High and variable use of primary care in prison. A qualitative study to understand help‐seeking behaviour

2008 ◽  
Vol 4 (3) ◽  
pp. 146-155 ◽  
Author(s):  
Jean‐Marc Feron ◽  
Lac Hong Nguyen Tan ◽  
Dominique Pestiaux ◽  
Vincent Lorant
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Help Seeking ◽  
Help Seeking Behaviour

scholarly journals Individual utilisation thresholds and exploring how GPs’ knowledge of their patients affects diagnosis: a qualitative study in primary care

2017 ◽  
Vol 67 (658) ◽  
pp. e361-e369 ◽  
Author(s):  
Matthias Michiels-Corsten ◽  
Stefan Bösner ◽  
Norbert Donner-Banzhoff
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Help Seeking ◽  
Family Background ◽  
Diagnostic Reasoning ◽  
Medical Attention ◽  
Diagnostic Strategies ◽  
Help Seeking Behaviour ◽  
The Media ◽  
Serious Disease

BackgroundOne of the tenets of general practice is that continuity of care has a beneficial effect on patient care. However, little is known about how continuity can have an impact on the diagnostic reasoning of GPs.AimTo explore GPs’ diagnostic strategies by examining GPs’ reflections on their patients’ individual thresholds for seeking medical attention, how they arrive at their estimations, and which conclusions they draw.Design and settingQualitative study with 12 GPs in urban and rural practices in Germany.MethodAfter each patient consultation GPs were asked to reflect on their diagnostic reasoning for that particular case. Qualitative and quantitative analyses of consultations and interview content were undertaken.ResultsA total of 295 primary care consultations were recorded, 134 of which contained at least one diagnostic episode. When elaborating on known patients, GPs frequently commented on how ‘early’ or ‘late’ in an illness progression a patient tended to consult. The probability of serious disease was accordingly regarded as high or low. This influenced GPs’ behaviour regarding further investigations or referrals, as well as reassurance and watchful waiting. GPs’ explanations for a patient’s utilisation threshold comprised medical history, the patient’s characteristics, family background, the media, and external circumstances.ConclusionThe concept of an individual threshold for the utilisation of primary care would explain how GPs use their knowledge of individual patients and their previous help-seeking behaviour for their diagnostic decision making. Whether the assumption behind this concept is valid, and whether its use improves diagnostic accuracy, remains to be investigated.

scholarly journals Use of health care services in seasonal affective disorder

2002 ◽  
Vol 180 (5) ◽  
pp. 449-454 ◽  
Author(s):  
John M. Eagles ◽  
Fiona L. Howie ◽  
Isobel M. Cameron ◽  
Samantha M. Wileman ◽  
Jane E. Andrew ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Affective Disorder ◽  
Help Seeking ◽  
Health Care Services ◽  
Seasonal Affective Disorder ◽  
Care Services ◽  
Help Seeking Behaviour ◽  
And Gender ◽  
Use Of Health Care

BackgroundLittle is known about the presentation and management of seasonal affective disorder (SAD) in primary care.AimsTo determine the use of health care services by people suffering from SAD.MethodFollowing a screening of patients consulting in primary care, 123 were identified as suffering from SAD. Each was age— and gender-matched with two primary care consulters with minimal seasonal morbidity yielding 246 non-seasonal controls. From primary care records, health care usage over a 5-year period was established.ResultsPatients with SAD consulted in primary care significantly more often than controls and presented with a wider variety of symptoms. They received more prescriptions, under went more investigations and had more referrals to secondary care.ConclusionsPatients with SAD are heavy users of health care services. This may reflect the condition itself, its comorbidity or factors related to the personality or help-seeking behaviour of sufferers.

Help seeking behaviour among men with erectile dysfunction in primary care setting

2011 ◽  
Vol 8 (S1) ◽  
pp. S94-S96 ◽  
Author(s):  
Asnida Anjang Ab Rahman ◽  
Nabilla Al-Sadat ◽  
Wah Yun Low
Keyword(s):  
Primary Care ◽  
Erectile Dysfunction ◽  
Help Seeking ◽  
Care Setting ◽  
Primary Care Setting ◽  
Help Seeking Behaviour

scholarly journals Voices of torture survivors in Tanzania: A qualitative study

2018 ◽  
Vol 28 (3) ◽  
pp. 92-103
Author(s):  
Maha Aon ◽  
Harold Sungusia ◽  
Marie Brasholt ◽  
Brenda Van Den Bergh ◽  
Jens Modvig
Keyword(s):  
Qualitative Research ◽  
Qualitative Study ◽  
Help Seeking ◽  
Sleep Problems ◽  
Dar Es Salaam ◽  
Torture Survivors ◽  
Psychological Consequences ◽  
Public Authorities ◽  
Help Seeking Behaviour ◽  
Gun Shot

