scholarly journals Satisfaction with Primary Care Providers and Health Care Services Among Patients with Chronic Pain: a Mixed-Methods Study

2019 ◽  
Vol 35 (1) ◽  
pp. 190-197
Author(s):  
Inga Gruß ◽  
Alison Firemark ◽  
Carmit K. McMullen ◽  
Meghan Mayhew ◽  
Lynn L. DeBar
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Chronic Pain ◽  
Mixed Methods ◽  
Health Care Services ◽  
Primary Care Providers ◽  
Mixed Methods Study ◽  
Care Providers ◽  
Care Services

scholarly journals Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study

2018 ◽  
Vol 16 (3) ◽  
pp. 232-239 ◽  
Author(s):  
Catherine Hudon ◽  
Maud-Christine Chouinard ◽  
Marie-France Dubois ◽  
Pasquale Roberge ◽  
Christine Loignon ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Mixed Methods ◽  
Case Management ◽  
Health Care Services ◽  
Mixed Methods Study ◽  
Frequent Users ◽  
Care Services

“Why Should I Tell My Business?”: An Emerging Theory of Coping and Disclosure in Teens

2016 ◽  
Vol 30 (2) ◽  
pp. 124-142 ◽  
Author(s):  
Daniela T. DeFrino ◽  
Monika Marko-Holguin ◽  
Stephanie Cordel ◽  
Lauren Anker ◽  
Melishia Bansa ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Services ◽  
Primary Care Providers ◽  
Care Providers ◽  
Care Services ◽  
Constant Comparative Analysis ◽  
To Receive

Disclosing predepression feelings of sadness is difficult for teens. Primary care providers are a potential avenue for teens to disclose these feelings and a bridge to mental health care before becoming more seriously ill. To explore how to more effectively recruit teens into a primary care-based, online depression prevention study, we held 5 focus groups with African American and Latino teens (n = 43) from a large Midwestern city. We conducted constant comparative analysis of the data and a theoretical conceptualization of coping and disclosure emerged. Our analysis revealed an internal coping continuum in reaction to sadness and pivotal elements of trust and judgment that either lead teens to disclose or not disclose these feelings. The teens’ perspectives show the necessary characteristics of a relationship and comfortable community and virtual settings that can best allow for teens to take the step of disclosing to receive mental health care services.

scholarly journals Engaging primary care providers in managing pediatric eating disorders: a mixed methods study

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jocelyn Lebow ◽  
Cassandra Narr ◽  
Angela Mattke ◽  
Janna R. Gewirtz O’Brien ◽  
Marcie Billings ◽  
...  
Keyword(s):  
Primary Care ◽  
Eating Disorders ◽  
Mixed Methods ◽  
Care Setting ◽  
Primary Care Setting ◽  
Primary Care Providers ◽  
Mixed Methods Study ◽  
Evidence Based ◽  
Care Providers ◽  
Evidence Based Treatment

Abstract Background The primary care setting offers an attractive opportunity for, not only the identification of pediatric eating disorders, but also the delivery of evidence-based treatment. However, constraints of this setting pose barriers for implementing treatment. For interventions to be successful, they need to take into consideration the perspectives of stakeholders. As such, the purpose of this study was to examine in-depth primary care providers’ perspective of challenges to identifying and managing eating disorders in the primary care setting. Methods This mixed methods study surveyed 60 Pediatric and Family Medicine providers across 6 primary care practices. Sixteen of these providers were further interviewed using a qualitative, semi-structured interview. Results Providers (n = 60, response rate of 45%) acknowledged the potential of primary care as a point of contact for early identification and treatment of pediatric eating disorders. They also expressed that this was an area of need in their practices. They identified numerous barriers to successful implementation of evidence-based treatment in this setting including scarcity of time, knowledge, and resources. Conclusions Investigations seeking to build capacities in primary care settings to address eating disorders must address these barriers.

Suicide attempt survivors’ experiences with mental health care services: A mixed methods study.

