Negotiating bodily sensations between patients and GPs in the context of standardized cancer patient pathways – an observational study in primary care
BACKGROUND: How interactions during patient-provider encounters in Swedish primary care construct access to further care is rarely explored. This is especially relevant nowadays since Standardized Cancer Patient Pathways have been implemented as an organizational tool for standardizing the diagnosti...
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ftpubmed:oai:pubmedcentral.nih.gov:6969453 2023-05-15T17:44:57+02:00 Negotiating bodily sensations between patients and GPs in the context of standardized cancer patient pathways – an observational study in primary care Hultstrand, Cecilia Coe, Anna-Britt Lilja, Mikael Hajdarevic, Senada 2020-01-17 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969453/ http://www.ncbi.nlm.nih.gov/pubmed/31952534 https://doi.org/10.1186/s12913-020-4893-4 en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969453/ http://www.ncbi.nlm.nih.gov/pubmed/31952534 http://dx.doi.org/10.1186/s12913-020-4893-4 © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. CC0 PDM CC-BY Research Article Text 2020 ftpubmed https://doi.org/10.1186/s12913-020-4893-4 2020-02-02T01:24:28Z BACKGROUND: How interactions during patient-provider encounters in Swedish primary care construct access to further care is rarely explored. This is especially relevant nowadays since Standardized Cancer Patient Pathways have been implemented as an organizational tool for standardizing the diagnostic process and increase equity in access. Most patients with symptoms indicating serious illness as cancer initially start their diagnostic trajectory in primary care. Furthermore, cancer symptoms are diverse and puts high demands on general practitioners (GPs). Hence, we aim to explore how presentation of bodily sensations were constructed and legitimized in primary care encounters within the context of Standardized Cancer Patient Pathways (CPPs). METHODS: Participant observations of patient-provider encounters (n = 18, on 18 unique patients and 13 GPs) were carried out at primary healthcare centres in one county in northern Sweden. Participants were consecutively sampled and inclusion criteria were i) patients (≥18 years) seeking care for sensations/symptoms that could indicate cancer, or had worries about cancer, Swedish speaking and with no cognitive disabilities, and ii) GPs who met with these patients during the encounter. A constructivist approach of grounded theory method guided the data collection and was used as a method for analysis, and the COREQ-checklist for qualitative studies (Equator guidelines) were employed. RESULTS: One conceptual model emerged from the analysis, consisting of one core category Negotiating bodily sensations to legitimize access, and four categories i) Justifying care-seeking, ii) Transmitting credibility, iii) Seeking and giving recognition, and iv) Balancing expectations with needs. We interpret the four categories as social processes that the patient and GP constructed interactively using different strategies to negotiate. Combined, these four processes illuminate how access was legitimized by negotiating bodily sensations. CONCLUSIONS: Patients and GPs seem to be mutually ... Text Northern Sweden PubMed Central (PMC) BMC Health Services Research 20 1 |
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Research Article Hultstrand, Cecilia Coe, Anna-Britt Lilja, Mikael Hajdarevic, Senada Negotiating bodily sensations between patients and GPs in the context of standardized cancer patient pathways – an observational study in primary care |
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Research Article |
description |
BACKGROUND: How interactions during patient-provider encounters in Swedish primary care construct access to further care is rarely explored. This is especially relevant nowadays since Standardized Cancer Patient Pathways have been implemented as an organizational tool for standardizing the diagnostic process and increase equity in access. Most patients with symptoms indicating serious illness as cancer initially start their diagnostic trajectory in primary care. Furthermore, cancer symptoms are diverse and puts high demands on general practitioners (GPs). Hence, we aim to explore how presentation of bodily sensations were constructed and legitimized in primary care encounters within the context of Standardized Cancer Patient Pathways (CPPs). METHODS: Participant observations of patient-provider encounters (n = 18, on 18 unique patients and 13 GPs) were carried out at primary healthcare centres in one county in northern Sweden. Participants were consecutively sampled and inclusion criteria were i) patients (≥18 years) seeking care for sensations/symptoms that could indicate cancer, or had worries about cancer, Swedish speaking and with no cognitive disabilities, and ii) GPs who met with these patients during the encounter. A constructivist approach of grounded theory method guided the data collection and was used as a method for analysis, and the COREQ-checklist for qualitative studies (Equator guidelines) were employed. RESULTS: One conceptual model emerged from the analysis, consisting of one core category Negotiating bodily sensations to legitimize access, and four categories i) Justifying care-seeking, ii) Transmitting credibility, iii) Seeking and giving recognition, and iv) Balancing expectations with needs. We interpret the four categories as social processes that the patient and GP constructed interactively using different strategies to negotiate. Combined, these four processes illuminate how access was legitimized by negotiating bodily sensations. CONCLUSIONS: Patients and GPs seem to be mutually ... |
format |
Text |
author |
Hultstrand, Cecilia Coe, Anna-Britt Lilja, Mikael Hajdarevic, Senada |
author_facet |
Hultstrand, Cecilia Coe, Anna-Britt Lilja, Mikael Hajdarevic, Senada |
author_sort |
Hultstrand, Cecilia |
title |
Negotiating bodily sensations between patients and GPs in the context of standardized cancer patient pathways – an observational study in primary care |
title_short |
Negotiating bodily sensations between patients and GPs in the context of standardized cancer patient pathways – an observational study in primary care |
title_full |
Negotiating bodily sensations between patients and GPs in the context of standardized cancer patient pathways – an observational study in primary care |
title_fullStr |
Negotiating bodily sensations between patients and GPs in the context of standardized cancer patient pathways – an observational study in primary care |
title_full_unstemmed |
Negotiating bodily sensations between patients and GPs in the context of standardized cancer patient pathways – an observational study in primary care |
title_sort |
negotiating bodily sensations between patients and gps in the context of standardized cancer patient pathways – an observational study in primary care |
publisher |
BioMed Central |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969453/ http://www.ncbi.nlm.nih.gov/pubmed/31952534 https://doi.org/10.1186/s12913-020-4893-4 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969453/ http://www.ncbi.nlm.nih.gov/pubmed/31952534 http://dx.doi.org/10.1186/s12913-020-4893-4 |
op_rights |
© The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
op_rightsnorm |
CC0 PDM CC-BY |
op_doi |
https://doi.org/10.1186/s12913-020-4893-4 |
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BMC Health Services Research |
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20 |
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1 |
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1766147646876024832 |