Introduction: No published research has been found on torture in Tanzania, but individual cases were documented by human rights organisations. The aim of this study was to explore the salient physical, mental and social effects of torture in the country, and help-seeking behaviour by giving voice to a group of torture survivors in Dar-es-Salaam and Zanzibar City (Zanzibar). Methods: This explorative qualitative study consisted of 14 semi-structured in-depth interviews (12 males, 2 females) of which eight took place in Dar-es-Salaam and six in Zanzibar. Informants were selected purposefully through a mix of snowball and convenience sampling. Both the Standards for Reporting Qualitative Research (SRQR) and the Consolidated Criteria for Reporting Qualitative Research (COREQ) were followed. Results: Using the UNCAT definition of torture, all informants reported having been tortured within the past two years. The most common form of torture was beating with clubs to the joints. Other torture included, but was not limited to, gun shot, toenail removal and ‘poulet roti’. The most common physical consequence was persistent pain. Psychological consequences included suicidal ideation and sleep problems. Most interviewees lost their jobs as a result of the torture incident, instigating a cascade of financial and social problems. Conclusion: The findings present informants’ exposure to deliberate torture at the hands of public authorities. Informants confirmed their exposure to torture methods that had been previously reported by nongovernmental organisations. They also talked about exposure to more advanced, and previously undocumented, torture methods. Informants displayed a dire need for mental and physical health care, but had limited access to such care. Research is needed to better understand the magnitude, prevalence and context of torture in Tanzania.

scholarly journals Mental health problems of undocumented migrants (UMs) in the Netherlands: a qualitative exploration of help-seeking behaviour and experiences with primary care: Table 1

BMJ Open ◽  
2014 ◽  
Vol 4 (11) ◽  
pp. e005738 ◽  
Author(s):  
Erik Teunissen ◽  
Jamilah Sherally ◽  
Maria van den Muijsenbergh ◽  
Chris Dowrick ◽  
Evelyn van Weel-Baumgarten ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
The Netherlands ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Undocumented Migrants ◽  
Help Seeking Behaviour ◽  
Qualitative Exploration

scholarly journals Improving mental health in autistic young adults: a qualitative study exploring help-seeking barriers in UK primary care

2020 ◽  
Vol 70 (694) ◽  
pp. e356-e363
Author(s):  
Edmund Coleman-Fountain ◽  
Carole Buckley ◽  
Bryony Beresford
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Learning Disabilities ◽  
Young Adults ◽  
Qualitative Study ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Self Management ◽  
Mental Health Difficulties

BackgroundAutistic people are at increased risk of developing mental health problems. To reduce the negative impact of living with autism in a non-autistic world, efforts to improve take-up and access to care, and support in early years, which will typically start with a GP appointment, must be grounded in the accounts of autistic young adults.AimTo explore how autistic young adults understand and manage mental health problems; and to consider help seeking as a focus.Design and settingA cross-sectional, qualitative study. Autistic participants were purposively selected to represent a range of mental health conditions including anxiety and depression. A subsample were recruited from a population cohort screened for autism in childhood. The study concerns access to primary care.MethodNineteen autistic young adults without learning disabilities, aged 23 or 24 years, were recruited. In-depth, semi-structured interviews explored how they understood and managed mental health problems. Data were analysed thematically.ResultsYoung adults preferred self-management strategies. Multiple factors contributed to a focus on self-management, including: beliefs about the aetiology of mental health difficulties and increased vulnerability with the context of a diagnosis of autism, knowledge of self-management, and a view that formal support was unavailable or inadequate. Families had limited awareness of professional support.ConclusionYoung autistic adults without learning disabilities, and their families, may hold erroneous beliefs about autism and mental health. This may affect help seeking and contribute to an exacerbation of symptoms. GPs need to be alert to the fact that autistic young adults in their care may be experiencing mental health difficulties but may not recognise them as such.

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