 99%

“…Patients will often seek support for self-care from both healthcare and non-healthcare sources based on their instrumental, psychosocial and relational needs [22]. Studies have shown that non-healthcare sources (family, friends, peers) play a more significant role in supporting many aspects of self-care including emotional and lifestyle support, although patients still rely on healthcare professionals for support with the medical aspect of their LTCs [18, 20, 23]. Among healthcare professionals, community pharmacy teams are least considered for ongoing support although the reasons for this is not clearly evident [23].…”

Section: Introductionmentioning

confidence: 99%

Self-care of long-term conditions: patients’ perspectives and their (limited) use of community pharmacies

et al. 2017

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Background Self-care support is an ‘inseparable’ component of quality healthcare for long-term conditions (LTCs). Evidence of how patients view and use community pharmacy (CP) to engage in self-care of LTCs is limited. Objective To explore patients’ perspectives of engaging in self-care and use of CP for self-care support. Setting England and Scotland. Method Qualitative design employing semi-structured interviews. LTCs patients were recruited via general practitioners (GPs) and CPs. Interviews were conducted between May 2013 and June 2014; they were audio-recorded, transcribed verbatim and analysed thematically. Results Twenty-four participants were interviewed. Three main themes emerged: engaging in self-care, resources for self-care support and (limited) use of community pharmacy. Participants’ LTC ‘lived experience’ showed that self-care was integral to daily living from being diagnosed to long-term maintenance of health/wellbeing; self-care engagement was very personal and diverse and was based on beliefs and experiences. Healthcare professionals were viewed as providing information which was considered passive and insufficient in helping behavioural change. Non-healthcare sources (family, carers, friends, internet) were important in filling active support gaps, particularly lifestyle management. Participants’ use of, and identified need for, community pharmacy as a resource for self-care support of LTCs was limited and primarily focussed on medicines supply. There was low awareness and visibility of CPs’ potential roles and capability. Conclusion CP needs to reflect on patients’ low awareness of its expertise and services to contribute to self-care support of LTCs. Rethinking how interventions are designed and ‘marketed’; incorporation of patients’ perspectives and collaboration with others, particularly GPs, could prove beneficial.

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“…It is imperative that patients have knowledge of the rationale behind the treatment options. Ultimately, one way of creating effective dissemination of information is access to patient networks, whereby patients in similar situations could discuss their experiences with the various treatment options; ultimately, the thought is that this would help patients develop understandings of treatments and prognosis (10).…”

Section: Core Competency 4: Practice -Based Learning and Improvementmentioning

confidence: 99%

Empowering the Patient through the Development of Core Competencies

Rajput¹,

Contino²,

Henning

2014

EIMJ

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The following paper reflects on the impact of the physician core competencies defined by the Accreditation Council for Graduate Medical Education of USA. In this commentary paper we have mirrored these core competencies so that the perceived patient perspective can be heard. As medical educators we feel it is important to consider the views of the main stakeholder in medicine, namely the patient, and to draw on our experiences as clinicians and at times patients ourselves. We further consider patient rights as the driving force that directs the development of core competencies through the cultivation of active and fruitful dialogue with their physicians.

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Primary health care teams and the patient perspective: A social network analysis

Cited by 35 publications

References 48 publications

Patient asthma networks: understanding who is important and why

Patient asthma networks: understanding who is important and why

Self-care of long-term conditions: patients’ perspectives and their (limited) use of community pharmacies

Empowering the Patient through the Development of Core Competencies

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