Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist
Purpose: Sweden has tried to speed up the process of early cancer detection by standardization of care. This increased focus on early cancer detection provides people with a conflicting norm regarding the importance of recognizing possible cancer symptoms and the responsibility of not delaying seeki...
Published in: | International Journal of Qualitative Studies on Health and Well-being |
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Language: | English |
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Umeå universitet, Institutionen för omvårdnad
2021
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-189158 https://doi.org/10.1080/17482631.2021.2001894 |
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ftumeauniv:oai:DiVA.org:umu-189158 2023-10-09T21:54:34+02:00 Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist Hultstrand, Cecilia Coe, Anna-Britt Lilja, Mikael Hajdarevic, Senada 2021 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-189158 https://doi.org/10.1080/17482631.2021.2001894 eng eng Umeå universitet, Institutionen för omvårdnad Umeå universitet, Allmänmedicin Umeå universitet, Sociologiska institutionen Umeå universitet, Institutionen för folkhälsa och klinisk medicin International Journal of Qualitative Studies on Health and Well-being, 1748-2623, 2021, 16:1, orcid:0000-0003-4212-8080 orcid:0000-0003-1975-9060 orcid:0000-0002-5203-9877 orcid:0000-0003-0661-8269 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-189158 doi:10.1080/17482631.2021.2001894 PMID 34784840 ISI:000719585300001 Scopus 2-s2.0-85119449712 info:eu-repo/semantics/openAccess Cancer symptoms seeking care primary healthcare patients’ experiences encounters standardization CPP Nursing Omvårdnad Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Article in journal info:eu-repo/semantics/article text 2021 ftumeauniv https://doi.org/10.1080/17482631.2021.2001894 2023-09-22T14:00:03Z Purpose: Sweden has tried to speed up the process of early cancer detection by standardization of care. This increased focus on early cancer detection provides people with a conflicting norm regarding the importance of recognizing possible cancer symptoms and the responsibility of not delaying seeking care. Based on existing norms about patients’ responsibility and care seeking, this study explores how patients experience encounters with primary care physicians when they seek care for symptoms potentially indicating cancer. Methods: Thirteen semi-structured interviews were conducted with patients receiving care for symptoms indicative of cancer in one county in northern Sweden. Data was analysed with thematic analysis. Results: The common notion of describing patients as customers in a healthcare context does not sufficiently capture all aspects of what counts as being a person seeking care. Instead, people interacting with primary care face a twofold role in where they are required to take the role not only of customer but also of seller. Consequently, people shift between these two roles in order to legitimize their care seeking. Conclusions: Standardization oversimplifies the complexity underlying patients’ experience of care seeking and interaction with healthcare. Hence, healthcare must acknowledge the individual person within a standardized system. Originally included in thesis in manuscript form. Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) International Journal of Qualitative Studies on Health and Well-being 16 1 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Cancer symptoms seeking care primary healthcare patients’ experiences encounters standardization CPP Nursing Omvårdnad Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
spellingShingle |
Cancer symptoms seeking care primary healthcare patients’ experiences encounters standardization CPP Nursing Omvårdnad Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Hultstrand, Cecilia Coe, Anna-Britt Lilja, Mikael Hajdarevic, Senada Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist |
topic_facet |
Cancer symptoms seeking care primary healthcare patients’ experiences encounters standardization CPP Nursing Omvårdnad Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
description |
Purpose: Sweden has tried to speed up the process of early cancer detection by standardization of care. This increased focus on early cancer detection provides people with a conflicting norm regarding the importance of recognizing possible cancer symptoms and the responsibility of not delaying seeking care. Based on existing norms about patients’ responsibility and care seeking, this study explores how patients experience encounters with primary care physicians when they seek care for symptoms potentially indicating cancer. Methods: Thirteen semi-structured interviews were conducted with patients receiving care for symptoms indicative of cancer in one county in northern Sweden. Data was analysed with thematic analysis. Results: The common notion of describing patients as customers in a healthcare context does not sufficiently capture all aspects of what counts as being a person seeking care. Instead, people interacting with primary care face a twofold role in where they are required to take the role not only of customer but also of seller. Consequently, people shift between these two roles in order to legitimize their care seeking. Conclusions: Standardization oversimplifies the complexity underlying patients’ experience of care seeking and interaction with healthcare. Hence, healthcare must acknowledge the individual person within a standardized system. Originally included in thesis in manuscript form. |
format |
Article in Journal/Newspaper |
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 |
Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist |
title_short |
Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist |
title_full |
Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist |
title_fullStr |
Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist |
title_full_unstemmed |
Shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist |
title_sort |
shifting between roles of a customer and a seller – patients’ experiences of the encounter with primary care physicians when suspicions of cancer exist |
publisher |
Umeå universitet, Institutionen för omvårdnad |
publishDate |
2021 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-189158 https://doi.org/10.1080/17482631.2021.2001894 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
International Journal of Qualitative Studies on Health and Well-being, 1748-2623, 2021, 16:1, orcid:0000-0003-4212-8080 orcid:0000-0003-1975-9060 orcid:0000-0002-5203-9877 orcid:0000-0003-0661-8269 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-189158 doi:10.1080/17482631.2021.2001894 PMID 34784840 ISI:000719585300001 Scopus 2-s2.0-85119449712 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1080/17482631.2021.2001894 |
container_title |
International Journal of Qualitative Studies on Health and Well-being |
container_volume |
16 |
container_issue |
1 |
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1779318170937458688 |