scholarly journals Experiences of general practice care for self-harm: a qualitative study of young people's perspectives

2021 ◽  
pp. BJGP.2021.0091
Author(s):  
Faraz Mughal ◽  
Lisa Dikomitis ◽  
Opeyemi Babatunde ◽  
Carolyn A Chew-Graham
Keyword(s):  
General Practice ◽  
Young People ◽  
Help Seeking ◽  
Public Involvement ◽  
Advisory Group ◽  
Structured Interviews ◽  
Self Harm ◽  
Gp Care ◽  
General Practice Care ◽  
Practice Care

Background: Self-harm is a growing concern and rates of self-harm in young people presenting to general practice are rising. There is however an absence of evidence on young people’s experiences of GP care and on accessing general practice. Aim: To explore the help-seeking behaviours, experiences of GP care, and access to general practice for young people who self-harm. Design and setting: Semi-structured interviews were conducted with young people aged 16-25 from England with previous self-harm behaviour. Method: Interviews with 13 young people occurred between April and November 2019. Young people were recruited from the community, third-sector organisation, and Twitter. Data were analysed using reflexive thematic analysis with principles of constant comparison. A patient and public involvement advisory group informed recruitment strategies and supported interpretation of findings. Results: Young people described avenues of help-seeking they employ and reflected on mixed experiences of seeing GPs which can influence future help-seeking. Preconceptions and a lack of knowledge on accessing general practice were found to be barriers to help-seeking. GPs who attempted to understand the young person and establishing relationship-based care can facilitate young people accessing general practice care for self-harm. Conclusion: It is therefore important young people are aware how to access general practice care and that GPs listen, understand, and proactively follow-up young people who self-harm. Supporting young people with self-harm behaviour requires continuity of care.

scholarly journals Multimorbidity in General Practice: Unmet Care Needs From a Patient Perspective

2020 ◽  
Vol 7 ◽  
Author(s):  
Lisanne M. Rimmelzwaan ◽  
Mieke J. L. Bogerd ◽  
Bregitta M. A. Schumacher ◽  
Pauline Slottje ◽  
Hein P. J. Van Hout ◽  
...  
Keyword(s):  
General Practice ◽  
Chronic Conditions ◽  
Patient Perspective ◽  
Community Dwelling ◽  
Self Report ◽  
Daily Functioning ◽  
Structured Interviews ◽  
Care Needs ◽  
General Practice Care ◽  
Practice Care

Introduction: In the Netherlands, as in many other countries, current clinical guidelines are directed at single diseases. Patients with multiple chronic conditions may benefit from a more patient-tailored approach. Therefore, our objective is to explore the general practice care needs of patients with multimorbidity from a patient perspective. We also assessed their care experiences and the impact of chronic conditions on their daily functioning.Methods: We conducted a qualitative study, using semi-structured interviews complemented with self-report questionnaire assessments for triangulation, with consenting community-dwelling patients with three or more chronic conditions. Participants were identified through purposeful sampling in three general practices. Two researchers independently coded and thematically analyzed the audiotaped and anonymously transcribed interviews using the constant comparative method. The self-report questionnaire assessments were used to describe the patient characteristics and for triangulation of the data retrieved from the semi-structured interviews.Results: After 12 interviews, saturation was achieved. Overall, most participants were positive about their relationship with the general practitioner (GP) and practice nurse (PN) as well as the care they received in general practice. However, several unmet care need themes were observed: firstly, lack of a holistic approach (by the GP and PN), in particular, insufficient attention to the patient's state of functioning, their limitations in daily life, and their well-being; secondly, they mentioned that personal continuity of care was important to them and sometimes lacking; thirdly, lack of patient-tailored explanations about diseases and treatments.Conclusion: From a community-dwelling multimorbid patient perspective, general practice care could benefit from improving personal continuity of care, attention to personal circumstances and daily functioning, and patient-tailored communication.

scholarly journals Reflective insights from developing a palliative care children and young people’s advisory group

2021 ◽  
pp. 026921632097603
Author(s):  
Anna Roach ◽  
Debbie Braybrook ◽  
Steve Marshall
Keyword(s):  
Palliative Care ◽  
Young People ◽  
Health Research ◽  
School Health ◽  
Public Involvement ◽  
After School ◽  
Advisory Group ◽  
Research Projects ◽  
Children And Young People ◽  
Care Research

Background: The importance of actively involving patient and public members throughout the different stages of palliative care and health research projects is widely acknowledged, however patient and public involvement work rarely considers insight from children and young people. Although this is becoming increasingly recognised in other areas of research, there is currently no structured guidance on how to best involve children and young people in palliative care research. Aim: To plan and deliver a Young People’s Advisory Group in palliative care and health research at a secondary school. Findings: Attending an after-school ‘Health and Social Research Methods Club’ for 11 weeks benefitted children and researchers. Children were taught about data collection methods, data analysis and ethics in health research and used these skills to provide valuable feedback which has been implemented in current palliative care research projects. Children took part in considered discussions around palliative care topics and enjoyed attending the group. Conclusion: This project has equipped researchers with skills and provided a structured template for future Young People’s Advisory Groups, ensuring the unique voices of children and young people are considered and valued in future palliative care research.

