GPs' perspectives of the patient encounter : in the context of standardized cancer patient pathways
Objective: We aim to explore how GPs assign meanings and act upon patients’ symptoms in primary care encounters in the context of standardized cancer patient pathways (CPPs). Design, setting and subjects: Thirteen individual interviews were conducted with GPs, at primary healthcare centers (n = 4) i...
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Umeå universitet, Institutionen för omvårdnad
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ftumeauniv:oai:DiVA.org:umu-170053 2023-10-09T21:54:36+02:00 GPs' perspectives of the patient encounter : in the context of standardized cancer patient pathways Hultstrand Ahlin, Cecilia Coe, Anna-Britt Lilja, Mikael Hajdarevic, Senada 2020 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-170053 https://doi.org/10.1080/02813432.2020.1753388 eng eng Umeå universitet, Institutionen för omvårdnad Umeå universitet, Allmänmedicin Umeå universitet, Sociologiska institutionen Scandinavian Journal of Primary Health Care, 0281-3432, 2020, 38:2, s. 238-247 orcid:0000-0003-4212-8080 orcid:0000-0003-1975-9060 orcid:0000-0002-5203-9877 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-170053 doi:10.1080/02813432.2020.1753388 PMID 32314634 ISI:000527825600001 Scopus 2-s2.0-85083691044 info:eu-repo/semantics/openAccess Encounter interpretation symptoms primary care cancer patient pathways general practitioners symbolic interactionism Nursing Omvårdnad Article in journal info:eu-repo/semantics/article text 2020 ftumeauniv https://doi.org/10.1080/02813432.2020.1753388 2023-09-22T13:54:44Z Objective: We aim to explore how GPs assign meanings and act upon patients’ symptoms in primary care encounters in the context of standardized cancer patient pathways (CPPs). Design, setting and subjects: Thirteen individual interviews were conducted with GPs, at primary healthcare centers (n = 4) in one county in northern Sweden. Interviews were analyzed using grounded theory method. The results were then linked to symbolic interactionism. Main outcome measures: GPs’ perspectives about assigning meanings to patients’ presented symptoms and perception about CPPs. Results: In the encounter, GPs engaged in two simultaneous interactions, one with patients’ symptoms – and the other with CPPs. The core category Disentangling patients’ care trajectory consists of three categories, interpreted as GPs’ strategies developed to assign meaning to symptoms. These strategies are carried out not in a straightforward manner but rather in a conflicting way, illuminating the complexity of GPs’ daily work. Conclusions: Interacting with patients is vital for assigning meaning to presented symptoms. However, nowadays GPs are not only required to interact with patients, they are also required to interact with CPPs. These standardized routines might create pressure and demands on GPs, especially for those experiencing a lack of information about CPPs. Beside of carrying out the challenging patient/person-centered dialogues and interpreting presented symptoms, GPs also need to link the interpreted symptoms to CPPs. Therefore, it is essential that GPs are given opportunities at their workplaces to continuously be informed and be supported in order to practice CPPs and thereby optimize trajectories for patients undergoing cancer diagnostics. Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) Scandinavian Journal of Primary Health Care 38 2 238 247 |
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Umeå University: Publications (DiVA) |
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ftumeauniv |
language |
English |
topic |
Encounter interpretation symptoms primary care cancer patient pathways general practitioners symbolic interactionism Nursing Omvårdnad |
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Encounter interpretation symptoms primary care cancer patient pathways general practitioners symbolic interactionism Nursing Omvårdnad Hultstrand Ahlin, Cecilia Coe, Anna-Britt Lilja, Mikael Hajdarevic, Senada GPs' perspectives of the patient encounter : in the context of standardized cancer patient pathways |
topic_facet |
Encounter interpretation symptoms primary care cancer patient pathways general practitioners symbolic interactionism Nursing Omvårdnad |
description |
Objective: We aim to explore how GPs assign meanings and act upon patients’ symptoms in primary care encounters in the context of standardized cancer patient pathways (CPPs). Design, setting and subjects: Thirteen individual interviews were conducted with GPs, at primary healthcare centers (n = 4) in one county in northern Sweden. Interviews were analyzed using grounded theory method. The results were then linked to symbolic interactionism. Main outcome measures: GPs’ perspectives about assigning meanings to patients’ presented symptoms and perception about CPPs. Results: In the encounter, GPs engaged in two simultaneous interactions, one with patients’ symptoms – and the other with CPPs. The core category Disentangling patients’ care trajectory consists of three categories, interpreted as GPs’ strategies developed to assign meaning to symptoms. These strategies are carried out not in a straightforward manner but rather in a conflicting way, illuminating the complexity of GPs’ daily work. Conclusions: Interacting with patients is vital for assigning meaning to presented symptoms. However, nowadays GPs are not only required to interact with patients, they are also required to interact with CPPs. These standardized routines might create pressure and demands on GPs, especially for those experiencing a lack of information about CPPs. Beside of carrying out the challenging patient/person-centered dialogues and interpreting presented symptoms, GPs also need to link the interpreted symptoms to CPPs. Therefore, it is essential that GPs are given opportunities at their workplaces to continuously be informed and be supported in order to practice CPPs and thereby optimize trajectories for patients undergoing cancer diagnostics. |
format |
Article in Journal/Newspaper |
author |
Hultstrand Ahlin, Cecilia Coe, Anna-Britt Lilja, Mikael Hajdarevic, Senada |
author_facet |
Hultstrand Ahlin, Cecilia Coe, Anna-Britt Lilja, Mikael Hajdarevic, Senada |
author_sort |
Hultstrand Ahlin, Cecilia |
title |
GPs' perspectives of the patient encounter : in the context of standardized cancer patient pathways |
title_short |
GPs' perspectives of the patient encounter : in the context of standardized cancer patient pathways |
title_full |
GPs' perspectives of the patient encounter : in the context of standardized cancer patient pathways |
title_fullStr |
GPs' perspectives of the patient encounter : in the context of standardized cancer patient pathways |
title_full_unstemmed |
GPs' perspectives of the patient encounter : in the context of standardized cancer patient pathways |
title_sort |
gps' perspectives of the patient encounter : in the context of standardized cancer patient pathways |
publisher |
Umeå universitet, Institutionen för omvårdnad |
publishDate |
2020 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-170053 https://doi.org/10.1080/02813432.2020.1753388 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Scandinavian Journal of Primary Health Care, 0281-3432, 2020, 38:2, s. 238-247 orcid:0000-0003-4212-8080 orcid:0000-0003-1975-9060 orcid:0000-0002-5203-9877 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-170053 doi:10.1080/02813432.2020.1753388 PMID 32314634 ISI:000527825600001 Scopus 2-s2.0-85083691044 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1080/02813432.2020.1753388 |
container_title |
Scandinavian Journal of Primary Health Care |
container_volume |
38 |
container_issue |
2 |
container_start_page |
238 |
op_container_end_page |
247 |
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1779318233795395584 |