2020 ◽  
Vol 51 (2) ◽  
pp. 172-183
Author(s):  
Melanie A. Hom ◽  
Evan A. Albury ◽  
Marielle M. Gomez ◽  
Kirsten Christensen ◽  
Ian H. Stanley ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mixed Methods ◽  
Suicide Attempt ◽  
Mental Health Care ◽  
Health Care Services ◽  
Mixed Methods Study ◽  
Care Services

scholarly journals Developing the Patient Falls Risk Report: A mixed methods study on sharing falls-related clinical information from home care with primary care providers

2021 ◽  
Author(s):  
Amanda Aguilar da Nova
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Home Care ◽  
Clinical Information ◽  
Primary Care Providers ◽  
Mixed Methods Study ◽  
Care Planning ◽  
Care Providers ◽  
Falls Risk ◽  
Patient Falls

Abstract Background: The interRAI home care (interRAI-HC) instrument is valid, reliable, and capable of enhancing integration across health settings. However, its uptake has been met with criticism. If interRAI-HC information were shared with primary care providers in a useable, actionable, and context-appropriate manner, evidence suggests that its implementation could enhance care provision and integration between these providers. The objective of this study was to co-develop an information sharing tool with primary care providers for sharing clinical information from the interRAI-HC (named the Patient Falls Risk Report). Methods: This mixed-methods study, conducted from December 2019 to May 2020, employed qualitative and quantitative methods to develop and test the usability of the Patient Falls Risk Report. After recruiting primary care providers via snowball and maximum variation sampling, we employed semi-structured interviews in-person and over the telephone. The interview transcripts were analyzed through iterative thematic analysis and informed development of the report. Next, online surveys based on the System Usability Scale instrument were completed by a voluntary response sample of primary care providers and residents and descriptively analyzed to test the usability of the report.Results: Of the interview sample (n=9), we found that most believed that the Patient Falls Risk Report could support patient care by sharing relevant and actionable falls-related information. However, criticisms were identified including insufficient detail, lack of clarity, and limited support for shared care planning. After incorporating participants’ suggestions for improvement, a sample of primary care providers and primary care residents (n=27) determined that the report had excellent usability with an overall usability score of 83.4 (95% CI = 78.7, 88.2). Conclusions: By emphasizing usability and utility, and prioritizing the needs of end-users, sustainable interRAI-HC interventions can be developed and implemented to support care planning in primary care.

scholarly journals The expectations of transgender people in the face of their health-care access difficulties and how they can be overcome. A qualitative study in France

2020 ◽  
Vol 21 ◽  
Author(s):  
Emmanuel Allory ◽  
Ellie Duval ◽  
Marion Caroff ◽  
Candan Kendir ◽  
Raphaël Magnan ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Access ◽  
Primary Care Providers ◽  
Care Providers ◽  
Transgender People ◽  
Care Access ◽  
Care Services ◽  
Primary Health

Abstract Aim: Our objective was to explore the difficulties experienced by transgender people in accessing primary health-care services and their expectations towards primary care providers to improve their health-care access. Background: Because transgender people are exposed to many discriminations, their health-care access is particularly poor. Guidelines recommend greater involvement of primary care providers in the processes because of the accessibility feature of primary care services. Methods: A qualitative study using semi-directed interviews was conducted among 27 transgender people (February 2018 – August 2018). These voluntary participants were recruited through different means: local trans or LGBTI (lesbian, gay, bisexual, trans, and/or intersex) associations, primary care providers, and social networks. The data analysis was based on reflexive thematic analysis in an inductive approach. Findings: Difficulties in accessing health-care occurred at all the levels of the primary health-care system: primary care providers – transgender people interaction, access to the primary care team facility (starting with the secretariat), access to secondary care specialists, and continuity of care. Transgender people report ill-adapted health-care services as a result of gender-based identification in health-care settings. Their main expectation was depsychiatrization and self-determination. They supported mixed health network comprising primary care providers and transgender people with a coordinating role for the general practitioner. These expectations should be priorities to consider in our primary health-care system to improve access to health-care for transgender people.

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