scholarly journals Management of asthma in Australian general practice: care is still not in line with clinical practice guidelines

2008 ◽  
Vol 18 (2) ◽  
pp. 100-105 ◽  
Author(s):  
Christopher Barton ◽  
Judith Proudfoot ◽  
Cheryl Amoroso ◽  
Emmae Ramsay ◽  
Christine Holton ◽  
...  
Keyword(s):  
General Practice ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Australian General Practice ◽  
General Practice Care ◽  
Practice Care

scholarly journals General practice care and patients' priorities in Europe: an international comparison

Health Policy ◽  
1998 ◽  
Vol 45 (3) ◽  
pp. 175-186 ◽  
Author(s):  
Michel Wensing ◽  
Jan Mainz ◽  
Pedro Ferreira ◽  
Hilary Hearnshaw ◽  
Per Hjortdahl ◽  
...  
Keyword(s):  
General Practice ◽  
International Comparison ◽  
General Practice Care ◽  
Practice Care

scholarly journals Portuguese version of the EUROPEP questionnaire: contributions to the psychometric validation

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Hugo Roque ◽  
Ana Veloso ◽  
Pedro L Ferreira
Keyword(s):  
General Practice ◽  
Internal Consistency ◽  
Task Force ◽  
Family Health ◽  
Data Matrix ◽  
Patient Evaluation ◽  
Portuguese Version ◽  
European Task ◽  
General Practice Care ◽  
Practice Care

ABSTRACT OBJECTIVE To assess the construct validity and reliability of the Portuguese version of the European Task Force on Patient Evaluation of General Practice Care questionnaire. METHODS We applied the Portuguese version of the European Task Force on Patient Evaluation of General Practice Care to 392 users of 20 Family Health Units from the North of Portugal. The validity of the construct was evaluated by exploratory factor analysis, with the Principal Axis Factoring method, by orthogonal rotation (varimax procedure), by the Kaiser normalization criteria (eigenvalue ≥ 1). The factorability of the data matrix was verified by the Kaiser-Meyer-Olkin and Bartlett’s sphericity test. We estimated the reliability by the indicator of internal consistency Cronbach’s alpha. To analyze the correlations between satisfaction and loyalty, we used the Pearson correlations. The predictor effect of satisfaction on loyalty was analyzed by simple linear regression. RESULTS Satisfaction presented five robust and well individualized dimensions – medical care, nursing care, clinical secretariat services, accessibility, and organization of services – with alpha values between 0.86 and 0.97, good levels of internal consistency. The loyalty showed alpha value of 0.72, considered a reasonable internal consistency. The satisfaction was predictive of loyalty. CONCLUSIONS The Portuguese European Task Force on Patient Evaluation of General Practice Care questionnaire is a robust and reliable instrument to measure the satisfaction and loyalty of users of the Family Health Units.

scholarly journals How do patients with malignant brain tumors experience general practice care and support? Qualitative analysis of English Cancer Patient Experience Survey (CPES) data

2019 ◽  
Vol 7 (3) ◽  
pp. 313-319
Author(s):  
Isabell Fraulob ◽  
Elizabeth A Davies
Keyword(s):  
General Practice ◽  
Cancer Patient ◽  
Patient Experience ◽  
Brain Cancer ◽  
Care Plan ◽  
Care Plans ◽  
Care And Support ◽  
Experience Survey ◽  
General Practice Care ◽  
Practice Care

Abstract Background English Cancer Patient Experience Survey (CPES) data show patients with brain cancer report the least-positive experiences of general practice support. We aimed to understand these findings by identifying the issues described in qualitative survey feedback and suggest how care may be improved. Methods We reviewed 2699 qualitative comments made to open questions about what was good or might be improved about National Health Service care between 2010 and 2014. We identified 84 (3%) specific comments about general practice care and used open coding and framework analysis to develop a thematic framework. Results We identified 3 key themes and 12 subthemes: first, the experience of initial diagnosis by a general practitioner (GP), including apparent complexity of making the diagnosis, apparent slowness in referral for investigation, referral made by patient or family, delay in receiving scan results, and whether the GP quickly identified the problem and referred to a specialist; second, the experience of care and support from the general practice, including lack of supportive response from the GP, lack of follow-up care from the GP, lack of family involvement by the GP, lack of GP knowledge about management, and whether the GP responded in a supportive way to the diagnosis; and third, the experience of overall coordination in care, including lack of communication between the hospital and general practice and good communication about the care plan. Conclusion Qualitative responses from patients with brain cancer reveal their needs for better emotional and practical support within primary care. Suggestions include increasing the speed of initial referral for investigation, the depth of discussion about diagnostic difficulties, and developing coordinated care plans with cancer centers.

Sign in / Sign up

Export Citation Format

Share Document