Obstacles on the path to a primary-care led National Health Service : complexities of outpatient care.
An interpretive qualitative study was carried out as part of a large cohort study of factors affecting outpatient reattendance.
Individuals from three groups involved in the provision of care across the primary secondary interface were interviewed : patients, general practitioners and consultants.
The aim was to explore understandings concerning referral to and re-attendance at outpatients, and to elicit detailed descriptions of the complexities of the outpatient experience for both providers and recipients of care at the primary/secondary interface, given the policy commitment to a'primary-care led National Health Service'Semi-structured interviews were carried out with nine individuals currently attending outpatients, ten general practitioners, and ten consultants.
Transcripts were analysed individually and cross-checked between analysts for validity of interpretation, to identify key themes and subthemes.
Data were compared across the three groups.
Negative case analysis was employed.
Seven major issues were identified, some of which could be identified with interests and experience of the three obvious groupings, and some of which were common.
The three groupings are not as homogeneous as is often supposed.
From the cross-group analysis common themes included : interpersonal communication, knowledge, power relations and anxiety reassurance.
Issues of trust, social status, funding and consumerism litigation were also highlighted. (...)
Mots-clés Pascal : Obstacle, Soin, Consultation hospitalière, Analyse qualitative, Entretien, Evaluation, Homme, Système santé, Service santé, Royaume Uni, Europe, Organisation santé
Mots-clés Pascal anglais : Obstacle, Care, Hospital consultation, Qualitative analysis, Interview, Evaluation, Human, Health system, Health service, United Kingdom, Europe, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0085397
Code Inist : 002B30A04D. Création : 31/05/1999.